Skills
Customer service
6 Months to 1 Year
Healthcare
6 Months to 1 Year
Documentation Specialist
6 Months to 1 Year
Experience highlights
Documentation Specialist
Cardinal Health | The Advance Diabetes Supply Group
·
April/2026
–
/
Reviewed prescriptions, authorizations, referrals, medical records, and face sheets for accuracy and completeness. Sent fax requests to physicians' offices to obtain valid documentation and prescriptions. Followed up with doctors' offices via fax and email to resolve pending or missing documentation. Validated documentation against compliance and processing requirements prior to account approval. Validated documentation according to established SOPs and compliance requirments.
Customer Service Representative
Optum Global Solutions | United HealthCare
·
October/2025
–
Present
Processed prior authorization requests for members, verifying eligibility and coordinating with providers to ensure timely approvals.
Maintained accurate documentation while handling sensitive information in compliance with HIPAA
Familiar with healthcare insurance appeal and grievance processes, including accurate documentation and procedural requirements.
