Daniela Salgado
Wauchula,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
2
2
years of professional experience
Work History
Prior Authorization Specialist
HARAC
08.2023 - 07.2024
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Achieved high success rate in obtaining authorizations by effectively demonstrating medical necessity through comprehensive documentation and clear communication with insurance companies.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Front Desk Receptionist
HARAC
10.2022 - 08.2023
- Scheduled, coordinated and confirmed appointments and meetings.
- Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
- Collected room deposits, fees, and payments.
- Enhanced customer satisfaction by providing efficient and professional front desk services.
- Scheduled appointments accurately using reservation software, reducing conflicts or doublebookings.
- Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
- Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.
Education
Associate of Arts - Liberal Arts And General Studies
South Florida State College
Avon Park, FL12.2022
High School Diploma -
Hard Senior Highschool
Wauchula, FL05.2022
Skills
- Medical Office Administration
- Patient-Focused Care
- Medical Terminology
- HIPAA Compliance
- Payment Collection
- Prior Authorization Process
- Conversant in Spanish and English
- Multitasking and Prioritizing
- Data Entry
- Benefit Coverage
- Understanding of insurance details
Timeline
Prior Authorization Specialist
HARAC
08.2023 - 07.2024
Front Desk Receptionist
HARAC
10.2022 - 08.2023
Associate of Arts - Liberal Arts And General Studies
South Florida State College
High School Diploma -
Hard Senior Highschool