DENISE POZAS

• Coordinate pediatric dental surgery schedules, ensuring timely and efficient patient care.
• Confirm insurance eligibility, streamlining patient access to necessary services.
• Manage incoming referrals, improving patient intake process and reducing wait times.
• Operate call center, addressing patient inquiries and enhancing overall patient satisfaction.
• Provided compassionate support to pediatric patients and families, addressing concerns and facilitating smooth transitions throughout the surgical process.
• Initiated and obtained prior authorizations for pediatric surgical procedures, imaging, and anesthesia

services via phone, fax, and insurance portals.

• Verified patient insurance benefits and eligibility to determine coverage, pre-certification requirements,

and potential financial liabilities.

• Accurately entered and tracked authorization requests in internal systems, ensuring adherence to

turnaround time and audit standards.

• Performed daily follow-ups on pending authorizations and updated records to reflect current

authorization status and next steps.

• Scheduled and facilitated peer-to-peer reviews between insurance payers and ordering providers to

support medical necessity determinations.

• Handled a high volume of insurance verifications and authorization submissions while maintaining accuracy, confidentiality, and turnaround time benchmarks.
• Used Salesforce and Jupiter to schedule appointments.
• Applied administrative knowledge and courtesy to explain procedures and services to patients.
• Trained and mentored new employees in the registration department, answered questions, and provided insight on patient services.
• Educated all registration staff personnel regarding updates and changes to job positions.
• Monitored call quality and provided individual constructive feedback to enhance performance and address areas in need of improvement.

• Create and manage patient charts for surgical procedures, ensuring accuracy and completeness.
• Coordinate and schedule add-on surgeries, optimizing surgeon availability and patient flow.
• Input lab work, chest x-rays, and EKGs as requested by surgeons, maintaining up-to-date records.
• Update daily surgery schedules, ensuring all departments are informed and aligned.
• Collaborate with multiple hospital departments to ensure comprehensive patient care.
• Oversee pre-op admissions charts, ensuring all necessary documentation is prepared.
• Compile lab work and reports for nurse review, facilitating thorough pre-surgery preparation.
• In charge of managing the ordering of supplies.
• Manage comprehensive patient records for surgical procedures, ensuring accuracy and timely updates across multiple hospital departments.
• Coordinate with surgeons and staff to optimize scheduling, streamline pre-op processes, and facilitate efficient patient flow for add-on surgeries.
• I have some experience with departmental payroll at a beginner level.