Healthcare Data & Workflow Automation Analyst

Managed high-volume, tech-driven medical precertification pipelines across multi-specialty workflows while utilizing advanced electronic payer portals.

What I work on

• •Achieved 120% of weekly productivity targets (averaging 90+ complex prior authorization cases/week) by structuring and prioritizing STAT pipelines for orthopedic, cardiovascular, and surgical specialties.
• •Navigated over 10+ major digital payer interfaces (including Availity, CoverMyMeds, Optum Cloud, and eVicore) to streamline data submissions, earning the "Top KPI Performer" award in Q1 2025.
• •Managed end-to-end precertification and chart compilations under strict HIPAA compliance guidelines, ensuring flawless execution of commercial and government (Medicare/Medicaid) regulations.