Andres Gomez
Orlando,FL
Summary
Detail-oriented and patient-focused healthcare professional with experience in referral coordination, insurance verification, and prior authorization processes. Proven ability to manage high-volume administrative tasks while maintaining accuracy and compliance.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Care Coordinator
VIVIO Health
01.2024 - Current
- Directed management of 40–60+ patient cases daily, ensuring efficient handling of referrals, prior authorizations, and resolution of insurance issues.
- Facilitated communication with providers, payers, and patients to ensure timely access to treatment.
- Managed processing and tracking of high-volume referrals and prior authorizations with emphasis on accuracy and compliance.
- Addressed insurance-related issues to enhance approval turnaround times and elevate patient satisfaction.
Karate Instructor
Kuroma Orlando
01.2023 - Current
- Facilitated instruction for over 20 students per class while designing comprehensive training programs.
- Assisted in creating training programs for different skill levels. Communicated effectively with students and parents to support a positive learning atmosphere.
Patient Care Coordinator
Walmart Specialty Pharmacy
01.2023 - 01.2024
- Managed specialty medication access for 30–50 patients daily, ensuring thorough insurance verification and approval processes.
- Facilitated processing of prior authorizations and prescription requests to ensure timely medication delivery.
- Facilitated collaboration with providers and insurance companies to streamline processing and enhance workflow efficiency.
- Facilitated patient support and education to enhance understanding of treatment protocols and adherence.
Education
Bachelor of Science - Healthcare Administration
Western Governors University
Salt Lake City, UTAA - General Studies
Valencia College
Orlando, FL05.2023
High School Diploma -
Freedom High School
Orlando, FL05.2022
Skills
Referral Coordination
Insurance Verification
Prior Authorizations
Medical Terminology
Patient Care Coordination
Customer Service
EHR Systems
Computer Efficiency
Bilingual (English/Spanish)
Certification
Heartsaver First Aid CPR AED Certification
Timeline
Care Coordinator
VIVIO Health
01.2024 - Current
Karate Instructor
Kuroma Orlando
01.2023 - Current
Patient Care Coordinator
Walmart Specialty Pharmacy
01.2023 - 01.2024
Bachelor of Science - Healthcare Administration
Western Governors University
AA - General Studies
Valencia College
High School Diploma -
Freedom High School