Brianna Robbins

I’m an experienced Prior Authorization Specialist with 5 years of expertise obtaining insurance approvals for cardiovascular procedures. I initiate prior authorizations, follow pending requests to meet turnaround time requirements, and ensure approvals align with payer guidelines and policies.

I manage high-volume caseloads while maintaining quality and productivity in a remote environment. I review chart notes, prior imaging, and medical records to support medical necessity, and I document every authorization activity, including approvals, denials, and reference numbers in Cerner EMR and HMS.

When denials occur, I notify providers, facilitate peer-to-peer discussions with payers, and secure the clinicals needed to overturn decisions. I’m meticulous about HIPAA compliance, CPT/ICD-10/HCPCS accuracy, and payer-specific rule updates.

I also support team growth by leading virtual training sessions for new hires via Microsoft Teams, sharing processes, systems, and best practices that improve consistency and turnaround performance.