ADELAYDA C. ARELLANO
West Palm Beach
Summary
Qualified billing training supervisor with solid background in leading training and developing for Financial Clearance Authorizations. Proven track record of enhancing team performance through innovative training strategies and effective communication. Demonstrated ability to foster a collaborative learning environment and adapt training materials to meet diverse needs.
Overview
9
9
years of professional experience
1
1
Certification
Work History
FGP Billing Supervisor
NYU Langone Health
06.2023 - Current
- Training authorization supervisor – In charge of all training needs for the Financial Clearance Auth Dept
- Developing training modules, PowerPoints, and workflows to teach authorization processes and procedures
- Communicating with interdepartmental teams to facilitate training for other departments' needs
- Coordinating training meetings and conducting in-person training classes for the Financial Clearance Auth Dept
- Assisting the director of finance with reports and office processes
Project Coordinator
NYU Langone Health
11.2021 - 07.2023
- Training all new employees in the Billing Authorization Department
- Assigning work queues and onboarding new projects in the authorizations dept
- Communicating with different practices regarding policies and procedures in authorizations
- Coordinating meetings and events to develop employee engagement
- Developing time management and scheduling needs for authorizations dept
- Assisting the director of finance with reports and office processes
FGP Billing Representative II-III
NYU Langone Health
02.2020 - 11.2021
- Perform daily tasks in assigned work queues
- Experience in six different work queues
- Request and obtain authorization for multiple medical procedures and surgeries
- Research patients’ medical records and clinical documentation and provide accurate information to ensure authorization approvals
- Identify providers' credentialing or coding issues and address them with management
- Communicate with Insurance companies, providers, and medical staff to ensure authorization approvals
- Handling and assisting management with difficult and escalated issues related to Authorizations
- Communicating quickly and effectively with multiple NYU departments to process authorizations effectively
- Assisting with Training new teammates in EPIC and authorization procedures
Certified Occupational Therapy Assistant
Lifecare Therapy / Carlyle Therapy
04.2019 - 02.2020
- Visiting patients’ homes to perform occupational therapy treatments and exercises
- Assisting and guiding patients for therapeutic exercises with TheraBand or other equipment
- Working to restore function and ADLs with patients having Dementia, Shoulder Injuries, Cardiovascular, and different diseases
- Documenting notes to record patient’s progress
- Updating billing codes and providing proper medical documentation
- Consulting with the rehabilitation team/OTR to select an activity program consistent with the needs and capabilities of the Patients
- Teach the patient the skills and techniques required for participation in daily living activities
Authorizations/ Scheduling Coordinator
Progressive Pediatric Therapy
03.2016 - 05.2019
- Organizing and coordinating schedules for Physical, Occupational, and Speech therapists
- Maintaining a well-organized and detailed calendar for each therapist
- Verifying commercial insurance (BCBS, CIGNA, AETNA, UHC, etc.) copays, deductibles, and OOP
- Requesting Authorizations for OT, PT, ST therapies
- Resolving authorization or billing discrepancies
- Obtaining medical records release / Explaining PHI and HIPAA Protocol
- Answering calls regarding schedules for patients
- Modifying, canceling, and making schedule changes
- Entering new patients’ data into the system
- Obtaining a doctor's script or previous plans
Education
Bachelor of Science - Health Management And Supervision
Palm Beach State College
Lake Worth, FL12-2023
Associate of Science - Occupational Therapy Assisting
Keiser University
Fort Lauderdale, FL08-2018
Skills
- Team development
- Strategic Decision-making
- Training development and preparation
- Training evaluation
- Coaching and mentoring
- Policy updates
- Staff development
- Program implementation
- ICD-10 , billing , and revenue cycle knowledge
- Motivation and initiative
Certification
Certified Notary Public of the State of Florida
Certified Occupational Therapy Assistant
Languages
Spanish
Native or Bilingual
Timeline
FGP Billing Supervisor
NYU Langone Health
06.2023 - Current
Project Coordinator
NYU Langone Health
11.2021 - 07.2023
FGP Billing Representative II-III
NYU Langone Health
02.2020 - 11.2021
Certified Occupational Therapy Assistant
Lifecare Therapy / Carlyle Therapy
04.2019 - 02.2020
Authorizations/ Scheduling Coordinator
Progressive Pediatric Therapy
03.2016 - 05.2019
Certified Notary Public of the State of Florida
Certified Occupational Therapy Assistant
Bachelor of Science - Health Management And Supervision
Palm Beach State College
Associate of Science - Occupational Therapy Assisting
Keiser University
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