Brenda Cazares
Redlands,CA
Summary
Passionate about achieving a challenging position that allows a meaningful contribution to a business' success. Energetic and efficient worker with over 8 years of experience in the medical field and can also provide excellent customer service skills.
Overview
8
8
years of professional experience
Work History
Prior Authorization Specialist
Invitae
Remote, CA
03.2020 - 07.2022
- Input all patient data regarding prior authorizations into system accurately
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Carefully review denial letters, in order to re submit and increase prior authorization approvals
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel
- Contact insurance carriers for status and obtained status online as well
- Request medical records from providers office to submit to insurance carriers
Intake Coordinator
Restore Motion DME Company
Foothill Ranch, California
09.2018 - 03.2020
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Explained eligibility requirements, application details, payment methods and applicants' legal rights during intake assessment.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Completed intake assessment forms and filed clients' charts.
- Interacted with insurance providers to obtain necessary documents to complete registration.
- Communicated with referral sources, physicians and associated staff to check documentation for proper signatures.
- Collected, verified, recorded and processed client demographics, insurance payments and referral information.
- Entered referrals into appropriate system based on type of referral obtained.
Intake Coordinator
Inland Home Health Providers
Rancho Cucamonga, CA
09.2016 - 09.2018
- Verify insurance
- Order Durable Medical Equipment
- Stay up to date with patients charts, request medical records
- Audit Oasis and Plan of Cares
- Rehab Compliance
- Request authorizations from insurance companies
- Schedule visits with patients
- Supported office staff and operational requirements with administrative tasks.
- Offered compassionate and attentive guidance to patients during moments of crisis and trauma.
- Explained eligibility requirements, application details, payment methods and applicants' legal rights during intake assessment.
- Organized paperwork such as charts and reports for office and patient needs.
- Completed intake assessment forms and filed clients' charts.
- Answered phone calls and provided new clients with required paperwork to initiate service.
Call Center Team Lead
WeCare Pharmaceutical
San Bernardino, CA
03.2014 - 09.2016
- Obtain prescriptions
- Politely assisted customers in person and via telephone
- Answered telephones and provided information about order status, store hours and pharmacy procedures
- Correctly completed pharmacy paperwork, including daily and weekly reports
- Received incoming supplies and stocked in correct locations
- Provided administrative support including, filing, copying and faxing
- Effectively prioritized tasks and organized workflow to increase efficiency
- Handled advanced issues with calm, knowledgeable and professional approach.
- Oversaw team of 6 agents
Education
Some College (No Degree) -
Crafton Hills College
Yucaipa, CAHigh School Diploma -
A. B. Miller High School
Fontana, CA2012
Skills
- Customer Service
- Project/task management
- Typing Speed more than 50 WPM
- Exceptional verbal and written skills
- MS Office Proficient
- Compassionate and a team player
- Data Entry
- Flexible and adaptable to change
- Knowledge of ICD 10 codes and CPT codes
Languages
English/ Spanish
Timeline
Prior Authorization Specialist
Invitae
03.2020 - 07.2022
Intake Coordinator
Restore Motion DME Company
09.2018 - 03.2020
Intake Coordinator
Inland Home Health Providers
09.2016 - 09.2018
Call Center Team Lead
WeCare Pharmaceutical
03.2014 - 09.2016
Some College (No Degree) -
Crafton Hills College
High School Diploma -
A. B. Miller High School
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