Open to opportunities

Firouzeh safavi

@firouzehsafavi

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Experienced healthcare admissions and benefits specialist optimizing insurance verification and patient access.

United States

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What I'm looking for

I am looking for a collaborative healthcare role in patient access or benefits verification where I can apply insurance verification, prior-authorization, and billing expertise to improve patient access and revenue processes.

I am a healthcare admissions and benefits verification specialist with a long track record in post-acute settings and specialty pharmacy operations. I focus on ensuring accurate insurance coverage and timely patient access to medications and rehabilitation services.

In my current role I review patient accounts daily for insurance accuracy, verify benefits, obtain prior authorizations, and coordinate copay assistance programs. I regularly communicate with insurers, providers, and patients to resolve denials and expedite refills and treatments.

Previously I served as an Admissions Director and Case Manager, overseeing admissions, coordinating interdisciplinary care, and growing managed-care patient census by 50% through targeted referral development. I have experience supervising staff, preparing progress reports, and managing discharge planning to support continuity of care.

I hold a Master of Science in Occupational Therapy and completed medical coding and billing training; I am proficient with EPIC/EHR systems, ICD-10, J codes, and platforms such as Availity and CoverMyMeds. I bring strong attention to detail, problem-solving, and a commitment to improving patient access and revenue processes.

Experience

Work history, roles, and key accomplishments

Current

Benefit Verification Representative

Current

CVS Specialty Pharmacy

Sep 2021 - Present (4 years)

Verified insurance benefits and prior authorizations for specialty pharmacy patients, coordinating with payers and copay assistance programs to resolve coverage and denial issues. Performed daily account reviews and communicated status updates to providers and patients.

Insurance Verification Prior Authorization Review Copay Programs Claims Management CoverMyMeds

Admission Director / Coordinator

Tamarac Rehab & Nursing Center

Feb 2004 - Mar 2011 (7 years 1 month)

Directed admissions and insurance verification for 80+ patients, obtained authorizations for short- and long-term rehab, and provided weekly therapy progress notes to case managers. Produced monthly and annual reports on admissions, discharges, and payer-source changes.

Insurance Verification Authorization Case Management Reporting PT OT SLP Liaison Data Entry

Case Manager / Social Services Assistant

HCR ManorCare

May 1999 - Dec 2003 (4 years 7 months)

Verified insurance coverage and obtained authorizations for rehab admissions, coordinated discharge planning and interdisciplinary care, and increased managed care patient census by 50% through referral development. Communicated weekly PT/OT/SLP progress to insurance case managers.

Care Coordination Insurance Verification Discharge Planning Referrals PT OT SLP Documentation Reporting

Rehab Tech

HCR ManorCare

Jun 1998 - May 1999 (11 months)

Prepared patients and assisted licensed therapists with routine treatment exercises and therapy equipment setup, while supporting clerical and data-entry functions for the therapy department.

Rehab Exercises Equipment Clerical Support Data Entry Documentation

Administrative Assistant

HCR ManorCare

Jun 1997 - Jun 1998 (1 year)

Generated daily, weekly, and monthly therapy productivity reports and supported outside sales and marketing efforts to develop referral sources for the facility. Managed departmental administrative tasks and reporting to corporate.

Reporting Data Entry Referrals Sales Support Microsoft Office Administrative Support

Office Manager

Drs. Donald Glucksman & Badri Safavi

Jan 1992 - Jun 1994 (2 years 5 months)

Supervised a four-person office team and managed Medicare and secondary insurance billing, electronic claims submission, and patient collections while maintaining regulatory compliance. Attended managerial meetings to stay current on Medicare reimbursement rules.

Office Management Staff Supervision Medical Billing Collections Regulatory Compliance