ELIZABETH ANGULO
San Diego,CA
Summary
Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value. Efficient Authorization Specialist known for high productivity and ability to complete tasks swiftly and accurately. Possess specialized skills in medical coding, insurance verification, and regulatory compliance that ensure smooth authorization processes.
Overview
10
10
years of professional experience
Work History
Patient Authorization Specialist
AKANE Institute of Allergy, Asthma & Sleep Med
San Diego, CA
01.2024 - Current
- Completed all required documentation accurately, in a timely manner, and thoroughly, in accordance with department standards.
- Prepared and processed all referral and pre-authorization paperwork, including gathering pertinent information as needed via EHR, from incoming phone, email, or fax messages, or from the clinical team.
- Contacted various clinics, facilities, and companies to obtain information to accurately complete referral/pre-authorization requests.
- Responds to inquiries regarding the status of authorizations by assessing the request and evaluating the circumstances to provide the correct information.
- Obtained approvals from providers and disseminates information to participants in writing or electronic media.
- Assisted patients with eligibility, discussed payment arrangement options, including financial assistance information, and providing price estimates.
- Inputted accurate documents onto various platforms and computer systems to ensure expeditious outcomes for all requested services.
- Verified coverage, including benefits, authorization, pre-determination, payer-specific policy exclusions or limitations to coverage, collecting any patient responsibility, and accurately preparing end-of-day reporting or payment reconciliation as needed.
Patient Financial Services Representative
Eisenhower Medical Center
Rancho Mirage, US
12.2022 - 01.2024
- Managed new accounts, on a daily basis, by working within Receivables Workstation. Interfaces with other departments within the hospital, when appropriate, to obtain information necessary to process or resolve claims.
- Contacted patient and/or account guarantor to solicit payment on account.
- Worked all accounts listed in the Follow-Up queue, on a daily basis to promote collection of accounts. This will include telephoning the payer or identifying the claim on the payers' Internet websites.
- Managed entire account inventory on a timely basis to promote payment and resolution of all accounts as instructed by management.
- Processed incoming correspondence, including signature letters, denials, prior authorizations and additional information necessary to process the claim.
- Responsible for staying current on all payer requirements by reading bulletins, reviewing provider handbooks, accessing websites, etc.
- Recorded newly identified insurance plans and facilitate the account processing of new plan in accordance with pre-billing policies and procedures.
- Handled special projects as directed by management, e.g.. high dollar accounts, accounts over 180 days old, etc.
Behavioral Technician
ABA Education Foundation
San Diego, US
01.2022 - 12.2022
- Supported Case Supervisor to implement a personalized plan for client and focused on maximizing their full potential.
- Tracked client progress and growth by keeping electronic health data on company-provided Ipad.
- Responded effectively, with compassion and expertise, to different situations common among our clients using innovative and evidence-based techniques.
- Communicated and engaged with the client's family in a kind, supportive, helpful manner to share progress updates.
- Taught and helped children develop new verbal, communication and social skills necessary for living healthy lifestyles.
Office Assistant II
Riverside University Health System
Banning, US
01.2019 - 02.2021
- Organized files, developed spreadsheets, faxed reports and scanned documents to bolster organizational workflow.
- Collected payments, issued receipts and updated accounts to reflect new balances.
- Gained knowledge of Epic medical system.
- Monitored calendars and scheduled appointments based on availability and established load limits.
- Collected and coded various documents to prepare for filing, storage and processing.
- Kept office records organized and supplies well-stocked for optimal team performance.
- Performed data entry tasks with accuracy and speed utilizing MS Office applications such as Word, Excel, PowerPoint.
- Provided customer service support via phone or email inquiries related to products or services offered by the organization.
Community Development Assistant
UCR Residential Services
Riverside, US
02.2015 - 04.2017
- Assisted in community development, building operations, and providing helpful customer service.
- Provided over 600 residents with accurate information and facilitated appropriate referrals to other departments and campus resources including but not limited to student finance, career services, tutoring, and other academic departments.
- Conducted regular check-ins and meetings with residents, addressing concerns and providing resources for personal and academic success.
Education
Bachelor of Arts - Human Development
California State University
San Marcos01.2022
Skills
- Meeting new people
- Politics
- Community involvement
- Hiking
- Art history
- International travel
- Strong organizational skills
- Project management skills
- Ability to juggle multiple workflows
- Adaptability
- Strong cross-cultural understanding
- Strong communication skills
- Strong computer skills
- Word
- Excel
- PowerPoint
- Outlook
Languages
Spanish
Native/ Bilingual
Custom
Experience with Epic and other EMR systems
Timeline
Patient Authorization Specialist
AKANE Institute of Allergy, Asthma & Sleep Med
01.2024 - Current
Patient Financial Services Representative
Eisenhower Medical Center
12.2022 - 01.2024
Behavioral Technician
ABA Education Foundation
01.2022 - 12.2022
Office Assistant II
Riverside University Health System
01.2019 - 02.2021
Community Development Assistant
UCR Residential Services
02.2015 - 04.2017
Bachelor of Arts - Human Development
California State University