Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Verified eligibility and compliance with authorization requirements for service providers.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.
Receptionist
Dr. Baldemar Covarrubias
12.2022 - 02.2023
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Resolved customer problems and complaints.
Handled cash transactions and maintained sales and payments records accurately.
Responded to inquiries from callers seeking information.
Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Receptionist
DR. MARIO MARTINEZ
06.2021 - 12.2022
Kept reception area clean and neat to give visitors positive first impression.
Answered central telephone system and directed calls accordingly.
Corresponded with clients through email, telephone, or postal mail.
Handled sensitive information with discretion while maintaining strict confidentiality standards.
Managed multiple tasks and met time-sensitive deadlines.
Assisted with onboarding new clients and securing paperwork completion.
Improved appointment scheduling system, reducing wait times and increasing client satisfaction.