At Nyx Medical Solutions, I process prior authorizations across imaging, therapy, surgical, and injection services, alongside eligibility verification and benefits breakdowns for US healthcare providers.
I use eClinicalWorks and Raintree to manage patient accounts, review clinical documentation, and track authorization cycles. I initiate and follow requests through payer portals, fax, or phone, checking payer requirements and procedure codes.
I complete 45+ authorizations daily while maintaining compliance accuracy. For major multi-site accounts including Detroit, Iya Medicals, and Rochester, I support workflow optimization and use advanced Excel tools to audit queues and report status trends.
Previously, at R1 RCM, I supported front-end clearance and authorization workflows for imaging, therapy, surgical, and injection services. I used R1Hub, Cerner, Host, and payer portals, and worked with denial management teams to resolve stuck pre-authorizations.
