Hilda Terrazas
Merced,CA
Summary
Detail-oriented Authorization Specialist with expertise in insurance eligibility verification, claims management, and documentation management. Proven ability to streamline processes and enhance communication between departments to support timely patient care.
Results-driven professional with extensive experience in authorization management and medical support. Skilled in effective communication and data entry, contributing to improved workflow processes and timely updates for clinical staff, ensuring high-quality patient service.
Dedicated Authorization Specialist known for strong data entry proficiency and claims management skills. Successfully maintained comprehensive records and collaborated with healthcare providers to resolve authorization issues, enhancing overall clinic efficiency.
Overview
20
20
years of professional experience
Work History
Authorization Specialist
El Portal Imaging Center
Merced
01.2023 - Current
- Processed patient authorization requests efficiently to ensure timely service delivery.
- Verified insurance eligibility and benefits to facilitate accurate billing procedures.
- Collaborated with healthcare providers to resolve authorization issues promptly.
- Maintained comprehensive records of authorizations in electronic health record systems.
- Analyzed trends in authorization denials to recommend process enhancements.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
Medical Assistant
Merced Faculty Associates
Merced, CA
04.2020 - 10.2022
- Assisted healthcare providers with patient examinations and procedures, ensuring comfort and safety.
- Managed patient intake processes, including scheduling appointments and maintaining accurate medical records.
- Administered vaccines and medications under physician supervision, adhering to safety protocols.
- Educated patients on treatment plans and preventive care strategies to promote health awareness.
- Led training sessions for new staff on clinical procedures and office policies to ensure compliance.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
Medical Assistant
Christian Gallery MD
Merced, CA
01.2006 - 09.2020
- Collaborated with multidisciplinary teams to enhance patient care and streamline clinic operations.
- Implemented process improvements that increased efficiency in patient flow and reduced wait times.
- Monitored inventory levels of medical supplies, facilitating timely reordering to maintain adequate stock.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
Education
Nursing
Modesto Junior College
Modesto, CA04-2004
Skills
- Experienced in medical terminology usage
- Claims management
- Insurance eligibility verification
- Data entry proficiency
- Authorization management
- Clinical coding proficiency
- Timely appointment arrangement
- Documentation management
- Microsoft office
- Documentation and reporting
- Effective communication skills
- Policy interpretation
- Application review
- Interviewing
- Record keeping
- Courteous phone interaction
- Confidentiality
- Procedural coding
- Medical coding ethics
- Medical abbreviations
- Diagnostic coding
Languages
Spanish
Full Professional
Timeline
Authorization Specialist
El Portal Imaging Center
01.2023 - Current
Medical Assistant
Merced Faculty Associates
04.2020 - 10.2022
Medical Assistant
Christian Gallery MD
01.2006 - 09.2020
Nursing
Modesto Junior College