Brianna Nay
Meeker
Summary
Dedicated Prior Authorization Specialist with expertise in managing workflow, processing requests, and verifying insurance eligibility. Proven ability to educate patients and build relationships for optimal outcomes.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Prior Authorization Certified Specialist
Pioneers Medical Center
Meeker
12.2015 - Current
- Managed workflow of authorization requests, ensuring timely processing and resolution for patient care.
- Processed prior authorization requests for medical services and procedures efficiently.
- Collaborated with insurance payers to verify coverage and eligibility, facilitating smoother authorization processes.
- Verified patient insurance coverage, including eligibility benefits and authorizations.
- Coordinated with departments to gather additional information for prior authorizations, enhancing overall accuracy and efficiency.
- Maintained accurate records of all authorization activities in the system.
- Educated patients on prior authorization requirements and procedures for treatments.
- Assisted team members in resolving complex authorization issues through collaboration.
Education
Certificate of Prior Authorization - Prior Authorization
ACMA
05-2025
High School Diploma -
Rangely High School
Rangely, CO05-2007
Certified Professional Coder - Medical Coding
MMI
05-2026
Skills
- Prior authorization
- Claims processing
- Insurance verification
- Medical coding
- Regulatory compliance
- Workflow management
- Attention to detail
- Task prioritization
- Continuous improvement
- Multitasking
- Relationship building
- Patient education
Certification
- Prior Authorization Specialist Certificate
Timeline
Prior Authorization Certified Specialist
Pioneers Medical Center
12.2015 - Current
Certificate of Prior Authorization - Prior Authorization
ACMA
High School Diploma -
Rangely High School
Certified Professional Coder - Medical Coding
MMI