Al Anthony Dagudag
Sherman Oaks,CA
Summary
Detail-oriented healthcare professional with 9+ years of experience supporting authorization workflows in a health plan environment. Skilled in gathering medical documentation, tracking requests, and preparing correspondence for members, providers, and clinical teams. Focused on timely processing, regulatory compliance, and reliable reporting.
Overview
2
2
Languages
1
1
Certification
13
13
years of professional experience
Work History
Authorization Technician II
L.A. Care Health Plan
09.2017 - Current
- Support Utilization Management operations by processing medical authorization requests and coordinating documentation for clinical review.
- Receive, log, track, and follow up on authorization and referral requests to support timely processing.
- Gather, organize, and maintain accurate medical documentation and authorization records.
- Track concurrent reviews, retrospective reviews, and member or provider appeals to support operational compliance.
- Monitor processing timelines and prepare utilization management activity and weekly compliance reports.
- Process requests that meet established auto-authorization criteria within assigned authority.
- Prepare standardized correspondence for members and providers regarding authorization decisions, modifications, and requests for additional information.
- Coordinate with members, providers, clinical staff, and external agencies to obtain required information.
- Work with ICD-10, CPT, and HCPCS coding information as applicable to authorization processing.
- Maintain confidentiality of member and patient information in accordance with applicable privacy requirements.
Medical Assistant
Ideal Health Care
Hollywood, California
09.2013 - 09.2017
- Assisted physicians with clinical procedures and daily medical office operations.
- Registered patients, obtained patient histories, measured vital signs, and prepared patient files for appointments.
- Verified insurance information, coordinated referrals, and scheduled and confirmed appointments.
- Maintained accurate patient records using electronic medical record (EMR) systems and supported proper clinical documentation.
- Responded to patient telephone calls and prescription refill requests while maintaining professional communication.
- Performed venipuncture and blood specimen collection, following patient identification, specimen handling, and safety procedures.
- Assisted with ECGs, pulmonary function tests (PFTs), specimen preparation, and immunizations, as assigned.
- Supported front- and back-office operations, including medical supply inventory, ordering, and application of medical terminology and ICD-10 coding knowledge.
Education
Bachelor of Science - Interior Design
De La Salle University - College of St. Benilde
Manila, Philippines03-2002
Licensed Vocational Nursing (LVN) Program
North-West College
Van Nuys, CA10-2022
Phlebotomy Training -
(UCLA) University of California, Los Angeles
Los Angeles, CA03-2017
Medical Assistant -
California Medical Career College
Los Angeles, CA10-2010
Skills
Medical Authorization Intake and Processing
Utilization Management Support
Referral Logging, Tracking, and Follow-Up
Concurrent and Retrospective Review Support
Medical Documentation and File Management
UM Activity and Weekly Compliance Reporting
Regulatory Compliance and Deadline Tracking
Member and Provider Correspondence
ICD-10, CPT, and HCPCS Coding Familiarity
Medical Terminology and Healthcare Operations
Data Entry and Database Inventory Management
Patient and Member Confidentiality
Written Communication and Attention to Detail
Languages
English
Professional
Tagalog
Professional
Certification
- Medical Assistant Certificate - California Medical Career College, Los Angeles, CA
- Certified Phlebotomy Technician I (CPT I) - California Department of Public Health; credential expired: May 9, 2019
- Basic Life Support (BLS) Provider - American Heart Association (AHA); expired: September 2021
Timeline
Authorization Technician II
L.A. Care Health Plan
09.2017 - Current
Medical Assistant
Ideal Health Care
09.2013 - 09.2017
Bachelor of Science - Interior Design
De La Salle University - College of St. Benilde
Licensed Vocational Nursing (LVN) Program
North-West College
Phlebotomy Training -
(UCLA) University of California, Los Angeles
Medical Assistant -
California Medical Career College