Kelsey Carpenter

I am a detail-oriented Prior Authorization Specialist and Medical Scheduler with clinical experience as a CNA/PCT, skilled at processing high volumes of authorizations and managing appeals. I combine hands-on patient-care knowledge with strong familiarity with CPT/ICD-10 coding, Medicaid, Medicare, and commercial insurance policies.

I have a proven record of reducing denials through accurate documentation, payer guideline review, proactive follow-up, and thorough EMR tracking. In my current role I process and submit daily prior authorization requests, verify eligibility and benefits, and follow issues through to final determination while maintaining positive relations in a high-volume healthcare environment.

I prioritize clear communication and HIPAA-compliant customer service, handling patient inquiries and coordinating with insurance representatives to resolve authorization matters efficiently. I hold certifications as a CNA and PCT and bring additional experience in admissions & registration, insurance verification, HR assistance, and medical office marketing.