Carla Gayle

I support healthcare providers, pharmacies, and members with high-volume inbound and outbound client interactions, working through complex coverage and authorization inquiries while staying HIPAA-compliant.

I investigate prior authorization cases across multiple systems—verifying eligibility and clinical information, documenting sensitive details, and managing concurrent workflows across phone, documentation, and case reviews.

I also handle escalations with de-escalation and audit-ready recordkeeping, and I’ve worked as a Mental Health Technician supporting residents with vital signs, medication activities, behavioral observations, and continuity of care.