Clara Zamorano
Orlando,FL
Summary
Patient-focused professional equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts.
Overview
1
1
Language
9
9
years of professional experience
Work History
Patient Access Specialist
AssistRx
Orlando, FL
01.2024 - Current
- Initiated prior authorization requests with payers and provider offices.
- Verified patient insurance benefits for AssistRx specialty medication access cases, ensuring timely access to necessary treatments.
- Coordinated copay assistance and foundation support enrollment, facilitating financial resources for patients in need.
- Worked closely with departmental staff members to ensure proper coordination of care across multiple departments.
- Executed special projects to enhance departmental operations by analyzing EHR-generated reports, identifying workflow improvement areas.
Registered Behavior Technician
Camelback Recovery
Scottsdale, Arizona
05.2020 - 12.2023
- Executed behavior support plans to enhance client recovery outcomes.
- De-escalated crisis situations using approved intervention techniques.
- Supported therapists in daily treatment activities and client care to ensure effective therapy delivery.
- Documented session notes and progress reports to provide comprehensive insights for clinical review.
- Maintained confidentiality while following facility policies and recovery protocols.
Claim Specialist
Healthfirst
Lake Mary, Florida
11.2017 - 05.2020
- Reviewed claim documentation for accuracy, eligibility, and policy compliance.
- Processed Healthfirst medical claims using claims systems and benefit guidelines.
- Investigated claim denials and pended claims for missing information.
- Communicated claim status updates with providers, members, and internal teams.
- Maintained HIPAA compliance while handling confidential member and provider information.
Education
Oak Ridge High School
Orlando, FLSkills
- Prior authorization
- Insurance verification
- Benefits coordination
- EHR analysis
- EMR configuration
- HIPAA compliance
- Attention to detail
- Multitasking and organization
- Verbal and written communication
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Patient Access Specialist
AssistRx
01.2024 - Current
Registered Behavior Technician
Camelback Recovery
05.2020 - 12.2023
Claim Specialist
Healthfirst
11.2017 - 05.2020
Oak Ridge High School