At Commonwealth Pain and Spine, I submit and manage prior authorization requests for pain management procedures across commercial, Medicare, and Medicaid plans. I review coverage requirements and payer guidelines, and prepare appeals with supporting clinical documentation when requests are denied.
I also process retroactive authorizations and follow up with insurers on determinations, documentation, and claims issues. Previously, at BG Neurology, I handled referrals and insurance verification; at Marketplace Professional Staffing, I supported data entry, payroll, and employee records.
