Rameez Catle
@rameezcatle
Experienced healthcare customer service specialist focused on prior authorization and care coordination.
What I'm looking for
I am a dedicated healthcare customer service and prior authorization specialist with extensive experience supporting U.S. patients and provider offices across multiple programs. I have worked in care coordination, prior authorization, medical billing, and pharmacy benefit management, consistently meeting KPIs and complying with HIPAA.
My background includes inbound/outbound patient and provider communication, scheduling, insurance verification, payment posting, and processing prior authorizations via PAS and related systems. I am proficient with Athena, Epic, MicroMD and other EMRs, as well as portals like Availity and NGS Connex.
I collaborate closely with providers and teams using tools such as Teams, TigerText, and Outlook, participate in huddles to identify improvements, and maintain accurate cloud-based records. I also support new hires and perform administrative tasks like chart prep and fax processing when needed.
I bring strong oral and written communication, multi-window navigation, and a customer-focused attitude to roles that require reliability, adherence to SOPs, and a commitment to patient-centered service.
Experience
Work history, roles, and key accomplishments
Health Coordinator
AngelIC Health
Aug 2024 - Mar 2025 (7 months)
Managed inbound/outbound patient calls and scheduling for NJ/PA, handled insurance verification and prior auth support using Athena EMR, improving appointment confirmation and reducing missed visits.
Patient Call Triage Specialist
Samaritan
Oct 2023 - Jun 2024 (8 months)
Triaged NJ patient calls, coordinated scheduling and provider messages via MicroMD and Teams, and performed chart prep and insurance updates to support timely appointments.
Prior Authorization Specialist
Optum
Feb 2023 - Jun 2023 (4 months)
Handled provider and patient calls to initiate and verify prior authorizations via PAS, processed fax/electronic PAs, and met daily/monthly quotas while maintaining HIPAA and KPI standards.
Medical Billing Specialist
Optum
Feb 2022 - Jun 2023 (1 year 4 months)
Resolved patient billing inquiries, explained EOBs, updated insurance details, submitted ServiceNow tickets for disputes, and supported new hires while using Epic Professional Billing.
Pharmacy Benefit Specialist
Optum
Oct 2019 - Feb 2022 (2 years 4 months)
Assisted members with mail-order prescriptions, initiated Rx requests to providers, processed refills and maintained member records while adhering to SOPs and KPI targets.
Provided first-level technical support for printers and scanners to US customers, performed troubleshooting and replacement processing, and escalated complex issues to higher tiers.
Education
Degrees, certifications, and relevant coursework
Rameez hasn't added their education
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Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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