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Sahithi Reddy

@sahithireddy2

Authorization Specialist at Ensemble processing healthcare authorizations and maintaining a reported 100% quality score.

India

Message

At Ensemble, I manage authorization requests for healthcare services, checking payer requirements and reviewing clinical, demographic, and supporting documentation. I maintain a reported 100% quality score.

I also verify eligibility and benefits, follow up with provider offices and payers, and support peer-to-peer workflows and pending-case escalations using EIQ and payer portals.

Previously, at PrimEra Medical Technologies, I supported patient access and authorization processing, reviewed account discrepancies for quality audits, and contributed to Epic workflow improvements. I also supported team training and knowledge sharing at Ensemble.

Experience

Work history, roles, and key accomplishments

Current

Authorization Specialist

Current

Ensemble

Jul 2026 - Present (4 months)

Manage authorization requests for healthcare services, ensuring accurate and timely processing in line with payer requirements. Verify insurance eligibility and benefits, review clinical documentation, and support peer-to-peer workflows.

Prior Authorizations Eligibility and benefits verification Payer Portals Clinical Documentation Review Medical Necessity Review Patient Calls Peer To Peer Coordination Follow Up On Authorizations Quality Assurance EIQ Epic Meditech Excel Microsoft Office

Senior Associate

PrimEra Medical Technologies

Jul 2025 - Jul 2026 (1 year)

Executed payer-specific program activities while maintaining regulatory compliance and data accuracy. Reviewed account discrepancies to support quality audits and contributed to quality assurance and Epic workflow improvements.

Quality Assurance Epic Healthcare Operations Payer Requirements Data Accuracy

Process Associate – Patient Access

PrimEra Medical Technologies

Jan 2024 - Jul 2025 (1 year 6 months)

Performed eligibility and benefits activities and supported accurate insurance data capture in patient access workflows. Submitted authorization requests through phone, fax and payer portals, ensuring required clinical and demographic information was available.