Clarysvette Lugo Matos
Vancouver,WA
Summary
Experienced Professional Authorization Coordinator with a strong background in managing authorization processes within the healthcare industry. Skilled in facilitating team collaboration and adapting to changing needs to ensure efficient workflow and compliance. Demonstrates excellent communication, problem-solving, and data management abilities. Known for dependability and a results-driven approach, consistently delivering high-quality outcomes. Proficient in managing complex authorization workflows and ensuring regulatory compliance. Utilizes effective communication and problem-solving skills to streamline processes, enhance team collaboration, and improve operational efficiency. Possesses a high work ethic, thrives in fast-paced environments, pays close attention to detail, and excels in working with peers.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Referral and Authorization Coordinator
Retina Northwest PC
Vancouver, WA
06.2023 - Current
- Managed and coordinated the authorization process for all incoming requests
- Reviewed and verified documentation to ensure compliance with company policies and procedures
- Maintained accurate records of authorizations, including dates, approvals, and any necessary followup actions
- Collaborated with internal teams to gather additional information or resolve issues related to authorization requests
- Communicated effectively with clients or external stakeholders regarding the status of their authorization requests
- Developed and implemented streamlined processes to improve efficiency in the authorization workflow
- Generated reports on a regular basis to provide insights into the volume and status of authorization requests
- Performed quality checks on completed authorizations to minimize errors or discrepancies
- Verified insurance coverage and obtained pre-authorization for referred services when required
- Performed data entry tasks accurately and efficiently to update patient information in electronic health records (EHR) systems
- Ensured compliance with HIPAA regulations by handling confidential patient information appropriately
Asset Protection Specialist
Target
Dallas, TX
09.2022 - 11.2023
- Monitored and patrolled assigned areas to prevent theft, vandalism, and other security breaches
- Utilized CCTV systems to observe and identify suspicious activities or individuals
- Responded promptly to alarms and emergency situations, taking appropriate action as necessary
- Conducted thorough investigations of incidents, gathering evidence and interviewing witnesses when required
- Closely monitored inventory levels to detect any discrepancies or potential losses
- Implemented effective loss prevention strategies, resulting in a XX% reduction in shrinkage
- Collaborated with store management to develop and implement safety protocols for employees and customers
- Maintained accurate records of all security-related incidents, documenting details for future reference
- Served as a visible deterrent by maintaining a strong presence on the sales floor
- Investigated employee misconduct allegations in accordance with company policies
- Deterred theft through proactive customer service approaches such as greeting customers upon entry and offering assistance throughout their shopping experience
- Performed regular audits of cash registers, safes, and other high-value assets to ensure accuracy and accountability
- Maintained up-to-date knowledge of local laws pertaining to shoplifting or retail fraud cases
- Developed comprehensive training programs for new hires on asset protection procedures
- Collaborated with Loss Prevention team to identify patterns or trends in theft incidents
- Conducted risk assessments and recommended improvements to physical security measures
- Fostered positive relationships with local law enforcement agencies
Medical Assistant
Epic Surgery Clinic
Richmond, TX
11.2022 - 02.2023
- Prepared examination rooms by ensuring cleanliness and stocking necessary supplies
- Took vital signs such as blood pressure, temperature, pulse rate, and respiratory rate accurately
- Managed patient medical records by accurately documenting information in electronic health record systems
- Scheduled appointments for patients, coordinating with other departments as needed
- Provided exceptional customer service to patients by addressing inquiries and concerns promptly and professionally
- Educated patients on medication instructions, post-treatment care, and preventive measures
- Maintained inventory of medical supplies and equipment to ensure availability when needed
- Collaborated with insurance companies to verify coverage eligibility for patients' medical services
- Coordinated referrals to specialists or other healthcare providers based on physician recommendations
- Supported front desk operations by greeting patients, checking them in/out, and managing phone calls efficiently
- Ensured compliance with HIPAA regulations regarding patient privacy and confidentiality at all times
- Participated in staff meetings to discuss updates on policies, procedures, or changes in healthcare regulations
- Assisted with administrative tasks such as filing documents or processing paperwork
- Closely monitored inventory levels of vaccines or medications requiring special storage conditions
- Maintained a clean and organized work area to ensure safety and efficiency in daily operations
Education
Online course in Pharmacy Technician -
Martinsburg Colllege
Martinsburg, WV05.2015
Some College - Nursing
Instituto de Banca y Comercio Inc
Ponce, PR06.2011
Skills
- Medical terminology
- CPT coding
- Insurance verification
- EMR systems
- ICD-10
- HIPAA
- Customer service
- Medical billing
- Phone etiquette
- Microsoft Office
- Microsoft Excel
- Medical office experience
- Microsoft Outlook
- Organizational skills
Certification
Pharmacy Technician Certification
Personal Information
Willing To Relocate: Anywhere
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Referral and Authorization Coordinator
Retina Northwest PC
06.2023 - Current
Medical Assistant
Epic Surgery Clinic
11.2022 - 02.2023
Asset Protection Specialist
Target
09.2022 - 11.2023
Online course in Pharmacy Technician -
Martinsburg Colllege
Some College - Nursing
Instituto de Banca y Comercio Inc