Claribel Valette
Gretna,LA
Overview
9
9
years of professional experience
Work History
Authorization Specialist
Lcmc Health
New Orleans, LA
12.2023 - Current
- Researched patient eligibility, coverage information, and benefit levels.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Processed prior authorization requests in accordance with departmental guidelines.
- Assisted in the development of new processes and protocols to improve operational efficiency.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Ensured timely submission of accurate documentation to support payment of services rendered by providers.
- Developed reports summarizing activities related to authorizations for management review purposes.
- Performed data entry into various computer systems including but not limited to EMRs and CRMs.
- Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
Medical Intake Specialist
One Source Medical Group
Westchase, FL
05.2022 - 11.2023
- Conducted initial intake interview to obtain client information, including biographical data, medical history, presenting problem, legal status, and other pertinent information.
- Created new patient files and retrieved existing records for patient intake appointments.
- Provided technical assistance to customers regarding use of durable medical equipment.
- Processed referrals from other healthcare providers in a timely manner.
- Maintained confidentiality of all patient information at all times.
- Responsible for detailing all the workflow for authorization request, including documenting of request, member eligibility in the synapse health software system.
- Attended training sessions relayed to new developments and medical equipment.
Patient Care Coordinator
PEDRO SOLAR COSMETIC SURGERY
Westchase , FL
05.2021 - 04.2022
- Provided ongoing communication with patients, families, and other healthcare providers regarding treatment plans and progress.
- Interviewed patients or representatives to identify problems relating to cosmetic concerns.
- Establish relationships with each prospective patient and serve as the point person for all events associated with the patient.
- Prepare and present surgical quotes for prospective patients
- Scheduled appointments for patients and coordinated follow-up visits as needed.
- Monitored patients' vital signs including temperature, blood pressure, pulse rate, respiration rate, height, weight.
Pharmacy Technician
MAXXYCOM RX
Wesley Chapel, FL
03.2020 - 05.2021
- Maintained daily inventory of pharmaceuticals and ensured proper storage conditions.
- Performed data entry for patient profiles, billing information and prescription orders into the pharmacy software system.
- Provided customer service to patients by answering questions about medications and health-related topics.
- Managed filing of prescriptions, both electronically and manually.
- Ordered drugs from wholesalers as needed and maintained records of incoming shipments.
- Assisted in training new employees on pharmacy procedures.
Patient Access Representative
Daughters of Charity
New Orleans, LA
04.2016 - 02.2020
- Greeted patients and visitors in a courteous and professional manner.
- Processed patient admissions, registrations, transfers, and discharges according to established procedures.
- Verified insurance coverage for services provided by the facility.
- Assisted with scheduling outpatient appointments.
- Ensured accuracy of all data entered into computer system.
- Scanned documents into electronic medical records system.
- Created new patient accounts in EMR system as needed.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Answered phones promptly in a professional manner.
Translator and Interpreter
Integrated Pain Management
New Orleans , LA
01.2015 - 04.2016
- Translated documents from English to Spanish and vice versa for various clients.
- Interpreted conversations between Spanish-speaking clients and English-speaking staff members.
- Provided written translations of legal, medical, and technical documents.
- Conducted consecutive and simultaneous interpretation at meetings, conferences, and court hearings.
- Maintained up-to-date knowledge of specialized terminology in areas such as law enforcement, finance, engineering, science, medicine.
- Assisted with the development of language training programs for staff members who needed to learn a foreign language for business purposes.
- Proofread translated documents before submitting them to the client for review.
- Translated important departmental materials.
Skills
- Intake Assessment
- Claims Processing
- Application Assessments
- Client Intake
- Records Management
- Critical Thinking Skills
- Data Entry
- Conflict Mediation
- Records Maintenance
- Multi-Line Phone Operations
Timeline
Authorization Specialist
Lcmc Health
12.2023 - Current
Medical Intake Specialist
One Source Medical Group
05.2022 - 11.2023
Patient Care Coordinator
PEDRO SOLAR COSMETIC SURGERY
05.2021 - 04.2022
Pharmacy Technician
MAXXYCOM RX
03.2020 - 05.2021
Patient Access Representative
Daughters of Charity
04.2016 - 02.2020
Translator and Interpreter
Integrated Pain Management
01.2015 - 04.2016