Florentino Vasquez
Denver,CO
Summary
Healthcare administrative professional with 10+ years of experience in patient access, scheduling, insurance verification, prior authorization, referrals, and front office operations across hospital and clinic settings. Experienced with Epic, Allscripts, Meditech, Onco, and Athena. Known for improving workflow accuracy, supporting high patient volumes, and coordinating efficiently with clinical teams, payers, and patients to reduce delays and improve access to care.
Overview
18
18
years of professional experience
Work History
Osteoporosis Pre Authorization Specialist
Denver Arthritis Clinic
Denver, CO
09.2025 - 01.2026
- Review patient insurance information before services are scheduled
- Confirm eligibility and active coverage with the insurance provider
- Check plan details such as copays, deductibles, and coverage limits
- Submit authorization requests to insurance companies for Osteoporosis medications
- Ensure required documentation is included (clinical notes, diagnosis codes, etc.)
- Work with physicians, nurses, and scheduling departments to gather required documentation
- Confirm correct procedure codes (CPT) and diagnosis codes (ICD-10) are submitted
- Monitor pending authorization requests
- Follow up with insurance companies to prevent delays
- Review denied authorization requests
- Initiate appeals when appropriate
- Ensure documentation meets compliance and audit standards
- Prevent claim denials by ensuring all approvals are in place before services
Medical Census/Eligibility Specialist
Behavioral Health Solutions
Glendale, CO
11.2023 - 01.2024
- Verified insurance eligibility and benefits for all CO and WA patients.
- Responsible for running and posting all new and established patient’s insurance eligibility for all BHS facilities in CO and WA.
- Entered and Processed all referrals within 24 hours.
- Updated BHS referral tracker, BHS psych rounding schedule, and eligibility tracker with 100% accuracy.
- Prepared Medical Census for all BHS facilities in CO and WA.
- Reviewed patient records and insurance policies to ensure accuracy of information.
- Identified discrepancies in insurance coverage and resolved issues with appropriate parties.
Outpatient Brain Injury Scheduler, Lead
Craig Hospital
Denver, CO
02.2022 - 01.2023
- Managed comprehensive scheduling for outpatient brain injury care team, ensuring optimal coordination among physical, occupational, and speech therapists, nurse practitioners, and registered nurses.
- Conducted thorough verification of insurance eligibility and benefits for all outpatient brain injury cases.
- Utilized Excel to revise and optimize spreadsheets, ensuring up-to-date information and improved functionality.
- Generated and circulated weekly reports to provide insights on project progress.
- Crafted and launched several scheduling communication forms to facilitate effective information exchange.
- Streamlined communication processes among healthcare professionals and scheduling department to improve operational efficiency.
- Managed patient scheduling system to maintain up-to-date appointment records and enhance operational efficiency.
- Streamlined scheduling processes for more than 50 patients each day, ensuring efficient use of resources and improved patient experience.
Patient Administrative Coordinator
National Jewish Health
Denver, CO
11.2018 - 01.2021
- Handled incoming calls, facilitating effective communication and resolution of customer issues.
- Managed appointment scheduling for out-of-state patients to facilitate seamless healthcare access.
- Conducted thorough reviews of insurance documentation to verify eligibility and benefits for clients.
- Managed patient scheduling system to maintain up-to-date appointment records and enhance operational efficiency.
- Managed patient communications concerning appointment availability, rescheduling, and cancellations to enhance service experience.
- Entered and updated patient demographic information in electronic health record system, ensuring data accuracy and integrity.
Patient Access Representative Admissions
San Juan Regional MedicalCenter
Farmington, NM
03.2017 - 08.2018
- Performed detailed assessments of insurance documents to validate client eligibility and confirm benefits.
- Coordinated patient registration and ensured timely organization of essential compliance documentation.
- Supervised call operations in a dynamic setting to maintain high standards of customer satisfaction.
- Oversaw pre-registration activities for surgical procedures, maintaining meticulous records and documentation standards.
- Coordinated scheduling of radiology oncology surgeries and outpatient lab procedures, ensuring seamless patient care processes.
- Oversaw patient financial responsibility collections to enhance service delivery efficiency.
Administrative Assistant
Therapeutic Butterfly Effects
Saint Augustine, FL
07.2016 - 02.2017
- Scheduled appointments for registered clients and provided relevant documents. Assisted clients with appointment scheduling and document distribution. Coordinated client appointments and shared necessary paperwork.
- Conducted thorough verification of insurance eligibility, benefits, copays, deductibles, and co-insurances.
- Updated and organized Excel spreadsheets to ensure accurate tracking of client financial obligations for front desk operations.
- Managed payroll systems and facilitated paycheck distribution to maintain employee satisfaction.
- Facilitated scheduling of appointments, meetings, and travel arrangements to enhance executive productivity.
- Developed comprehensive filing solutions, both digital and physical, to facilitate quick access to essential documents.
- Facilitated onboarding process for new employees by preparing essential documentation and coordinating orientation sessions.
- Executed regular updates and management of company databases, maintaining high standards of data accuracy and completeness in Therabill.
- Managed customer inquiries with efficiency, ensuring accurate information was provided or referrals were made to relevant personnel for assistance.
Patient Access/ Patient Financial Services
Flagler Hospital
Saint Augustine, FL
06.2014 - 07.2016
- Schedule appointments, register patients and distribute appropriate documents.
- Conducted thorough verification of insurance eligibility and coverage to support accurate claims processing.
- Evaluated and implemented appropriate benefits during patient visits to optimize care delivery.
- Identified correct copays for patient billing. Calculated deductibles, co-insurances, and self-pay rates for financial clarity. Assessed patient financial responsibilities to facilitate payment processes.
- Managed patient financial responsibility collections during service interactions to enhance revenue cycle efficiency.
- Guided patients through financial responsibilities, providing comprehensive explanations of billing processes and payment alternatives.
- Investigated and resolved patient inquiries regarding appointment scheduling, insurance coverage, and billing discrepancies to maintain patient satisfaction.
- Facilitated coordination of referrals to specialists and healthcare facilities as required.
- Thrived in dynamic, high-pressure environments to ensure operational efficiency.
Financial Counselor
FL Cancer Specialist /Adventist Health
Palm Coast, FL
02.2008 - 11.2014
- Schedule appointments, register patients and distribute appropriate documents.
- Verify insurance eligibility and coverage
- Add appropriate benefits to patient visits.
- Managed patient billing and insurance claims, ensuring accurate and timely submission
- Assisted patients in understanding their financial responsibilities and provided guidance on available payment options
- Maintained detailed records of patient accounts, payments, and adjustments using electronic billing systems
- Resolved billing discrepancies by investigating and communicating with insurance companies and patients
- Ensured compliance with federal regulations such as HIPAA when handling sensitive patient information
- Collaborated with clinical staff to obtain necessary documentation required for claim submission
- Managed a high volume of incoming calls from patients regarding billing inquiries and concerns
- Reviewed patient financial records to identify potential eligibility for government assistance programs
Education
Associate of Science - General Studies
Miami Dade College
Miami, FL01-2006
Skills
- Key professional abilities
- Insurance verification
- Authorization management
- Patient onboarding
- High-volume medical scheduling
- Billing and collections assistance
- Experienced in technical applications
- Electronic medical records proficiency
- Microsoft Excel proficiency
- Resource management
- Operational efficiency enhancement
- Interdepartmental collaboration
- Patient communication
- Proficient in maintaining accuracy and compliance
Accomplishments
- Increased Craig Hospital scheduling accuracy by 15% by implementing a standardized provider communication form.
- Recovered 5-10 hours weekly per scheduler, directly increasing patient booking capacity and accelerating patient access to care.
- Supervised team of 3 staff members.
Timeline
Osteoporosis Pre Authorization Specialist
Denver Arthritis Clinic
09.2025 - 01.2026
Medical Census/Eligibility Specialist
Behavioral Health Solutions
11.2023 - 01.2024
Outpatient Brain Injury Scheduler, Lead
Craig Hospital
02.2022 - 01.2023
Patient Administrative Coordinator
National Jewish Health
11.2018 - 01.2021
Patient Access Representative Admissions
San Juan Regional MedicalCenter
03.2017 - 08.2018
Administrative Assistant
Therapeutic Butterfly Effects
07.2016 - 02.2017
Patient Access/ Patient Financial Services
Flagler Hospital
06.2014 - 07.2016
Financial Counselor
FL Cancer Specialist /Adventist Health
02.2008 - 11.2014
Associate of Science - General Studies
Miami Dade College