Gladys Gibson
Lynwood,CA
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
28
28
years of professional experience
1
1
Certification
Work History
Chemotherapy Authorization Coordinator
The Oncology Institute of Hope and Innovation
Cerritos, CA
06.2024 - Current
- Efficiently manage a high-volume workload of 100+ patient cases daily, maintaining strict accuracy in data entry and medical documentation under tight deadlines.
- Manage patient authorization workflows to enhance efficiency in treatment access.
- Streamline authorization processes for medical procedures and treatment plans to enhance patient care.
- Facilitate timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Calculate estimated copay based on current insurance benefits.
- Streamline communication processes between healthcare providers and insurance companies, minimizing delays in patient treatment approvals.
- Submit for prior authorization with required documentation to appropriate funding source.
- Monitor and update knowledge of insurance policies to ensure precise evaluation of coverage eligibility criteria for patients.
- Assist with financial counseling for uninsured or underinsured patients, connecting them with resources for affordable care options when necessary.
- Manage communication between healthcare providers and insurance companies for seamless approvals.
- Coordinate the procurement and tracking of specialized pharmaceuticals, maintaining precise records to guarantee medication availability for daily patient treatments.
Assistant Support Team/Executive Assistant
Macys Department Store
Redondo Beach, CA
12.2023 - 02.2025
- Assisted with bringing new team members on board and completing necessary paperwork. Supported onboarding processes for new hires and facilitated paperwork submission. Aided in orientation of new colleagues and ensured all documentation was finalized.
- Resolve issues through active listening and open-ended questioning, escalating major problems to manager.
- Partnered with department leaders in reviewing and updating shift schedules for 10–15 staff members, ensuring smooth daily workflows.
- Monitored and managed office supplies inventory, ensuring timely orders to facilitate uninterrupted workflow.
- Managed payroll processing operations to uphold accuracy and guarantee punctual payments to employees.
Front Desk Receptionist
Family Dermatology
Oak Harbor
05.2021 - 05.2022
- Managed patient scheduling and appointment confirmations using electronic health record (EHR) systems.
- Facilitated effective communication between patients and healthcare providers, enhancing patient satisfaction.
- Processed insurance verifications and handled billing inquiries to ensure accurate transactions.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Coordinated patient referrals to streamline access to specialty care and enhance service delivery.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
Front Staff/Referral Coordinator
North Island Medical
Oak Harbor
01.2019 - 01.2021
- Welcomed and checked in average of 50 patients daily, verifying demographic details, updating electronic health records (EHR), and ensuring a welcoming environment.
- Coordinated patient scheduling and ensured optimal clinic flow.
- Audited daily schedules 48 hours in advanced to identify missing insurance details, unconfirmed appointments, or scheduling conflicts, resolving errors prior to patient arrival.
- Printed and explained After Visit Summaries, ensuring patients clearly understood their medication changes, upcoming appointments, and next steps before leaving the clinic.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Addressed patient inquiries to provide timely updates on referral status.
Assistant Manager/Store Manager
Maurice's Incorporated
Oak Harbor
01.2003 - 01.2019
- Oversaw daily operations and scheduling for a team of 8–10 employees, optimizing staff placement to seamlessly handle peak store hours.
- Enhanced employee performance and satisfaction to drive retention and engagement initiatives.
- Mentored junior staff members, offering guidance and support during challenging situations.
- Assessed qualifications and cultural fit of job candidates, delivering recommendations to store manager for final selection.
- Streamlined inventory management processes, reducing discrepancies and improving accuracy.
Aviation Storekeeper
US Navy
Whidbey NAS
07.1998 - 07.2002
- Coordinated efforts with manufacturing and supply chain management to enhance operational efficiency.
- Monitored production and quality control systems to ensure operational excellence.
- Facilitated training for new staff on job responsibilities, company policies, and safety protocols to ensure effective onboarding.
- Established and implemented comprehensive organizational processes to enhance quality and service standards.
- Oversaw inventory operations to guarantee prompt availability of aviation parts and supplies.
Education
High School Diploma -
Lynwood High School
Lynwood, CA07-1998
Skills
- Insurance Verification
- Prior authorization
- Administrative support
- Strong communication skills
- High-Volume Multitasking
- Office administration
Certification
CPR
Languages
Spanish
Bilingual
Timeline
Chemotherapy Authorization Coordinator
The Oncology Institute of Hope and Innovation
06.2024 - Current
Assistant Support Team/Executive Assistant
Macys Department Store
12.2023 - 02.2025
Front Desk Receptionist
Family Dermatology
05.2021 - 05.2022
Front Staff/Referral Coordinator
North Island Medical
01.2019 - 01.2021
Assistant Manager/Store Manager
Maurice's Incorporated
01.2003 - 01.2019
Aviation Storekeeper
US Navy
07.1998 - 07.2002
High School Diploma -
Lynwood High School