Elizabeth Peña-Flores
Del Valle,TX
Summary
Dedicated Authorization Specialist with proven track record of providing exceptional customer service in fast-paced environments. Bringing authorization experience and knowledge to exceed production goals. I'm well-organized, dependable, committed and hardworking. I always make sure to resolve any issues, answer any questions to make sure provider can end any and every call with no further concerns.
Overview
5
5
years of professional experience
Work History
Authorization Specialist II
Centene Corporation
Austin, TX
06.2024 - Current
- Assists provider on answering any of their questions about referrals, authorizations, and other related issues.
- Provides support to referring physicians in obtaining pre-authorization for services as necessary.
- Developed strategies for improving efficiency within the department while maintaining high standards of customer service.
- Communicates regularly with nurses, program coordinators, and other healthcare professionals regarding authorizations processes.
- Maintaines detailed records of all members authorizations, including dates of submission, status updates, and any additional information required.
- Ensures any authorization issues/errors are resolved within appropriate time frame
Authorization Specialist II
Populus Group LLC
Austin, TX
03.2023 - 03.2024
- Assisted provider on answering any of their questions about referrals, authorizations, and other related issues.
- Provided support to referring physicians in obtaining pre-authorization for services as necessary.
- Developed strategies for improving efficiency within the department while maintaining high standards of customer service.
- Communicated regularly with nurses, program coordinators, and other healthcare professionals regarding authorizations processes.
- Maintained detailed records of all members authorizations, including dates of submission, status updates, and any additional information required.
- Ensures any authorization issues/errors are resolved within appropriate time frame.
Customer Service Rep/Cashier
The Home Depot Store
Austin, TX
08.2020 - 04.2022
- Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
- Worked flexible schedule and extra shifts to meet business needs.
- Helped customers complete purchases, locate items and join reward programs.
- Answered questions about store policies and addressed customer concerns.
- Promoted customer loyalty and consistent sales by delivering friendly service and knowledgeable assistance.
- Worked closely with shift manager to solve problems and handle customer concerns.
- Greeted over 200 customers per day.
- Mentored new team members on POS system operation, customer service strategies and sales goals.
- Used POS system to enter orders, process payments and issue receipts.
Education
High School Diploma -
Akins High School
Austin, TX06.2020
Skills
- Accurate Documentation
- Insurance Authorizations
- HIPAA Compliance
- Cash Register Systems
- Product and Service Sales
- Coaching and Mentoring
- Issue Resolution
- Verbal and Written
Communication - Time Management Skills
- Active Listening
- Customer Service Excellence
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Authorization Specialist II
Centene Corporation
06.2024 - Current
Authorization Specialist II
Populus Group LLC
03.2023 - 03.2024
Customer Service Rep/Cashier
The Home Depot Store
08.2020 - 04.2022
High School Diploma -
Akins High School