Dell Hopper
@dellhopper
I am a Prior Authorization specialist in US healthcare billing.
What I'm looking for
I am a Prior Authorization Specialist focused on US healthcare and medical billing, experienced with prior authorizations for Durable Medical Equipment related to obstructive sleep apnea and CPT codes E0601, E0470 and E0471. I routinely use Brightree and portals such as Carelon, Sunshine, UHC and Maincare to initiate authorizations and coordinate with providers and insurers including Anthem, Medicare, Humana and UnitedHealthcare.
Previously I worked in real estate performing lead generation through digital marketing, booking site visits and closing sales, which strengthened my communication, time management and sales abilities. I hold a B.Com (Accountancy) and bring strong problem-solving, quick-learning and team-management skills; I am eager to apply my healthcare billing expertise in a progressive organization.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
Sunknowledge Services Inc.
Jan 2025 - Present (8 months)
Manage prior authorizations for DME (OSA) using Brightree, handling CPT codes E0601/E0470/E0471 and coordinating with 10+ providers and insurers like Anthem, Medicare, Humana. Verify patient insurance and compliance via ResMed, React Health and Philips portals and initiate authorizations via portals, fax and calls.
Real Estate Agent
FutureProp Homes
Aug 2023 - Dec 2024 (1 year 4 months)
Generated leads through digital marketing, booked and conducted site visits, and closed sales for residential projects. Managed client outreach and coordinated site visits to drive conversions.
Education
Degrees, certifications, and relevant coursework
University of Calcutta
Bachelor of Commerce (Honours), Accountancy
2017 - 2020
Grade: First Division
Graduated with Accountancy (Honours) from the University of Calcutta, completing a Bachelor of Commerce program from 2017 to 2020 with First Division.
West Bengal Council of Higher Secondary Education
Higher Secondary Certificate, Higher Secondary Education
2015 - 2017
Grade: First Division
Completed Higher Secondary Education under WBCHSE from 2015 to 2017 with First Division.
West Bengal Board of Secondary Education
Secondary School Certificate, Secondary Education
Grade: First Division
Completed Secondary Education under WBBSE in 2015 with First Division.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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