Summary
Overview
Work History
Education
Skills
Timeline
Generic

Felicia Sandoval

Phoenix,AZ

Summary

Detail-oriented healthcare professional with expertise in managing authorizations and ensuring compliance. Specializes in navigating complex systems and maintaining accurate records. Proven success in collaboration and problem-solving within fast-paced environments, delivering results while adhering to healthcare regulations and enhancing customer service.

Overview

16
16
years of professional experience

Work History

Referral & Authorization Specilaist

Barrow Neurosurgical Institute
Phoenix, AZ
07.2022 - Current
  • Verify patient insurance details accurately to minimize billing discrepancies.
  • Process authorization requests efficiently to ensure timely patient care.
  • Collaborate with healthcare providers to gather necessary documentation for authorizations.
  • Maintain up-to-date knowledge of insurance policies and compliance regulations.
  • Resolve complex authorization issues through effective communication with insurers and providers.
  • Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
  • Scheduled appointments with applicants to gather information and explain benefits processes.

Medical Administrative Assistant

Mayo Clinic
Phoenix, AZ
06.2016 - 07.2022
  • Assisted in maintaining electronic health records for accuracy and compliance.
  • Managed patient scheduling and appointment confirmations to enhance workflow efficiency.
  • Coordinated communication between medical staff and patients to ensure clarity of instructions.
  • Processed insurance claims and verified coverage details for timely reimbursements.
  • Triage all incoming calls for Colon and Rectal Surgery patients
  • Manage physician EPIC and personal calendars to coordinate patient care and staff meetings
  • Schedule patients for return visits and surgery
  • Review patient medical records for scheduling purposes
  • Process physician expenses
  • Verify insurance and request patient authorization for surgical procedures. • Schedule appointments for external referring physicians who are seeking to refer their patient to Mayo Clinic
  • Register new patients into the Mayo Clinic system which includes payor triage, insurance verification and input all patient

demographics

Responsible for scheduling new patient and returning patients for new evaluations, radiology and lab appointments in accordance with

Outpatient Rehab Scheduler

Phoenix Children's Hospital Outpatient Center
Phoenix, AZ
06.2010 - 05.2016
  • Coordinated patient scheduling to optimize clinic workflow and reduce wait times.
  • Managed appointment logistics using electronic health record systems for accurate tracking.
  • Assisted healthcare providers in prioritizing urgent patient needs through effective communication.
  • Developed and maintained scheduling templates to improve staff utilization and efficiency.

Education

High School Diploma -

La Joya Community High School
Avondale, AZ
05-2006

Skills

  • Authorization processing
  • Claims management
  • Insurance verification
  • Data management
  • Benefits administration
  • Medical terminology expertise
  • HIPAA compliance
  • Document management
  • Documentation
  • Customer communication
  • Appointment scheduling
  • Problem-solving
  • Telephone etiquette

Timeline

Referral & Authorization Specilaist

Barrow Neurosurgical Institute
07.2022 - Current

Medical Administrative Assistant

Mayo Clinic
06.2016 - 07.2022

Outpatient Rehab Scheduler

Phoenix Children's Hospital Outpatient Center
06.2010 - 05.2016

High School Diploma -

La Joya Community High School