Dora Duran
Albuquerque
Summary
Efficient Prior Authorization Specialist known for high productivity and ability to complete tasks swiftly. Possess specialized skills in insurance verification, medical coding (ICD-10 and CPT), and regulatory compliance. Excel at communication, problem-solving, and time management, ensuring smooth operation within healthcare settings.
Overview
10
10
years of professional experience
Work History
CT Prior Authorization Specialist
Radiology Associates of Albuquerque
Albuquerque
05.2023 - Current
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Developed relationships with external vendors providing pre-authorization services.
- Maintained positive working relationship with fellow staff and management.
- Followed up on pending prior authorization requests to ensure timely processing.
Consumer Loan Specialist
New Mexico Credit
Albuquerque
11.2021 - 07.2022
- Loan Evaluations
- Excellent Time Management
- Loan Application Management
- Educated customers on terms and conditions of loans to provide clear understanding.
- Educated customers about personal loan options, benefits and restrictions.
- Maintained open communication with old clients to cement relationships, drive referrals and obtain repeat business.
- Evaluated loan applications to confirm financial status and credit worthiness.
- Analyzed financial status, credit and property to determine feasibility of granting loans.
Consumer Loan Specialist-Assistant Manager
Sun Loan
Albuquerque
12.2017 - 10.2021
- Used Loan Pro to enter client information and compute payment schedules.
- Evaluated loan applications to confirm financial status and credit worthiness.
- Negotiated payment arrangements with customers and credit institutions to assist in repairing credit history.
- Consulted with customers using positive communication and active listening skills, offering sound feedback and answering critical questions with effective solutions.
- Educated customers on terms and conditions of loans to provide clear understanding.
Assistant Store Manager
Sport Clips
Albuquerque
11.2015 - 12.2017
- Booked appointments, answered phones, greeted clients, handled payments and created client service tickets.
- Kept work areas, tools and equipment clean and properly sanitized to minimize disease transfer and health risk of shared environment.
- Grew sales with great work ethic, individualized beauty care plans and positive attitude.
- Processed payments, entering sales in register for prompt customer service.
Education
High School Diploma -
Menaul High School
Albuquerque, NM05.1993
Cosmetology License - Cosmetology Education
Olympian Academy of Cosmetology
Albuquerque, NMSkills
- Currency transaction handling
- collaborative team member
- Debt recovery skills
- Authorization processing
- Time management
- Effective communication
- Attention to detail
- Medical terminology knowledge
- Patient confidentiality compliance
- Prior authorization process
- CPT coding
- Patient scheduling
Languages
Spanish, Native or Bilingual
Languages
Spanish
Professional
Accomplishments
- Promoted from scheduler to Prior Authorization Specialist
Timeline
CT Prior Authorization Specialist
Radiology Associates of Albuquerque
05.2023 - Current
Consumer Loan Specialist
New Mexico Credit
11.2021 - 07.2022
Consumer Loan Specialist-Assistant Manager
Sun Loan
12.2017 - 10.2021
Assistant Store Manager
Sport Clips
11.2015 - 12.2017
High School Diploma -
Menaul High School
Cosmetology License - Cosmetology Education
Olympian Academy of Cosmetology
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