Aquitania Cruz
Optum/Dignity Health Cancer Center
United States
1
Certification
12
years of professional experience
Detail-oriented healthcare professional with over 7 years of experience in patient access, financial counseling, and insurance verification. Proven ability to secure necessary prior authorizations, explain financial responsibilities, and maintain HIPAA compliance. Adept at reviewing clinical data and liaising with payers to ensure compliant reimbursement and prevent denials. Eager to leverage expertise in streamlining healthcare approvals to support Mt. Graham Regional Medical Center's mission and enhance patient financial services.
Work History
Patient Access Specialist
3 Years 6 Months- Accurately verified insurance eligibility and benefits for patients.
- Delivered thorough financial counseling, clearly outlining patient financial obligations.
- Obtained all required prior authorizations for medical treatments.
- Ensured strict adherence to HIPAA regulations and meticulously maintained patient records.
Financial Counselor
3 Years 11 Months- Advised patients on insurance coverage and their financial responsibilities.
- Assisted patients in applying for financial aid programs.
- Coordinated patient transportation arrangements.
- Confirmed insurance information and maintained compliance with HIPAA guidelines.
Front Desk Representative
1 Year 10 Months- Managed patient registration, appointment scheduling, insurance verification, and collection processes.
Front Desk Representative
7 Months- Oversaw patient check-in, appointment scheduling, demographic data collection, and insurance verification.
Customer Service Representative
4 Months- Addressed patient billing inquiries and managed insurance-related issues.
Member Services Representative
11 Months- Articulated health plan benefits clearly and documented all member interactions.
Education
Diploma
Skills
Patient Registration
Benefits & Eligibility Verification
Prior Authorizations
Medical Billing Support
Claims Follow-Up
Medical Records & Data Entry
Certified Spanish Medical Interpreter
Microsoft Office (Word
Outlook
Excel)
Insurance Verification
Financial Counseling
Patient Scheduling
AHCCCS Financial Assistance
HIPAA Compliance
Emergency Department Registration
EMR: Epic
Cerner
IDX
Customer Service
Certification
Certified Spanish Medical Interpreter, Mitio, 2013, Medical Business Certification, National Business Academy, 1991
Personal Information
Title: Prior Authorization Specialist
Timeline
Patient Access Specialist
Optum/Dignity Health Cancer Center
01.2023 - 07.2026Read More
Financial Counselor
Aurora Behavioral Health
01.2019 - 12.2022Read More
Front Desk Representative
OrthoArizona
03.2017 - 01.2019Read More
Front Desk Representative
Sun Radiology
05.2016 - 12.2016Read More
Customer Service Representative
Tenet Healthcare Solutions
01.2016 - 05.2016Read More
Member Services Representative
Aetna / Mercy Maricopa Integrated Care
01.2015 - 12.2015Read More
Inglewood High School
Diploma
Read More