Cynthia Rau
Healthcare Professional
Stuart,FL
Summary
Dynamic healthcare administration professional with over seven years of experience specializing in patient intake, admissions coordination, and insurance authorization. Proven ability to streamline workflows and manage high-volume processes while ensuring strict adherence to HIPAA compliance. Expertise in delivering exceptional support to patients and providers, characterized by a commitment to accuracy, integrity, and empathy. Dedicated to enhancing operational efficiency and fostering positive patient experiences in fast-paced healthcare environments.
Overview
7
7
years of professional experience
Work History
Authorization Specialist
Jupiter Medical Center Physcians Group- Pain Management
08.2024 - Current
- Manage prior authorizations for outpatient procedures, ensuring accuracy and timely completion.
- Coordinate with providers to verify documentation, update notes, and create addendums as needed
- Independently manage appeals and denials, achieving timely resolution electronically through various healthcare portals.
- Cross-trained to support front desk operations, including patient check-in/check-out and, correspondence needed for medication requests.
- Assisted in optimizing scheduling processes, reducing backlog and improving workflow efficiency.
Admissions Coordinator/ Team Lead
Resurgence Behavioral Health
03.2022 - 03.2024
- Facilitated patient intake and admissions, providing guidance and support throughout the treatment process.
- Collaborated with Business Development and Insurance/Billing teams to ensure accurate documentation and billing compliance.
- Verified insurance coverage, eligibility, and patient information with 100% accuracy.
- Trained in Availity/Verify TX, verbal verifications, and ICD-10 coding; completed annual OSHA and HIPAA training.
- Mentored new admissions coordinators to maintain consistent workflow standards.
Admissions Coordinator
Unity Behavioral Health
09.2021 - 03.2022
- Served as the primary point of contact for patients seeking substance use treatment.
- Verified patient information, insurance coverage, and eligibility for behavioral health services.
- Coordinated with clinical staff to ensure accurate documentation and timely patient intake.
- Followed up with prospective patients to confirm appointments and maintain engagement prior to admission.
- Assisted with administrative tasks, including scheduling, patient status updates, and HIPAA-compliant documentation.
Good for Placement Representative
Treatment Management Company
08.2018 - 09.2021
- Facilitated with overseeing admissions coordinators, ensuring follow-ups with pending patients prior to admission.
- Managed overflow calls, updating patient status and guiding patients through the admissions process.
- Made 100+ calls daily to support timely admissions and meet departmental quotas.
- Coordinated with insurance and administrative teams to ensure accurate patient information and smooth processing.
- Served as a liaison between patients, families, healthcare providers, and community partners to facilitate successful transitions throughout the recovery process.
Education
Associate of Science - Health Sciences
Indian River State College
11-2026
Skills
Data entry proficiency
Insurance verification
Prior authorization processing
Effective communication skills
HIPAA compliance
Problem-solving abilities
Timeline
Authorization Specialist
Jupiter Medical Center Physcians Group- Pain Management
08.2024 - Current
Admissions Coordinator/ Team Lead
Resurgence Behavioral Health
03.2022 - 03.2024
Admissions Coordinator
Unity Behavioral Health
09.2021 - 03.2022
Good for Placement Representative
Treatment Management Company
08.2018 - 09.2021
Associate of Science - Health Sciences
Indian River State College