Candelaria Luna-Vega
Pasadena,CA
Summary
Dependable employee willing to learn new tasks everyday. Detailed- Oriented on Customer Service and Time managing. Able to work with a team or solo if needed. Currently working with CCS (California Children Services ) Authorization Department had contributed on obtaining a better knowledge on Medical Diagnosis and billing CPT codes as well as to identify proper documentation needed for a new Authorization request process.
Overview
19
19
years of professional experience
Work History
Authorization Specialist
Western Drug Medical Supply
09.2021 - Current
- Requesting Authorization from Medical Groups specifically from Health Care Partners, Altamed, and CCS Department (California Children Services).
- Reviewing clinical CMNs, Rx s and Clinical progress notes for accuracy summation prior Authorization request.
- Reviewing diagnosis codes to ensure accuracy and appropriateness to equipment order.
- Logging Authorization after received into Company's System.
- Follow -up on outstanding Authorizations
- Assisting with Costumer Service to CCS Nurse, Representatives, patients with questions they might have.
- Requesting appropriate CMNs, Rx s and current Clinical notes for a new patient's Authorization request.
Inspector in Quality Assurance and Quality Control
Innovative Skin Care
02.2020 - 09.2021
- Completed precise measurements using special tools.
- Inspected incoming and outgoing materials for accuracy and quality to ensure Company Standards.
- Inspected quality of products, taking note of functionality, appearance and other specifications.
- Performed visual inspections and non-destructive tests where appropriate.
- Communicated via phone and emails with production team members and upper management about quality issues and accomplish inspections.
- Responsible for random inspections throughout different operational departments.
- Follow appropriate procedures in OTC's, AQL inspections by attaching proper forms and documentation after approval.
Areal Lead Order Fulfillment
Avon Products Inc.
10.2004 - 10.2018
- Followed procedures at all times for personal and team safety.
- Reduced fulfillment errors by using RF scanners to quickly pick items to proper bins.
- Maintained tidy and clean work areas to promote optimal productivity and safety standards.
- Maintain workflow by assisting employees on merchandise in need.
- Support with team to day-to-day operations questions
- Coordination of staffing to ensure schedules are met.
- As an crossed-trainee associate I must effectively be able to help other areas where personal was needed.
Education
Some College (No Degree) - Psychology
Glendale Community College
Glendale, CAHigh School Diploma -
John Muir High School
Pasadena, CA06.2000
Skills
- Proficient in English/Spanish
- Costumer Service Oriented
- Good Organization Skills/ Time managing
- Knowledgeable on Medical Diagnosis and billing CPT codes
- Fast Learner
- Paperwork Processing
- Knowledge on basic Microsoft Word, Excel and power point
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Authorization Specialist
Western Drug Medical Supply
09.2021 - Current
Inspector in Quality Assurance and Quality Control
Innovative Skin Care
02.2020 - 09.2021
Areal Lead Order Fulfillment
Avon Products Inc.
10.2004 - 10.2018
Some College (No Degree) - Psychology
Glendale Community College
High School Diploma -
John Muir High School
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