Carla Junior
Tampa,FL
Summary
Highly knowledgeable healthcare administrative specialist with 19 years of experience focusing on insurance authorizations and billing. Dedicated team player with great communications, multitasking, and critical thinking skills to help achieve the goals envisioned by the company.
Overview
20
20
years of professional experience
Work History
Authorizations Representative
Florida Orthopaedic Institute
12.2015 - 04.2024
- Responsibility to cancel the appointment at the end of the day if the authorization is not obtained
- Other tasks include calling the patients to advise them of the referral and authorization requirement, calling the pcp's to check the status, as well as utilizing provider web sites to check the status as well, inputting the authorizations and referrals into the patient's account, and answering phones and emails.
- Developed strong relationships with healthcare providers through consistent professional communication, fostering trust and support between parties during the authorization process.
- Actively participated in team meetings and discussions to share insights, discuss challenges, and identify opportunities for improvement within the department.
- Informed customers of alternative options when authorizations were denied, providing guidance to support informed decisionmaking.
Business Office Associate
Tampa Outpatient Surgical Facility
06.2004 - 08.2015
- Job functions included verifying insurances and obtaining authorizations for upcoming ambulatory procedures, scheduling patients for upcoming surgeries
- Reception/front desk duties such as checking patient's in and completing patient registration, collecting copays/deductibles and or coinsurance, answering multiple phone lines and redirecting calls to the appropriate departments, and assembling patient charts
- I also assisted in billing and collections and had extensive knowledge of the insurance contracts.
Education
Billing and Coding Certificate - Healthcare
Sanford Brown Institute
Tampa, FL04.2004
Skills
- Microsoft Knowledge
- Healthcare Insurance
- Understanding EOB's
- Time Management
- Follow-up skills
- Exceptional communication
- HIPAA Compliance
- Medical terminology understanding
- Data entry proficiency
- Authorizations understanding
Timeline
Authorizations Representative
Florida Orthopaedic Institute
12.2015 - 04.2024
Business Office Associate
Tampa Outpatient Surgical Facility
06.2004 - 08.2015
Billing and Coding Certificate - Healthcare
Sanford Brown Institute
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