Jasmere Sanders
Authorization Specialist
Columbia
Summary
Experienced healthcare administrative professional with over 6 years in patient scheduling, insurance verification, prior authorization workflows, and healthcare claims support. Skilled at managing payer communication, reviewing documentation for accuracy, and providing outstanding service to patients and clinical teams. Adept in handling confidential information, working across systems like Salesforce, and generating cost estimates and documentation for medical services. Seeking to apply detail-oriented, customer-focused skills in a Prior Authorization Specialist role.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Learner Support Representative
Parchment Inc.
08.2021 - 03.2024
- Managed secure data and responded to high-volume inquiries related to document verification and compliance.
- Maintained detailed records in Salesforce CRM and collaborated across departments to resolve document and authorization issues.
- Trained team members on systems and documentation standards to improve turnaround times and accuracy.
Scheduler & Insurance Verification Specialist
Receivable Solutions
09.2019 - 08.2021
- Verified patient eligibility, benefits, and referrals for upcoming appointments using payer portals and direct communication with health plans.
- Explained patient financial responsibility and cost expectations prior to appointments.
- Maintained accurate records and ensured documentation completeness in scheduling and billing systems.
- Managed incoming communication from patients, insurance providers, and clinical staff, resolving eligibility and authorization issues.
- Prioritized urgent scheduling and pre-auth requests based on medical necessity and payer requirements.
Certified Nursing Assistant (CNA)
LMC Extended Care
12.2018 - 08.2019
- Used EMR systems to track and update patient care documentation and vital sign reports.
- Communicated effectively with patients, families, and staff, ensuring consistent understanding of care plans and medical updates.
Claim Service Representative
Medical Data Service
03.2017 - 01.2019
- Processed and verified medical claims, posting transactions, and reviewing explanation of benefits (EOBs).
- Communicated with patients regarding claim status, prior authorization requirements, and billing questions.
- Ensured compliance with payer guidelines and escalated issues to senior staff as needed.
Education
Bachelor of Science - Clinical Laboratory Science
Georgia Southern University
Statesboro, GA12-2024
Bachelor of Science - Chemistry
South Carolina State University
Orangeburg, SC12-2020
Skills
- Prior Authorization Process
- Insurance Claims & Benefit Verification
- Patient Cost Estimates
- Provider Communication
- Medical Terminology & Records
- Electronic Documentation & Follow-Up
- HIPAA & Data Privacy Compliance
- Microsoft Office: Excel, Word, Outlook
- Time Management & Task Prioritization
- Clear Written & Verbal Communication
Certification
Introduction to Good Clinical Practice
Timeline
Introduction to Good Clinical Practice
07-2025
Learner Support Representative
Parchment Inc.
08.2021 - 03.2024
Scheduler & Insurance Verification Specialist
Receivable Solutions
09.2019 - 08.2021
Certified Nursing Assistant (CNA)
LMC Extended Care
12.2018 - 08.2019
Claim Service Representative
Medical Data Service
03.2017 - 01.2019
Bachelor of Science - Clinical Laboratory Science
Georgia Southern University
Bachelor of Science - Chemistry
South Carolina State University
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