Carlos A. Corrales
El Paso,USA
Summary
Detail-oriented and fully bilingual professional with exceptional communication, interpersonal, and creative thinking skills. As a dedicated Authorization Specialist, I successfully leveraged my expertise to enhance operational efficiency and contribute to organizational goals. Recognized for my strong work ethic and reliability, I consistently facilitated effective collaboration across departments to achieve optimal outcomes.
Overview
5
5
years of professional experience
Work History
Authorization Specialist
Cardiology Care Consultants (HCA)
10.2024 - Current
- Assisted in the development of authorization request forms, streamlining the process for improved efficiency
- Coordinated with various departments to ensure the accuracy of authorizations, enhancing cross-functional collaboration
- Obtained prior authorizations, achieving a95% approval rate for medical procedures
- Secured approvals for medical procedures, treatments, and medications, ensuring timely patient care
- Maintained accurate records of authorizations, denials, and related communications, contributing to a20% reduction in processing errors
- Tracked and reported authorization statuses, ensuring timely follow-up on unresolved cases and improving resolution times by30%
- Assisted healthcare providers in navigating payer policies and authorization requirements, enhancing provider satisfaction
Medical Office Specialist
Cardiology Care Consultants (HCA)
02.2024 - 09.2024
- Handled patient account inquiries, ensuring positive communication of information to and from the office, resulting in a15% increase in patient satisfaction
- Verified insurance and obtained authorizations, achieving a98% accuracy rate
- Entered charges, processed payments, and balanced daily reports in the computer system, maintaining a100% compliance rate
- Coordinated continuity of patient care with external healthcare organizations and facilities, improving patient referral processes
- Utilized Patient Keeper EHR optimization solution to streamline billing processes, enhancing provider access to inpatient information
- Maintained HIPAA compliance and ensured patient privacy, safeguarding sensitive information
- Updated patient information in the electronic medical records system, ensuring data accuracy and accessibility
Accounting Assistant
La Sierra University
01.2022 - 09.2023
- Created and maintained financial records, including accounts payable and accounts receivable, ensuring accurate financial reporting
- Processed customer invoices and payments, achieving a99% on-time payment rate
- Processed payments through various methods, enhancing customer convenience
- Maintained accurate record-keeping systems for payment plans and tuition fees, contributing to a25% reduction in discrepancies
- Performed daily data entry tasks with high accuracy and efficiency using MS Excel spreadsheets, improving data integrity
- Created and maintained spreadsheets to track financial data, facilitating informed decision-making
- Generated reports detailing spending trends by category and vendor, aiding in budget management
- Monitored incoming payments and updated records accordingly, ensuring timely financial tracking
- Processed invoices and payments accurately and in a timely manner, maintaining a100% compliance rate
Assistant Head Custodian
La Sierra University
10.2019 - 04.2022
- Ensured all custodial supplies were stored and used in accordance with safety protocols, enhancing workplace safety
- Supervised students, fostering a productive learning environment
- Maintained a cleaning schedule, ensuring cleanliness and organization of facilities
- Inspected the facility daily for any damage and initiated maintenance work orders as needed, improving facility upkeep
- Performed a monthly inventory of supplies, ensuring adequate stock levels and reducing waste
Education
Bachelor of Science - Marketing
La Sierra University
Riverside, CABachelor of Science - Healthcare Management
La Sierra University
Riverside, CASkills
- Clerical
- Business Correspondence
- Accounting
- Medical Scheduling/Billing
- Administrative Assistant
- Verbal Communication Skills
- Customer Experience
- EMR Systems
- Microsoft Proficient
- Cash Management
LANGUAGES
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Authorization Specialist
Cardiology Care Consultants (HCA)
10.2024 - Current
Medical Office Specialist
Cardiology Care Consultants (HCA)
02.2024 - 09.2024
Accounting Assistant
La Sierra University
01.2022 - 09.2023
Assistant Head Custodian
La Sierra University
10.2019 - 04.2022
Bachelor of Science - Healthcare Management
La Sierra University
Bachelor of Science - Marketing
La Sierra University
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