Ryan Sokol
Inver Grove Heights
Summary
Diligent Prior Authorization/ Insurance Specialist with proven track record in navigating complex healthcare systems and ensuring timely approval of medical treatments. Successfully facilitated seamless communication between providers and insurance companies to streamline authorization processes. Demonstrated expertise in medical coding/ policies and patient advocacy.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Twin Cities Pain Clinic
Edina, MN
05.2025 - Current
- Handling prior authorization for the clinic
- Working with doctors, attorneys, and insurance companies to best support the patients including Appeal writing
- Well organized, attention to detail, efficient
- Trained in NextGen EMR software
- Trained in Pain Management PA procedures including Spinal Cord Stimulator's, Peripheral Nerve Stimulator's Pain Pumps, Medical Injections and their policies
Prior Authorization Specialist
Twin Cities Pain Management
Edina, MN
04.2023 - 05.2025
- Self-taught on all insurance knowledge related to Prior Authorization, turning the task into the most thriving aspect of the clinic saving time and increasing proper reimbursement costs.
- Great Attention to detail as it is crucial when entering patient information.
- Trained in EMR software Systems Tebra and Eclinical.
- Was in charge of patient outreach from the website for Regenerative Medicine.
- Trained in front desk work and patient intake as well.
Head Wrestling Coach
Inver Grove Heights ISD 199
Inver Grove Heights, MN
10.2022 - 01.2024
- Wrote up practice plans, making sure tournaments were in order, and having meetings with the other coaches.
- Lead a group of 20 middle schoolers to a 1st place finish at conference duels.
- Developed training plans tailored to each individual's skills and needs.
- Ensured a fun, positive environment.
Customer Service Representative
Ekblad, Pardee, & Bewell
Maplewood, MN
05.2021 - 04.2023
- Directed incoming calls to the proper person and made sure all information was up to date.
- Digitized all paper files dating back to the 1950s into the online system.
- Worked collaboratively with both in-person and out of office coworkers to ensure smooth handing of client insurance.
- Handled all incoming and outgoing mail for the office.
- Worked with clients to reach proper resolution while deescalating any situations in which clients were upset.
Education
Bachelor of Arts - Developmental Psychology
University of Minnesota
Minneapolis, MN05-2025
Master of Arts - Counseling Psychology
University of Saint Mary
Minneapolis, MN05-2026
High school diploma or GED - undefined
Simley Senior High School
Music
Cornell University
Ithaca, NY08-2022
Skills
- Office experience
- Maintaining patient confidentiality
- Health insurance authorizations
- Computer operation
- Customer service
- Data entry
- HIPAA
- ICD-10
- Productivity software
- Administrative experience
- Organizational skills
- Research
- Medical terminology
- Medical records
- Achieving HIPAA compliance
- Patient interaction
- Medical office experience
- Pain Management
- Computer literacy
- Communication skills
- Insurance verification
Accomplishments
- 2019 U17 World Wrestling Championships- 9th place finish
- Documented and resolved Authorization denials, which led to overturned approvals.
- Used Microsoft Excel to develop case tracking spreadsheets.
- Supervised a team of 25 middle school kids in my care as head coach.
Certification
Driver's License
Awards
Tau Sigma National Honors Society Member
May 2023
This is for transfer students who achieved a 3.6 gpa or higher gpa during their first semester of the new university., 6x State Wrestling Champion
March 2021
Won a collective 6 titles with 3 individual state titles and captained the team to an additional 3 team state titles., 2019 U17 World Championships- 9th Place
July 2019
Represented the United States at the Wrestling World Championships for my age group at the time.
Languages
English
Native or Bilingual
Timeline
Prior Authorization Specialist
Twin Cities Pain Clinic
05.2025 - Current
Prior Authorization Specialist
Twin Cities Pain Management
04.2023 - 05.2025
Head Wrestling Coach
Inver Grove Heights ISD 199
10.2022 - 01.2024
Customer Service Representative
Ekblad, Pardee, & Bewell
05.2021 - 04.2023
Master of Arts - Counseling Psychology
University of Saint Mary
High school diploma or GED - undefined
Simley Senior High School
Music
Cornell University
Bachelor of Arts - Developmental Psychology
University of Minnesota