Dequejah Dean
@dequejahdean
Prior Authorization Specialist specializing in HIPAA-compliant, high-volume insurance verification.
What I'm looking for
I’m a Prior Authorization Specialist with over 5 years of remote, non-phone, high-volume administrative experience. I process complex prior authorizations and insurance eligibility verifications with a focus on 100% data integrity and strict HIPAA compliance.
I’m strong at auditing medical documentation against carrier guidelines to secure tracking approvals and prevent front-end billing rejections. In digital-first workflows, I independently manage asynchronous queues, resolve coverage discrepancies with precision, and consistently exceed productivity targets.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
Insurance Support Agency
Jun 2024 - Present (2 years 1 month)
Execute high-volume prior authorization and plan eligibility processing using internal databases and insurance portals, resolving coverage discrepancies with high precision. Audit medical documentation against carrier guidelines while maintaining strict HIPAA-compliant data security in a fully remote workflow.
Customer Service & Data Analyst
Remote
Mar 2019 - May 2024 (5 years 2 months)
Perform remote account management and high-volume transaction data processing with a focus on accuracy and efficiency. Resolve account discrepancies and unapplied values by cross-referencing ledger files against policy guidelines while managing administrative queues.
Education
Degrees, certifications, and relevant coursework
Cordova High School
High School Diploma, General Education
Earned a High School Diploma from Cordova High School in May 2022.
Relevant Higher Education Coursework
Non-degree coursework, Healthcare Administration
Completed non-degree higher-education coursework covering Business Administration, Healthcare Administration, Medical Billing & Coding, Healthcare Management, and Accounting.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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