Alyssa Armijo
Phoenix,AZ
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
13
13
years of professional experience
Work History
Referral Coordinator
Banner Healthcare
Phoenix, AZ
06.2020 - Current
- Process incoming referrals for 4 neurosurgeons, 4 nurse practitioners, and various Fellows and Residents
- Responded to patient inquiries to offer timely updates regarding referral status
- Processed referral requests from patients, doctors and other health care professionals
- Assist front office with check in and check out, and appointment scheduling
- Answer patient questions on their referral and insurance coverage
- Generated monthly reports to display referral volume further proving needs for additional support
- Actively participate is weekly Teams meetings to discuss progress and process flow
Interim Authorization Specialist
Banner Healthcare
Phoenix, AZ
04.2022 - 10.2022
- Was pulled from referrals to do prior authorizations for advanced imaging that providers ordered
- Submitted authorizations via payor portals such as Evicore, HealthHelp, RadMD, UHC Online and others
- Followed up on submitted cases, assisted with relaying clinical information to support medical necessity for the special imaging requested
- Assisted on denied authorizations by scheduling peer to peer calls, obtaining signatures from patients and writing appeal letters
- Once authorization was obtained, I followed up to make sure the imaging was completed
Patient Care/Referral Coordinator
ANS Surgical Center
Phoenix, AZ
08.2019 - 04.2020
- Scheduled patients for procedures to help with Pain Management, screened referrals and prioritized them based on urgency
- Obtained prior authorizations for procedures, assisted in appeals and scheduling peer to peers
- General office duties such as filing, patient calls, meeting set ups and additional administrative needs
- Assisted in conversion to EHR
- Explained financial responsibilities to patients
- Collected payments
- Well versed in EHR software
- Worked 70% remotely
ER Registrar
Steward Health Care
Tempe, AZ
11.2017 - 08.2019
- Greeted patients upon arrival, quick registered patients into the system using Cerner
- Submitted prior authorizations for inpatient admissions
- Completed bed side registration using PM Office, which included obtaining demographics, insurance information and having the patient sign appropriate documents for treatment
- HIPAA knowledge and compliant
- Verified insurance plans using multiple online tools, such as Availity, Navinet, AHCCCS Online and MPower for out of state Medicaid card holders
- Collected copays and co-insurances at time of service
Patient Access Representative
Flagstaff Medical Center, NAH
Flagstaff, AZ
12.2016 - 11.2017
- Greeted patients upon arrival, quick registered walk-in patients, ambulance and helicopter patients using Cerner
- Submitted prior authorizations for in-patient admissions
- Completed bed side registration with PM Office which included demographics and insurance information
- Obtained signatures on appropriate documents for treatment and billing
- Collected copays and coinsurance, and amount owed on self-pay accounts
- Entered all monies into revenue cycle at the end of each shift
- Verified insurance using multiple online tools, like Navinet, Availity, BCBS Online, UHC, and AHCCCS Online
- Assisted on training new employees, completed audits on patient accounts to make sure all information obtained was entered correctly
- Participated in weekly meetings and provided feedback.
Lead Case Manager
McKesson Specialty Health
Scottsdale, AZ
06.2014 - 12.2016
- Worked closely with approximetley 25 medical offices, their staff and patients, in the Midwest region, to obtain access to medication called Entyvio, which was for patients suffering with Chron’s Disease
- Called insurance companies daily to obtain benefit information for the medication, initiated prior authorizations, and routinely checked statuses on the authorization and referral
- Assisted the provider office with claim denials, authorization denials and appeals, and peer to peer interviews
- Held weekly phone conferences with select VIP accounts, where we went over the status of certain patient accounts
- Assisted the patients getting on the copay card program we had for the medication, or the free drug program
- Determined their eligibility based on income and household size
- Scheduled medication delivery to clinics and hospitals and made sure the medication was delievered
- Answered questions on the phone or via email communication
- Held an above average Call Quality Analysis rating for my customer service and professionalism.
- Developed and implemented comprehensive case management plans to address client needs and goals.
Insurance Specialist
McKesson Specialty Health
Scottsdale, AZ
09.2012 - 06.2014
- Worked in a production driven environment where I obtained benefits for a medication called Actemra and Lucentis
- Relayed the information to provider offices and their staff
- Exceeded my daily production goal while maintaining above satisfactory quality on each case
- Call quality analysis was above average
- In preparation for busy months, I was selected to be a Subject Matter Expert by management. In this role I trained and coached new contractors on process and call flow.
- Maintained high standards of customer service by building relationships with clients.
- I was promoted to Case Manager from this role.
Receptionist
Northern Arizona Urology
Flagstaff, AZ
05.2010 - 03.2012
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Verified insurance, collected copays at time of service
- Initiated referrals
- Completed medical records requests
- Pulled, filed and organized charts daily
- Dealt closely with IHS units throughout Arizona
- Submitted prior authorization requests and saw them through to approval
- Filled out lab orders according to Dr's instruction
- Scheduled surgeries and procedures with Flagstaff Medical Center daily.
- Confirmed appointments, communicated with clients, and updated client records
Education
Licensed Massage Therapy -
Southwest Institute of The Healing Arts
Flagstaff, AZ12.2017
High School Diploma -
Coconino High School
Flagstaff, AZ06.2006
Skills
- Time Management
- Self Starter
- Quick learner
- EMR Systems
- MS Office products
- Multi-Line Phone Proficiency
- Excellent organizational skills
Timeline
Interim Authorization Specialist
Banner Healthcare
04.2022 - 10.2022
Referral Coordinator
Banner Healthcare
06.2020 - Current
Patient Care/Referral Coordinator
ANS Surgical Center
08.2019 - 04.2020
ER Registrar
Steward Health Care
11.2017 - 08.2019
Patient Access Representative
Flagstaff Medical Center, NAH
12.2016 - 11.2017
Lead Case Manager
McKesson Specialty Health
06.2014 - 12.2016
Insurance Specialist
McKesson Specialty Health
09.2012 - 06.2014
Receptionist
Northern Arizona Urology
05.2010 - 03.2012
Licensed Massage Therapy -
Southwest Institute of The Healing Arts
High School Diploma -
Coconino High School