Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Nathan Summa

Pasadena

Summary

Proactive expert in prior authorization processes, known for strong problem resolution and patient education skills. Committed to improving healthcare access through effective collaboration and timely communication with providers and patients.

Overview

1
1
year of professional experience

Work History

Prior Authorization Specialist

Call-On-Doc
Remote
04.2025 - Current
  • Processed prior authorization requests for GLP-1 medications.
  • Reviewed patient insurance benefits to determine coverage eligibility.
  • Collaborated with team members to resolve complex authorization issues.
  • Educated patients on the prior authorization process and requirements.
  • Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
  • Notified ordering providers of denied authorizations.
  • Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
  • Processed appeals in a timely manner as per policy guidelines.

Education

Associate of Science - Nursing

Anne Arundel Community College
Arnold, MD

High School Diploma -

AACPS Virtual Academy
Arnold, MD
05-2025

Skills

  • Patient education and medical terminology
  • Insurance verification and prior authorization
  • Customer service and problem resolution
  • Team collaboration and CoverMyMeds expertise
  • ICD-10 coding proficiency

References

References available upon request.

Timeline

Prior Authorization Specialist

Call-On-Doc
04.2025 - Current

Associate of Science - Nursing

Anne Arundel Community College

High School Diploma -

AACPS Virtual Academy
Nathan Summa