Data Entry Prior Authorization

Hiqmot Salami

Houston, TX 813-***-**** **********@*****.***

SUMMARY

Detail-oriented professional with experience in IT support, case processing, and data entry. CompTIA A+ certified with a strong focus on accuracy, efficiency, and problem-solving. Skilled in navigating complex workflows and ensuring compliance with regulations. Seeking to apply my technical and administrative skills in a prior authorization role to support efficient healthcare service delivery.. SKILLS

● Inbound Call Handling

● Customer Service Excellence

● Problem-Solving and Conflict Resolution

● Time Management

● Data Entry and Verification

● Microsoft Office Suite (Excel, Word, Outlook)

● Medical claims processing

● Prior authorization and eligibility verification. EXPERIENCE

Tasks Processor

Case Management Associates, Relivetek Inc.

September 2023 – Present Farmers Branch, TX

● Process and review prior authorization requests for medical and pharmaceutical services.

● Accurately enter and verify patient data and eligibility within integrated systems.

● Assess authorization requests based on program guidelines and resolve inquiries.

● Identify and correct data errors to ensure compliance with healthcare regulations.

● Communicate with providers, insurers, and patients regarding authorization status.

● Maintain knowledge of Medicaid, TANF, SNAP, LIHEAP, LIHWAP, and related programs.

● Support team performance through knowledge-sharing and collaboration.

● Manage 20-50 authorization requests daily while meeting accuracy standards. Marketing Analyst

Genpact

October 2022 – May 2023 Richardson, TX

● Responded to customer queries and provided data-driven insights to improve client retention.

● Enhanced customer engagement through process optimization and workflow improvements.

● Utilized data analysis to identify trends and opportunities for customer engagement, leading to a 12% increase in customer retention.

Data Entry Specialist

Three PDS - Minority Supplier Development Council

March 2022 – October 2022 Addison, TX

● Supported inbound customer inquiries and managed sensitive billing information.

● Provided detailed reports to assist decision-making and client communication.

● Organized billing and invoice data, prepared accounts receivable and generated revenue reports to support audits.

● Help manage Funds that will go to 20-30 Minority-owned Businesses for the CARES Act relief plans.

Data Verification Specialist

Adecco Staffing

January 2021 – December 2021 Irving, TX

● Process medical claims and prior authorization requests.

● Verify patient eligibility and benefits.

● Review and approve authorizations based on medical necessity.

● Reconcile 50-100 financial transactions daily.

● Handle 25-50 applications per hour with accuracy.

● Conduct data audits and resolve discrepancies.s

● Automate data verification using Excel models and scripts.

● Manage data logistics for offsite processing.

● Communicate with providers, insurers, and patients. EDUCATION

High School Diploma

GED Equivalent

Bachelor Degree

Bachelor of Art

CERTIFICATIONS

● CompTIA A+

● Google IT Support

Contact this candidate