Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Rhiannon Deleon

602 Baily Drive, San Juan,Texas

Summary

Extensive experience in verifying insurance coverage and guiding clinical teams. Proven track record in patient advocacy and medical documentation, ensuring seamless authorization processes. Skilled in electronic health records, delivering exceptional customer service, while maintaining accuracy in patient information.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Prior Authorization Specialist

University of Texas Rio Grande Valley
Edinburg, Texas
07.2022 - Current
  • Verifies patient insurance coverage, including eligibility, benefits, and authorizations
  • Responds promptly to inquiries from providers, patients, and payers regarding the status of prior authorization requests.
  • Maintains accurate and up-to-date records of authorization requests and outcomes

Insurance Verification Specialist

Doctor's Hospital at Renaissance
Edinburg, TX
04.2021 - 04.2022
  • Verified eligibility and benefits before scheduled appointments.
  • Confirmed authorization validity ahead of appointments to prevent delays.
  • Assisted in scheduling and rescheduling patient appointments as needed.

Prior Authorization Specialist

Complete Family Foot Care
Mcallen, TX
02.2019 - 04.2021
  • Reviewed progress notes and physician orders to obtain insurance authorizations.
  • Informed the physician, clinical staff, and patient of authorization decisions and outcomes.
  • Documented patient eligibility, benefits, and authorization.

Claim Coordinator

Medfast Management Services
Pharr, Texas
02.2017 - 02.2019
  • Provided exceptional customer service to patients.
  • Reviewed insurance claims and patient statements.
  • Review and appeal denial decisions on medical insurance claims.

Education

Vocational Nursing Program -

RGV College
Pharr
09-2025

High School Diploma -

Texas Virtual Academy
Lewisville, TX
06-2017

Skills

  • Patient advocacy
  • Medical documentation
  • Electronic health records (EPIC, Athena, Medisoft, etc)
  • Customer service
  • Medical terminology
  • Nursing skills and assessment

Certification

  • CPR BLS Certification - 2024
  • EHAC Certification - 2025
  • NIH Stroke Scale Certification - 2025

References

References available upon request.

Timeline

Prior Authorization Specialist

University of Texas Rio Grande Valley
07.2022 - Current

Insurance Verification Specialist

Doctor's Hospital at Renaissance
04.2021 - 04.2022

Prior Authorization Specialist

Complete Family Foot Care
02.2019 - 04.2021

Claim Coordinator

Medfast Management Services
02.2017 - 02.2019

Vocational Nursing Program -

RGV College

High School Diploma -

Texas Virtual Academy

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