Leslie Tate
@leslietate
Prior authorization specialist optimizing approvals, compliance, and reimbursement.
What I'm looking for
I am a Prior Authorization Specialist with over 15 years of focused experience securing approvals, preventing denials, and ensuring payer compliance. I combine deep knowledge of CPT/ICD-10/HCPCS coding with practical revenue cycle support to improve reimbursement outcomes.
In my current role at an Alabama medical group since 2012, I manage high-volume authorizations for procedures, diagnostics, and specialty services, review clinical documentation for medical necessity, and verify benefits to prevent denials. I track pending approvals and follow up rigorously to minimize treatment delays.
Previously, I worked as an Insurance Follow-Up Specialist and Prior Authorization Clerk at an orthopedic practice where I secured surgical and imaging authorizations, handled denied claims and appeals, and researched payer guidelines for compliant submissions. I have hands-on experience with EMR systems and HIPAA-compliant workflows.
I am results-driven, detail-oriented, and committed to streamlining authorization processes that protect patient care and optimize revenue. I bring a practical, compliance-first approach to reducing denials and expediting patient treatment.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
Alabama Medical Group
Jan 2012 - Present (14 years 2 months)
Manage high-volume prior authorizations for procedures, diagnostics, and specialty services, improving authorization turnaround and reducing denials through medical necessity review and payer compliance.
Insurance Follow-Up Specialist
The Orthopedic Group
Jan 2008 - Dec 2012 (4 years 11 months)
Secured authorizations for surgeries, imaging, and DME, researched payer guidelines, and managed appeals for denied claims to recover reimbursements and ensure compliant submissions.
Education
Degrees, certifications, and relevant coursework
Bishop State Community College
Associate of Applied Science, Health Information Technology
Completed an Associate of Applied Science in Health Information Technology, focusing on medical coding and health records management.
Availability
Location
Authorized to work in
Job categories
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