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Leslie Tate

@leslietate

Prior authorization specialist optimizing approvals, compliance, and reimbursement.

United States
Message

What I'm looking for

I seek a role where I can reduce denials, streamline authorizations, and support revenue cycle operations in a compliance-focused, team-oriented healthcare setting.

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

TG

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 logoBC

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.

Tech stack

Software and tools used professionally

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