Camelyn Fernandez
Winter Park,FL
Summary
To immerse myself in a progressive environment where my diverse knowledge, experience, and compassion for people can effectively be utilized to help people in their healthcare journey.
Overview
12
12
years of professional experience
Work History
Authorizations Specialist III
Orlando Health - Imaging Centers
01.2024 - Current
- Utilize Insurance Portals, such as Evicore, United Health Care, UMR, EQ Suite, Availity, RadMD, Carelon (Utilization Management) to initiate authorizations
- Submit required clinical documentation via phone, fax or email and or answer clinical questions to expedite authorization process
- Follow up and initiate up to 100+ authorization requests daily
- Contact doctors’ offices to request clinical information
- Contact patient to inform of denial reasons and pending statuses
- Facilitate peer to peer discussions when necessary
- Document and track authorizations and document via Epic
Technical Services Support
Abbott Laboratories
10.2021 - 12.2023
- Receive inbound customer calls and email communications on numerous analyzers, like the Afinion HbA1C and the Cholestech LDX, in addition to rapid tests, such as HCG, strep, covid, and the flu etc
- Review, prioritize, and manage group mailboxes to ensure all inquiries and complaints are actioned within the target timelines
- Provide support and troubleshooting for customer complaints to support the resolution
- Document complaints and inquiries
- Communicate complete investigation conclusions to customers through written reports and phone conversations
- Ensure teamwork and excellent customer experience are prioritized
- Train team members
- Record all inquiries in salesforce and provide case number
Operations Manager
City Md Urgent Care
12.2012 - 02.2018
- Train staff/responsible for providing feedback and resources for their overall success
- Training consisted of: answering calls, collect copays, scanning documentation required for medical records release, scheduling specialist appointments, obtaining referrals and prior authorizations, faxing important documents to referring physician, registering and placing patient on schedule, properly discharging patients
- Ability to meet labor expenses, supplies expenses and patient satisfaction goals monthly
- Provided staff members direction and tools to increase patient satisfaction during interactions
- Assessing annual evaluations for all staff members in conjunction with the regional manager for all staff, including patient care representatives
- Medical assistants, xray technicians, scribes, and other clinical staff
- Managed team of up to 32 staff members
- All staff responsibilities (trained efficiently in all roles at the site and able to assist patients, doctors, and staff with all inquiries)
- Directing patient flow, especially during surges (approximately 185 patients daily)
- Ordering necessary medical supplies and office supplies
- Assisting the regional manager in training other managers and in other projects to expand the business
- Ensured all CLIA, and OSHA guidelines were met
- Executed and monitored key performance indicators (KPI)
- Scheduling x-ray techs, patient care representatives, and medical assistants
- Train new employees, update employees on new procedures
- Obtain prior authorizations for X-rays, ultrasound, CT scans, MRI scans, blood work, etc
- Prior Authorizations entailed verifying the patient’s benefits eligibility by using an online forum or by phone
- Scheduled patients’ specialist appointments and imaging procedures
Education
Bachelor of Science -
City University of New York: School of Professional Studies
06.2023
Skills
- Spanish
- English
- Microsoft Office
- ECW
- Aprima
- EMR
- PAR8O Systems
- Kana
- Helix
- Kronos
- Salesforce
- Agile
- IVR
- Medical Terminology
- Epic
- Insurance Portals
- Evicore
- Carleon
- RadMD
- Availity
- UMR
- United Health Care
- Florida Medicaid
- EQSuite
- CRM Systems
- Customer Relations
- Documentation Management
- Expert Problem Solving
- Quality Assurance
Languages
Spanish
Native or Bilingual
Timeline
Authorizations Specialist III
Orlando Health - Imaging Centers
01.2024 - Current
Technical Services Support
Abbott Laboratories
10.2021 - 12.2023
Operations Manager
City Md Urgent Care
12.2012 - 02.2018
Bachelor of Science -
City University of New York: School of Professional Studies
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