Summary
Overview
Work History
Education
Skills
Timeline
Generic

Dorina Kuqali

Largo

Summary

Bilingual professional with 3 years of medical field experience and a Master's in Journalism. Skilled in public relations,patient communication and health advocatcy.Combines clinical knowledge with strong media and outreach skills to support effective healthcare messaging.

Overview

16
16
years of professional experience

Work History

Authorization Specialist

HCA Heart Institute
08.2024 - Current
  • Verify patient insurance coverage.
  • Submit authorization requests.
  • Contact the insurance company to verify benefits and confirm authorization.
  • Coordinating with healthcare providers to gather information needed for authorizations.
  • Addressing denials and working to resolve issues.
  • Following up on pending authorization requests and tracking their progress.

Patient Access

Largo Diagnostic Medical Group
12.2023 - 07.2024
  • Perform clerical and administrative duties.
  • Providing check in and check out.
  • Scheduling for multiple doctors in person or on the phone.
  • Verifying insurance eligibility and benefits and ensuring all notifications and authorizations. Updating patients information in the system.
  • Posting payments in the computer system.

Front Desk

Countryside-Neurology Inc
02.2023 - 12.2023
  • Check in and check out the patient.
  • Managed the front office, greeting patients and responding to request for information and appointments.
  • Verified insurance information and collected copays.
  • Completed patient referral to another medical specialist.
  • Scheduling appointments for patients.
  • Answering inbound and making outbound calls.
  • Filing medical records and performed other administrative duties.

Returns Authorization Associate

PharmaLink.inc
11.2021 - 08.2022
  • Submit request for return authorization to assigned manufacturers and processors.
  • Record authorization information for tracking purposes.
  • Create and print picklists.
  • Performing clerical tasks.

Sample Management

RTI Laboratory
09.2015 - 10.2016
  • Received and entered incoming items that needed to be tested from clients.
  • Noted the specific test requested and priced accordingly, entered new customer profile information, recorded and entered the test results.
  • Organized files and helped with any other office duties.

Journalist

Missing People of Albania
11.2011 - 06.2014
  • Received information via phone/e-mail from families who were looking to find their missing relatives.
  • Contacted different agencies foreign and abroad and communicated with correspondents to find out any information about the missing person.
  • Interviewed the families and other individuals who had information about the missing person and prepared the findings to be televised.

Journalist

TVSH
07.2011 - 11.2011
  • Interviewed different individuals who had knowledge on the topic that was being televised.
  • Organized the guest list, prepared the guests for the show.

Middle school teacher

Drita e Diturise
09.2009 - 06.2011
  • Instructed sociology subject to fifth through eighth grade students.

Education

Master Degree - Journalism

Albanian University
Tirana, AL
06.2011

Bachelor Degree - Communications and Public Relations

European University of Tirana
Tirana, AL
07.2009

Skills

  • Medical terminology expertise
  • Claims management
  • Insurance verification
  • Data entry proficiency

Timeline

Authorization Specialist

HCA Heart Institute
08.2024 - Current

Patient Access

Largo Diagnostic Medical Group
12.2023 - 07.2024

Front Desk

Countryside-Neurology Inc
02.2023 - 12.2023

Returns Authorization Associate

PharmaLink.inc
11.2021 - 08.2022

Sample Management

RTI Laboratory
09.2015 - 10.2016

Journalist

Missing People of Albania
11.2011 - 06.2014

Journalist

TVSH
07.2011 - 11.2011

Middle school teacher

Drita e Diturise
09.2009 - 06.2011

Bachelor Degree - Communications and Public Relations

European University of Tirana

Master Degree - Journalism

Albanian University

Similar Profiles

CREATE PROFILE