Himalayas logo
RC
Open to opportunities

Rameez Catle

@rameezcatle

Experienced healthcare customer service specialist focused on prior authorization and care coordination.

Philippines
Message

What I'm looking for

I seek a patient-focused healthcare role where I can apply prior authorization, scheduling, and billing expertise, collaborate with providers, and support continuous process improvements.

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

AH

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.

SA

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.

Optum logoOP

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.

Optum logoOP

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.

Education

Degrees, certifications, and relevant coursework

Rameez hasn't added their education

Don't worry, there are 90k+ talented remote workers on Himalayas

Tech stack

Software and tools used professionally

Find your dream job

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan
Rameez Catle - Health Coordinator - AngelIC Health | Himalayas