Gloriliz Segarra Rivera

• Review and assess prior authorization requests for various medical services, procedures and office visits.
• Organizational skills: Ability to manage multiple requests simultaneously while adhering to strict deadlines.
• Stay up-to-date with changes in insurance policies, regulatory requirements, and procedural guidelines specific to healthcare.
• Achieved a 95% approval rate for prior authorization requests by ensuring thorough and accurate documentation.
• Communicate with healthcare providers, insurance companies, and patients to gather and confirm required information.
• Technical proficiency: Familiar with electronic health records (EHR) and medical billing software, enhancing efficiency in processing requests.

• Attention to detail: Exceptional ability to scrutinize documentation and ensure accuracy in records.

• Ensured compliance with regulatory standards during sample collection procedures.
• Enhanced patient experience through compassionate care and communication during blood draw procedures.
• Maintained a high level of accuracy in labeling and tracking specimens, ensuring proper testing and timely results.
• Centrifuged blood samples as outlined in clinical protocols.
• Completed proper sanitation and cleaning of equipment and work areas between patients.
• Demonstrated adaptability by effectively performing blood draws on diverse patient populations, including pediatric, geriatric, and challenging cases.

• Greet customers upon their arrival.
• Identify customer needs and recommend cosmetics and skin care products based on their preferences.
• Help clients find products they’re looking for in our store.
• Ensure proper presentation of products on shelves.
• Explain to customers how to use products they’re interested in buying.
• Inform customers on prices and special offers.
• Replenish stock as needed.

• Prepare rooms for injection procedures
• Answer phones, make appointments and cancellations
• Ordering supplies
• Scheduling appointments and meetings
• Ordering equipment and stationery
• Organizing office layout
• Overseeing office procedures and operations
• Confirming all items are in invoices and are paid on time
• Providing support to visitors
• Liaising with facility vendors, including catering, cleaning and security services.
• Planning off from work activities such as parties, conferences, sports and celebrations.

• Advise the Secretary in establishing Public Policy related to Municipal affairs
• Attend to queries that arise related to municipal and legislative matters.
• Liaison between the Department, the Municipalities and the Legislature, in relation to assignments from the Mayors and their channeling.
• Attend to the Mayors, Representatives and Senators who visit the office.

• Answer incoming telephone calls and provide information or route calls as required.
• Receive visitors and provide assistance or direct to appropriate areas and/or staff.
• Sort postal mail daily.
• Assist with reports as necessary.
• Handle filing, mailing, copying, faxing, scanning, data entry and other general office functions.
• Other tasks as assigned.

• Greets and welcomes clients throughout all areas of the store.
• Connects with clients in a friendly and meaningful way.
• Provides clients advice and knowledge that they may not have realized they needed.
• Makes every client interaction a personal and seamless experience.
• Exhibits behaviors that support client satisfaction goals.