Cherie Alexis Quintana
El Paso,TX
Summary
Experienced professional with a strong background in prior authorizations and data entry. Skilled in managing high-volume documentation, verifying insurance requirements, and ensuring accuracy in processing approvals. Seeking a role that utilizes my clinical office experience and proficiency in data management
Overview
2
2
years of professional experience
Work History
Medical Authorization Specialist
El Paso Pulmonary Association
08.2023 - Current
- Accurately and efficiently obtained prior authorizations for a wide range of medical procedures, including surgeries, diagnostic tests, and medications, from various insurance providers
- Navigated complex insurance guidelines and medical necessity criteria to ensure timely approval for patient care
- Built and maintained strong relationships with insurance representatives to resolve denials and expedite authorization requests
- Effectively communicated with patients, physicians, and other healthcare professionals regarding authorization status and any necessary documentation
- Maintained detailed records of authorization requests, including dates, status, and communication with insurance providers
- Contributed to improving office workflow and streamlining authorization processes
- Handling patient inquiries regarding insurance coverage and benefits
- Assisting with patient scheduling and registration
- Collecting patient co-pays and deductibles
Education
Medical Billing and Coding -
Western Technical
El Paso, TX12.2023
Skills
- CPT
- ICD-10
- HCPCS
- Insurance authorizations
- Verifying coverage
- Electronic Health Records (EHR)
- Billing software
- HIPAA compliance
- Patient confidentiality regulations
- Attention to detail
Timeline
Medical Authorization Specialist
El Paso Pulmonary Association
08.2023 - Current
Medical Billing and Coding -
Western Technical
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