Authorization Representative Cover Letter

I would like to submit my application for the authorization representative opening. Please accept this letter and the attached resume.

In my previous role, I was responsible for immediate access for patients into the AHS at several points of entry - establishing medical record numbers via proper search methods, verifying insurance eligibility and accurately entering all patient demographic information and insurance information into the electronic medical record.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Previous experience with electronic claim filing and practice management software packages is preferred
• Previous experience authorizing imaging request is preferred
• Experience working with insurance companies, speaking with them on the phone and using portals, comfortable with medical terminology
• Expereince reading clinical notes, doing benefit verification, insurance verifications
• Able to navigate a PC environment and utilize MicroSoft Office particularly MicroSoft Excel
• Proficient working knowledge of computerized data management systems and healthcare operations
• Can successfully learn and follow directives, updated rules and procedural changes
• Medical Coding and Billing Certificate -- Preferred

I am excited to be applying for the position of authorization representative. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for billing and reimbursement requirements; assist with billing, payer, and patient issues.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Resolution and follow-up skills
• Skilled in dealing with all customers in an efficient and effective manner
• Verifies insurance benefits and coverage in a timely manner
• Validates insurance information for accuracy and completeness
• Submit TAR's and Authorization Request timely
• Entering data in an accurate manner on to PRI Form
• Follow-up and resolve denials and appeals
• Follow through on out of the ordinary cases that require special handling

I am excited to be applying for the position of authorization representative. Please accept this letter and the attached resume as my interest in this position.

Previously, I was responsible for clinical and / or coding expertise in review of post – service, pre – payment or post payment claims, which requires interpretation of state and federal mandates, billing practices / patterns, applicable benefit language, medical and reimbursement policies, coding requirements and consideration of relevant clinical information on claims with overt billing patterns and make pay / deny or payment recommendation decisions based on findings.

My experience is an excellent fit for the list of requirements in this job:

• Medical Terminology/Coding (ICD-9, ICD-10, CPT)
• Intermediate computer skills and excel
• Knowledge of ICD-10 and CPT-4 preferred
• Experience using Microsoft Word and Excel or similar applications
• Proficiency navigating insurance phone lines and online portals in a high volume, fast paced environment
• Patient financial counseling experience highly preferred
• Prior experience with third party billing preferred
• Prior knowledge of medical terminology and ICD-10, HCPCS and CPT codes preferred

I submit this application to express my sincere interest in the authorization representative position.

In the previous role, I was responsible for timely review for WellMed members by processing prior authorization and medical necessity requests for specialty CMS part B medications.

I reviewed the requirements of the job opening and I believe my candidacy is an excellent fit for this position. Some of the key requirements that I have extensive experience with include:

• Prior knowledge of healthcare insurance prior authorization preferred
• Experience with DoD Information Assurance Certification and Accreditation Process (DIACAP), Risk Management Framework (RMF), information assurance and Cybersecurity
• DoD 8570 IAM Level III Certified, including GSLC, CISM, and CISSP
• Experience with DIACAP, RMF, Information Assurance, and Cybersecurity
• DoD 8570 IAM Level III Certification, including GSLC, CISM, or CISSP
• Experience with federal consulting
• Information Assurance Certifications
• State nursing licensing for LPN

I am excited to be applying for the position of authorization representative. Please accept this letter and the attached resume as my interest in this position.

In the previous role, I was responsible for medical information for all 3rd party payers (Commercial Insurance, Medicaid).

My experience is an excellent fit for the list of requirements in this job:

• Assists in educating and acts as a resource for the branch offices
• Consistently models the company's philosophy of customer service and compliance
• Report status of accounts on a weekly basis to Authorization Manager
• Demonstrates knowledge of medical insurance benefits, preferably home health knowledge
• Team player and willing to assist in other areas
• Prior office practice experience, preferably in rheumatology/ arthritis is desirable but not mandatory
• Experience with NextGen and Availity software preferred
• Effective analytical skills, clear communication, comfortable utilizing various software