Connie Simms
@conniesimms
Detail-oriented prior authorization specialist with 5+ years securing approvals and ensuring compliance.
What I'm looking for
I am a detail-oriented and organized Prior Authorization Specialist with over five years of experience in healthcare, specializing in obtaining prior authorizations for outpatient surgeries, medications, and radiology procedures. I consistently communicate with providers, insurance companies, and patients to gather clinical documentation, resolve discrepancies, and provide status updates while maintaining HIPAA confidentiality.
I have remote experience across major EHR/EMR systems (Epic, Cerner, Athenahealth) and a strong working knowledge of insurance portals, CPT/ICD-10 coding, and benefits verification. I seek a remote role where I can apply strong time-management, documentation, and patient-advocacy skills to improve authorization turnaround and support care delivery.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
International Paper
Mar 2022 - Present (3 years 10 months)
Request and obtain prior authorizations for outpatient surgeries and radiology procedures, ensuring compliance with insurer policies and HIPAA while providing status updates to patients and providers.
Authorization Specialist
DuPont
Feb 2020 - Feb 2022 (2 years)
Initiated and managed prior authorization requests across specialties, verified benefits and eligibility, coordinated peer-to-peer reviews, and maintained accurate patient authorization records.
Education
Degrees, certifications, and relevant coursework
Connie hasn't added their education
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Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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