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Agnissan Assi

@agnissanassi

I streamline healthcare authorization, benefits verification, and claims workflows to protect continuous patient coverage.

United States

Message

What I'm looking for

I'm looking to improve healthcare authorization, benefits, claims, and data workflows while helping patients maintain uninterrupted coverage and care.

At Humana/CenterWell Home Health, I manage 80–100 insurance intake and authorization files each day across Medicare, Medicaid, VA, and commercial plans while maintaining errors below 2%.

I review clinical charts, physician orders, and medical-necessity documentation for prior authorizations and pre-determinations. I use Carelon, Availity, and EviCore to verify benefits, track authorizations, and resolve documentation gaps with prescriber offices and billing teams.

Previously at Garner Health Technology, I audited 50–75 complex healthcare claims, provider records, EOBs, coverage parameters, and billing data daily. I built Excel tools using Pivot Tables, XLOOKUP, and VLOOKUP to monitor file status, outstanding records, and resolution trends.

At Truework, I completed 60–80 verification requests daily, reached a 95% first-contact resolution rate, and trained more than five new team members on verification standards, database navigation, and information security.

Experience

Work history, roles, and key accomplishments

Current

Prior Authorization & Benefits Verification Specialist

Current

Humana/CenterWell Home Health

Oct 2024 - Present (1 year 11 months)

Managed high-volume insurance intake and authorization protocols, handling 80–100 patient files daily across Medicare, Medicaid, VA, and commercial plans while holding errors below 2%. Reviewed complex clinical charts, physician orders, and medical necessity documentation to submit accurate prior authorizations and pre-determinations.

Prior Authorizations Benefits Verification Medicare Medicaid Commercial Plans Clinical Documentation Review Carelon Availity EviCore HIPAA Data Integrity

Provider Data & Claims Analyst

Garner Health Technology

Jan 2021 - Sep 2024 (3 years 8 months)

Audited 50–75 complex healthcare claims, file lifecycles, and primary provider records daily to protect data accuracy across multiple internal software systems. Led error-reduction efforts by identifying incomplete or non-compliant documentation prior to system submission, which cut overall file rework rates.

Claims Analysis Data Accuracy EOB Validation Excel Pivot Tables XLOOKUP V Lookups Error Reduction Quality Assurance

Verification Specialist

Truework

Aug 2017 - Dec 2020 (3 years 4 months)

Owned and executed 60–80 data verification requests daily under strict service level agreements (SLAs) within a fast-paced remote environment. Investigated secure document discrepancies and resolved complex verification issues, achieving a 95% first-contact resolution rate.

Data Verification SLA Compliance Documentation discrepancy resolution Training Database Navigation Infosec