Open to opportunities

C Me

@cme

Message

Entry-level healthcare authorization specialist with strong customer-service skills.

United States

Message

What I'm looking for

I am seeking a healthcare administrative role where I can apply prior authorization and claims processing skills, collaborate with providers, and work in a supportive, process-driven environment that values accuracy and clear communication.

I am an experienced provider representative with experience handling prior authorizations, claims processing, and provider support across major payers like Aetna, Molina, and UnitedHealthcare. I bring ten years of customer service experience, strong communication and interpersonal skills, and proficiency with Microsoft Office, Excel, and Outlook to ensure accurate, timely processing and clear provider communication.

I have a working knowledge of medical terminology and a track record of adjusting errors, verifying member eligibility, and training or supporting colleagues. I am detail-oriented, reliable, and focused on meeting state standards and improving provider experience in administrative healthcare roles.

Experience

Work history, roles, and key accomplishments

Current

Prior Authorizations Representative

Current

Aetna

Jul 2019 - Present (6 years 2 months)

Assisted providers with prior authorization inquiries and processed incoming prior authorizations to meet state standards while verifying member eligibility.

Provider Relations Medical Terminology Microsoft Office Compliance Documentation Communication

Current

Prior Authorizations Representative

Current

Molina Medical Solutions

Oct 2017 - Present (7 years 11 months)

Reviewed and corrected prior authorization requests, assisted providers with paperwork questions, and adjusted errors on incoming documentation to ensure accurate submissions.