Kennard B.
Mid-Level Healthcare Prior Authorization Specialist
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About
Kennard B. is an experienced Prior Authorization Specialist with a background in the specialty pharmacy industry, specifically through work with Buwelo Exact Star (Senderra Specialty Pharmacy) from January 2023 to February 2026. In this role, Kennard B. handled the full cycle of prior authorization submissions using fax, phone, and electronic platforms such as SureScript and CoverMyMeds, regularly verifying patients’ insurance details and coverage. Responsibilities included preparing and submitting comprehensive requests with clinical documentation, collaborating with healthcare providers, maintaining meticulous records, following up with insurance companies, and managing appeals for denied claims. Kennard B. is recognized for in-depth knowledge of insurance procedures and standards, and has been awarded for top performance and quality in prior authorization processing.
Experience
Prior Authorization Specialist
Buwelo Exact Star (Senderra Specialty Pharmacy) · 2023 — 2026Submitted Prior Authorization requests using fax, phone, or electronically through SureScript or CoverMyMeds. Verified and confirmed patient insurance details and coverage. Prepared and submitted comprehensive prior authorization requests to insurance companies, including clinical chart notes and lab results. Collaborated closely with healthcare providers to obtain necessary clinical information. Monitored authorization requests, followed up with insurance companies, and kept meticulous records of all communications regarding insurance claims. Researched insurance denials, resubmitted requests, and filed appeals as necessary to ensure patient access to required care. Collected information from various insurance companies to understand their standards for submitting Prior Authorizations.
Skills & Expertise
Education
- Bachelor of Science in Industrial Engineering (under graduate)Lyceum of Subic Bay · 2014 — 2017
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