Adaliz Soto-Bazan
Kissimmee,FL
Summary
Efficient Authorizations Specialist recognized for high productivity and ability to complete tasks swiftly. Specialize in effective communication, data management, and process improvement strategies. Excel in teamwork, adaptability, and problem-solving, ensuring smooth workflow and compliance with policies.
Overview
6
6
years of professional experience
Work History
Administration Coordinator 2
Humana- Care Plus Health Plans
02.2022 - Current
- Adhered to all HIPAA laws, regulations, and company standards while processing claims.
- Ensured approved authorizations were correct before calling the members to inform them about the approval status.
- Assist in training with the use of Excel and CSC system, and provide input on employees' performance evaluation.
Time Share Contract Office Support
AppleOne Hilton Grand Vacations
05.2021 - 01.2022
- Provide support to manage Hilton timeshare contracts for a wide selection of properties around the United States.
- Responsible for scanning all contracts in the system and preparing them for audits.
- Maintained confidential records such as personnel files, financial documents, and customer information.
Office Administrator
Kim Refrigeration LLC
07.2019 - 04.2021
- Coordinated and managed daily administrative operations of the office.
- Organized and maintained filing systems, including electronic databases and records.
- Maintain and create monthly reports, and call customers for customer service feedback.
Patient Access/Precertification Specialist
Hollis Cobb Associates, Inc.
11.2018 - 06.2019
- Verified patients' eligibility and claims status with insurance agencies.
- Obtained necessary authorization for patient procedures and scheduled peer-to-peers.
- Strong use of customer service when interacting with insurance companies and patients.
Education
Certificate - Electronic Health Records & Reimbursement
MedCerts
10-2024
Certificate - Professional Coder CPC
MedCerts
12.2023
Skills
- Health Care Authorizations
- Medical Coding/Billing
- Bilingual English and Spanish
- Office Administration
- HIPAA Compliance Knowledge
- Skilled in Microsoft Office Applications
Timeline
Administration Coordinator 2
Humana- Care Plus Health Plans
02.2022 - Current
Time Share Contract Office Support
AppleOne Hilton Grand Vacations
05.2021 - 01.2022
Office Administrator
Kim Refrigeration LLC
07.2019 - 04.2021
Patient Access/Precertification Specialist
Hollis Cobb Associates, Inc.
11.2018 - 06.2019
Certificate - Electronic Health Records & Reimbursement
MedCerts
Certificate - Professional Coder CPC
MedCerts
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