Kristel A.

Prior Authorization & Appeals Specialist for Home Health | Denial Reduction | Fast Approvals I help home health agencies and healthcare providers secure faster prior authorizations, reduce denials, and prevent revenue delays. With 6+ years of experience in healthcare administration and a nursing background, I specialize in high-volume prior authorization, appeals, and insurance verification across Medicare, Medicaid, and commercial payers. 💡 What I deliver: ✔ Faster approvals with complete and compliant submissions ✔ Reduced denial rates through strong documentation review ✔ Efficient follow-ups to avoid delays in patient care ✔ Clean, audit-ready records aligned with payer guidelines 📊 Proven Results: • Processed 50+ authorizations weekly (PT, OT, SN, Home Health) • Helped overturn denials through strong clinical appeals • Improved approval turnaround time for agencies 🛠 Tools & Systems: Kinnser | WellSky | Waystar | Availity | UHC | Palmetto GBA If you need someone who understands both clinical documentation and payer expectations, I can help you streamline your workflow and protect your revenue.