Open to opportunities

Debra Blair

@debrablair

Authorization Specialist with 10+ years improving payer communications, documentation accuracy, and high-volume healthcare workflows.

United States

Message

What I'm looking for

I’m looking for a healthcare organization where I can own authorization and claims resolution end-to-end, ensure HIPAA and payer guideline compliance, and optimize high-volume workflows with measurable service quality and collaborative support.

I’m a healthcare professional with 10+ years of experience in insurance authorization, payer communications, medical documentation review, eligibility verification, claims-related research, and healthcare operations. I’m known for reviewing and interpreting payer guidelines, resolving insurance-related issues, and maintaining documentation accuracy while staying compliant and efficient.

In my current role as a Remote Clinical Coordinator / Authorization Specialist, I manage insurance authorization processes for procedures, medications, and specialty treatments across Medicare, Medicaid, commercial, and managed care plans. I verify benefits and authorization requirements, monitor pre-service needs and approval completion, and maintain detailed electronic patient records in HIPAA-compliant ways—while supporting practice leadership with workflow improvements, operational reporting, and process optimization. I also coordinate provider appointments across multiple locations, review medical records for accuracy and completeness, and resolve authorization/coverage/documentation issues by partnering with insurance carriers, providers, and patients.

Previously, I supported coverage verification and order processing as a Commercial Sales Representative, consistently meeting performance and quality standards while documenting customer interactions and follow-ups. I also bring strong communication and triage experience from serving as a Triage Nurse, plus an operational mindset from managing independent and small business work grounded in attention to detail, documentation discipline, and customer service.

Experience

Work history, roles, and key accomplishments

Remote Clinical Coordinator

Pain Care Florida

Feb 2015 - Feb 2026 (11 years)

Managed insurance authorization processes for procedures, medications, and specialty treatments across Medicare, Medicaid, and commercial plans, ensuring payer-policy compliance and HIPAA-accurate EMR documentation. Reviewed benefits and pre-service requirements, researched authorization/coverage issues, and coordinated with payers, providers, and patients to support timely resolutions and operati

Medical Documentation Insurance Authorization Service Authorization Coordination

Commercial Sales Representative

Liberty Medical

Jan 2011 - Jan 2014 (3 years)

Verified insurance eligibility, benefits, and coverage requirements for Medicare, Medicaid, and commercial/HMO plans to support accurate order processing and reimbursement. Completed high-volume transactions with strict accuracy, documented customer interactions in company systems, and collaborated with patients and providers to resolve coverage and service issues.

Order Processing Customer Service

Independent Roofing Contractor

Roofing & Shingle Installation

Performed roofing and shingle installation work with strong attention to detail and adherence to established procedures and quality standards. Coordinated workflow activities to support efficient project completion in fast-paced environments.

Roofing Quality Assurance Attention To Detail Fast Paced Work Execution Project Support

Small Business Owner

Cleaning Service

Managed scheduling, customer accounts, inventory control, billing activities, and daily business operations for a cleaning service. Maintained detailed records and ensured service quality, efficiency, and customer satisfaction.

Scheduling Customer Account Management Inventory Control Billing Customer Satisfaction

Self-Employed Personal Trainer

Personal Training

Managed client scheduling, documentation, recordkeeping, and communications while delivering personalized client support and education. Maintained accurate records and supported ongoing service delivery through clear client interaction documentation.

Client Scheduling Client Communication Documentation Management Record keeping client support Client Education