Michelle Serrano

I am a detail-oriented and highly organized healthcare professional with extensive experience in managing high-volume workloads while ensuring accuracy, compliance, and timely communication with payers and providers. My expertise lies in payer guidelines, insurance verification, prior authorizations, and denial resolution, which I have honed through various roles in the healthcare sector.

In my most recent position as an Authorization Specialist at Merit Health River Region, I successfully initiated and obtained prior authorizations for outpatient services and surgical procedures, ensuring compliance with payer guidelines. My role involved verifying patient insurance eligibility, conducting outbound calls to appeal denied requests, and maintaining comprehensive patient data in electronic health records. I consistently met productivity and accuracy benchmarks, demonstrating my commitment to improving patient access and optimizing revenue cycle efficiency.

Throughout my career, I have developed strong skills in medical terminology, HIPAA compliance, and remote communication tools. I thrive in fast-paced environments and am dedicated to providing exceptional customer service and patient advocacy. I am now seeking a remote position where I can contribute my skills to a healthcare team focused on enhancing patient care and operational efficiency.