Alberta Kwakye

I am a dedicated Clinical Authorization Associate with extensive experience in healthcare benefit analysis and prior authorization processes. My role at Apex Systems has honed my skills in conducting comprehensive case reviews, ensuring that all avenues are explored before escalation. I excel in utilizing Salesforce, Help Scout, and health payor portals to manage eligibility checks and documentation efficiently.

Previously, I served as an Account Installment Specialist at Insight Global, where I built and coded new benefit plan designs into the claims processing system, RxClaim. My ability to multitask and perform root-cause analysis has been instrumental in addressing inquiries regarding benefit coding and claims processing. I have a strong educational background with a Bachelor's Degree in Biology and Chemistry from Virginia Commonwealth University, which complements my practical experience in the healthcare sector.

Throughout my career, I have demonstrated a commitment to quality assurance and effective case management, particularly during my time as a Case Investigator for the New Jersey Department of Health. I managed high volumes of calls and coordinated efforts with local health authorities, ensuring accurate data collection and reporting. My passion for improving patient outcomes drives my work, and I am eager to contribute my expertise to a dynamic healthcare team.