Summary
Overview
Work History
Education
Skills
References
Timeline
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NANCY BENITEZ

Los Angeles,CA

Summary

Hardworking and passionate job seeker. Dedicated to secure a responsible opportunity to use my training and skills knowledge, While making a significant contribution to the success of the company. Brings proven track record of success in determining eligibility and resolving complex cases. Works professionally with clients to develop and implement successful strategies for maximizing services and benefits. Skilled in problem-solving and identifying solutions meeting clients' needs.

Overview

13
13
years of professional experience

Work History

Authorization Specialist

TMS For Preferred IPA Of California
06.2023 - Current
  • Conducted thorough reviews of medical records to identify and address potential issues affecting authorization approvals.
  • Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
  • Stayed informed about regulatory changes relevant to the healthcare industry, ensuring compliance in all authorization activities.
  • Reviewed documentation for accuracy and assessment of necessity.
  • Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
  • Enhanced departmental efficiency with thorough knowledge of medical terminology.
  • Reduced processing times by effectively managing a high volume of authorizations, referrals.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
  • Attended ongoing professional training to facilitate accurate and productive credit management.

Authorization Coordinator

East Valley Audiology and Hearing Aids
03.2011 - 09.2021
  • Verify insurance eligibility and benefits
  • Schedule and confirm appointments
  • Scan and fax documents
  • Communicate with doctor's office to obtain medical clearance for authorization determination
  • Document preparation
  • Answer phone calls in a respectful and professional manner
  • Greet patients with a positive friendly attitude
  • Hearing aid cleaning and service
  • Multi-task in a busy environment
  • Submit authorization for patients that need hearing aids
  • Sale hearing aids to patients with hearing loss
  • Explained eligibility details and affordability options to patients with kindness and respect
  • Conducted interviews with applicants, explaining benefits process and which programs were available
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.

Education

Trade Technical College
Los Angeles, CA

High School Diploma -

Theodore Roosevelt High School
Los Angeles, CA
05.2005

Skills

  • Obtaining Authorizations
  • Insurance Eligibility Verifications
  • Customer Experience
  • Effective Multitasking
  • Telephone etiquette
  • Fluent in English and Spanish
  • Team Collaboration
  • Continuous Learning
  • HIPAA Compliance
  • Time Management
  • Attention to Detail

References

References available upon request

Timeline

Authorization Specialist

TMS For Preferred IPA Of California
06.2023 - Current

Authorization Coordinator

East Valley Audiology and Hearing Aids
03.2011 - 09.2021

Trade Technical College

High School Diploma -

Theodore Roosevelt High School

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NANCY BENITEZ