Ana Liza Garcia
Laredo,TX
Summary
Experienced healthcare professional skilled in data management and collaboration. Successfully coordinated complex authorization processes, ensuring compliance and accuracy while enhancing patient care outcomes. Committed to improving operational workflows and fostering effective communication among teams.
Overview
16
16
years of professional experience
Work History
Prior Authorization Specialist
Time Orthopedics
Laredo, TX
06.2025 - Current
- Coordinated communication between healthcare providers and insurance companies to expedite approvals.
- Evaluated prior authorization requests to ensure compliance with insurance policies and regulations.
- Maintained accurate records of authorization requests in electronic health record systems to ensure data integrity.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Verified eligibility and compliance with authorization requirements for service providers.
- Managed front desk operations, ensuring efficient patient check-in and appointment scheduling.
- Maintained accurate patient records and billing information
- Managed patient scheduling and appointment confirmations using electronic health record systems.
- Processed patient registrations and insurance verifications with high attention to detail and accuracy.
Department Manager
Laredo Sports Medicine Clinic
Laredo, TX
12.2010 - 05.2025
- Oversaw daily operations, ensuring efficiency and compliance with healthcare regulations.
- Implemented scheduling systems to optimize staff allocation and patient flow.
- Coordinated with healthcare providers to enhance communication and patient care strategies.
- Analyzed operational workflows, identifying areas for improvement and implementing effective solutions.
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Addressed and remedied all patient or team member issues.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Coordinated regular staff meetings to address challenges, discuss solutions, and share best practices within the team.
Education
High School Diploma -
Bruni High School
Bruni, TXSkills
- Prior authorization process
- Insurance verification
- Data entry
- Professionalism and ethics
- Records maintenance
- Patient scheduling
- Multitasking ability
- Time management
- Medical terminology
- Effective communication skills
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Prior Authorization Specialist
Time Orthopedics
06.2025 - Current
Department Manager
Laredo Sports Medicine Clinic
12.2010 - 05.2025
High School Diploma -
Bruni High School