Helensis Cruz
The Bronx
Summary
Dynamic Precertification Specialist known for managing workflows and fostering effective communication. Successfully expedited treatment commencement by acquiring authorizations for medically necessary services, contributing to improved patient outcomes and operational efficiency.
Overview
17
17
years of professional experience
Work History
Precertification Specialist
Columbia Orthopedics
11.2009 - Current
- Managed precertification workflows for orthopedic procedures to maintain compliance with insurance standards.
- Coordinated communication between healthcare providers and insurance companies to streamline approvals.
- Expedited treatment commencement by promptly acquiring authorizations for medically necessary services within required timeframes.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Performed various administrative tasks by filing, copying and faxing documents.
Education
M.D. - Medicine
Universidad Tecnologica De Santiago
The Dominican Republic08-2003
Skills
- Prior authorization
- Active listening skills
- HIPAA compliance awareness
- Organizational growth
- Bilingual
Languages
English
Spanish
Native or Bilingual
Timeline
Precertification Specialist
Columbia Orthopedics
11.2009 - Current
M.D. - Medicine
Universidad Tecnologica De Santiago