Mandi Revis

I'm managing high-volume prior authorization requests at CorroHealth, ensuring payer compliance, quality standards, and timely processing from submission through determination and appeal. Previously at AdaptHealth, I processed referrals and prior authorizations, verified insurance eligibility, documented referrals in EMR systems, and worked with physicians, referral sources, and internal teams to improve patient service delivery. At United Healthcare, I served as a primary contact for provider questions about benefits, claims, billing, and authorizations. I resolved complex issues, maintained detailed compliant documentation, and identified service trends that informed process improvements. Alongside utilization management, I perform AI-assisted medical documentation quality reviews for Tennr, validating patient, provider, insurance, and referral data while escalating recurring issues and edge cases to support model improvement.