Diane Forcaretta
Hopewell Junction
Summary
Detail-oriented professional with extensive experience in medical administration, specializing in authorization coordination and referral management. Proficient in handling a wide range of tasks with precision and efficiency. Strong communication skills and adept at utilizing various software platforms for seamless operations.
Overview
17
17
years of professional experience
Work History
Authorization Representative
Caremount/Optum
01.2018 - Current
- Managed prior authorizations for various medical procedures and medications, including CT scans, MRIs, Echocardiograms, and medications
- Coordinated referrals for patients, ensuring timely access to specialist care
- Collaborated with healthcare providers and insurance companies to facilitate authorization processes
- Maintained accurate documentation and upheld confidentiality standards.
Authorization Specialist
Orthopedic Associates of Dutchess County
01.2014 - 01.2018
- Obtained and managed prior authorizations for medical procedures and equipment
- Coordinated with insurance providers to ensure timely approvals
- Maintained organized schedules for medical staff and appointments
- Verified insurance information and assisted patients with inquiries
- Performed daily administrative tasks with precision and efficiency.
Pre-Certification Coordinator
E River Neurology
01.2012 - 01.2014
- Facilitated pre-certification processes for radiological tests, including CAT and MRI scans
- Acted as a primary point of contact for patient inquiries and authorization status updates
- Maintained strict confidentiality in accordance with regulatory standards.
Medical Secretary
Somers Orthopedics
01.2007 - 01.2012
- Provided administrative support to medical staff and managed patient registrations
- Conducted thorough patient interviews to ensure accurate documentation and prior authorizations
- Managed physician calendars and ensured smooth office operations
- Demonstrated efficiency in a fast-paced environment while maintaining professionalism.
Education
High School Diploma -
Pleasantville High School
Pleasantville, NYSkills
- Strong verbal and written communication skills
- Exceptional multitasking abilities
- Proficient in various computer software, including E-clinical, Word, and online authorization systems
- Experienced in data entry and medical office management software such as Allscripts PM and Allscripts EHR
Note
References available upon request.
Timeline
Authorization Representative
Caremount/Optum
01.2018 - Current
Authorization Specialist
Orthopedic Associates of Dutchess County
01.2014 - 01.2018
Pre-Certification Coordinator
E River Neurology
01.2012 - 01.2014
Medical Secretary
Somers Orthopedics
01.2007 - 01.2012
High School Diploma -
Pleasantville High School