Elaina Naval
Jacksonville,FL
Summary
Detail-oriented professional with extensive experience in customer service and a developing skill set in healthcare. Committed to promoting efficiency and maintaining patient satisfaction with expertise in problem solving, data analytics, and organizational skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Authorizations Specialist / Medical Office Scheduler
Southeast Orthopedic Specialists
02.2025 - 08.2025
- Followed up and obtained prior authorizations for up to 200 appointments per day
- Verified insurance benefits and ensured patient demographics were accurate to prevent any errors in claims
- Educated patients on their insurance benefits and the referral or authorization requirements with their plan
- Coordinated with insurance companies and other healthcare facilities to obtain referrals and authorizations
- Assisted with scheduling appointments across 13 locations and managing patient communications to providers
- Demonstrated proficiency with Athena EMR system, medical terminology, CPT, and ICD codes
Receptionist
Active Physical Therapy
01.2024 - 05.2024
- Maintained weekly schedules for 5 clinicians with a total weekly case load of 300-400 visits
- Verified insurance benefits and requested authorizations as needed
- Created and organized files including new patient intake paperwork and referral source
- Experienced with Raintree EMR system, Word, and Excel
General Manager
GNC Irvin Franchise
07.2020 - 06.2023
- Managed all daily operations including staffing, scheduling, and task allocation
- Implemented new policies, practices, and procedures to improve sales margins and grow customer loyalty
- Completed purchase orders and improved inventory management strategies among four locations
Sales Coordinator - Event Based
Fan Experiences
11.2019 - 02.2020
- Managed hotel accommodations for the NFL and various affiliate groups during Super Bowl 54
- Acted as a liaison between hotels, companies, and clients by executing sales contracts and managing enrollment paperwork
- Maintained detailed records for all customer accounts, including enrollment verification steps, payment processing, and individual requests
Bartender
The Office - Orlando Bar
10.2018 - 12.2019
- Consistently exceeded sales expectations through suggestive up-selling techniques and promoting menu options
- Cultivated strong relationships with repeat customers, engaging in friendly conversation and memorizing drink orders to promote loyalty
Mental Health Connections Intern
Mental Health Association of Central Florida
07.2018 - 01.2019
- Researched and maintained databases of physicians and facilities in the Central Florida area
- Provided resources and education to consumers and family members inquiring about services
Education
Bachelor of Science - Psychology
University of Central Florida
Orlando, FL12.2018
Skills
- Insurance verification
- Benefits administration
- Prior authorization
- HIPAA compliance
- Medical terminology
- CPT and ICD coding
- Time management and efficiency
- Problem-solving
- Attention to detail
- Professional communication skills
Certification
CPB - Certified Professional Biller AAPC | August 2023
Timeline
Authorizations Specialist / Medical Office Scheduler
Southeast Orthopedic Specialists
02.2025 - 08.2025
Receptionist
Active Physical Therapy
01.2024 - 05.2024
General Manager
GNC Irvin Franchise
07.2020 - 06.2023
Sales Coordinator - Event Based
Fan Experiences
11.2019 - 02.2020
Bartender
The Office - Orlando Bar
10.2018 - 12.2019
Mental Health Connections Intern
Mental Health Association of Central Florida
07.2018 - 01.2019
Bachelor of Science - Psychology
University of Central Florida
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