FRANCINE SANTOS
Jacksonville,FL
Summary
Professional Authorization Coordinator with extensive experience in managing authorization processes in healthcare. Proven ability to facilitate team collaboration and adapt to changing needs, ensuring efficient workflow and compliance. Strong skills in communication, problem-solving, and data management. Dependable and results-driven, consistently delivering high-quality outcomes.
Overview
22
22
years of professional experience
Work History
Authorization Coordinator
Jacksonville Spine & Pain Centers
Jacksonville, FL
06.2025 - Current
- Coordinated authorization processes to ensure compliance with regulatory requirements.
- Managed and tracked patient authorization requests using electronic health record systems.
- Collaborated with healthcare providers to resolve authorization issues efficiently.
- Streamlined communication between departments to enhance workflow and reduce delays.
HEALTH INFORMATION MANAGEMENT
PENN STATE HEALTH
Hershey, PA
07.2023 - 05.2024
- Processing all electronic medical records, release of information, disability forms, reconciliation of dictation. Ingestion of images. Document imaging.
- Managed various projects within the department aimed at enhancing workflows, optimizing storage solutions, or updating software applications related to health information management systems.
- Actively participated in ongoing professional development opportunities to stay current with industry trends and advancements in technology related to health information management practices.
REFERRAL COORDINATOR
UPMC
Enola, PA
12.2021 - 05.2023
- Expediting patient referrals to specialty offices, Completing referral requests as needed, Faxing and sending medical records to our various departments for processing, Working with varies Health Insurance Companies to obtain authorizations for diagnostic studies.
- Coordinated patient referrals to ensure timely access to specialized services.
- Collaborated with healthcare providers to resolve referral issues, improving patient satisfaction and continuity of care.
PATIENT ACCESS REP
Penn State Health
Harrisburg, PA
10.2019 - 10.2021
- Checked patients in and out, Insurance verification, Scheduled appointments and answered telephone. Handled cash and electronic payments.
- Facilitated patient registration and insurance verification processes, ensuring compliance with healthcare regulations.
- Trained new staff on patient access procedures, enhancing team efficiency and service delivery standards.
PRE-CERT SPECIALIST
NA Spine and Pain
Blackwood, NJ
03.2018 - 08.2019
- Maintained patient medical records, submitted request to insurance companies for MRI pre-cert approvals, Correspondence through email faxes and telephone.
- Streamlined patient intake processes to enhance operational efficiency.
- Developed patient education materials to improve understanding of pain management techniques.
SUPERVISOR
M. Davis & Company
Philadelphia, PA
05.2012 - 03.2018
- Managed reports, monitored agents, tracked attendance, facilitated meetings and trainings, handled escalated issues.
- Oversaw daily operations, ensuring adherence to safety standards and company policies.
- Led training sessions for new employees, enhancing team productivity and knowledge retention.
MANAGER/TRAINER
Amudipes
Clifton Heights, PA
09.2012 - 11.2015
- Managed three homes of adults with intellectual disabilities, filled prescriptions RX and assisted with transportation to day programs and appointments.
- Developed training programs to enhance employee skills and performance.
- Facilitated onboarding sessions for new hires, ensuring smooth integration into company culture.
PLAN TO PLAN SPECIALIST
Horizon BCBS of NJ
09.2010 - 05.2012
- Communicated with other Blue Cross and Blue Shield plan associations, adjusting and correcting problematic claims.
- Analyzed complex data sets to identify trends and inform strategic decisions.
- Developed and implemented process improvements to enhance operational efficiency across departments.
PRIMARY CONTACT SPECIALIST
Independence Blue Cross
09.2004 - 03.2009
- Managed health care accounts for union workers working closely with brokers and the marketing department to ensure resolution.
- Managed customer inquiries and resolved issues to enhance member satisfaction.
- Facilitated communication between departments to ensure seamless service delivery.
Education
GED -
Philadelphia Job Corps
Philadelphia, PA11.1999
Skills
- Prior authorization
- Organizational growth
- Effective time management
- Medical terminology proficience
- Teamwork and collaboration
- Customer service
- Problem-solving
- Problem-solving abilities
- Multitasking
- Reliability
- Excellent communication
- Interpersonal skills
- Customer relationship management
Timeline
Authorization Coordinator
Jacksonville Spine & Pain Centers
06.2025 - Current
HEALTH INFORMATION MANAGEMENT
PENN STATE HEALTH
07.2023 - 05.2024
REFERRAL COORDINATOR
UPMC
12.2021 - 05.2023
PATIENT ACCESS REP
Penn State Health
10.2019 - 10.2021
PRE-CERT SPECIALIST
NA Spine and Pain
03.2018 - 08.2019
MANAGER/TRAINER
Amudipes
09.2012 - 11.2015
SUPERVISOR
M. Davis & Company
05.2012 - 03.2018
PLAN TO PLAN SPECIALIST
Horizon BCBS of NJ
09.2010 - 05.2012
PRIMARY CONTACT SPECIALIST
Independence Blue Cross
09.2004 - 03.2009
GED -
Philadelphia Job Corps