Ivana Sanchez
Davenport
Summary
Organized and detail-oriented clerk with a well founded background in healthcare administration. Skilled in conflict resolution and communication, fostering effective collaboration between patients, providers, and insurance representatives to streamline authorization workflows. Expertise in managing and reviewing authorization requests and ensuring adherence to healthcare regulations.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Authorization Clerk
Poinciana Personal Care
Kissimmee, FL
11.2023 - 01.2026
- Processed authorization requests accurately and efficiently to ensure timely service delivery.
- Worked hand in hand with the authorizations department's supervisor in authorization requests´review, correction, and submission to the insurance. Also assisted in conflict resolution, staff training, and patient-provider-insurance communications.
- Maintained up-to-date knowledge of insurance policies and procedures for optimal claims processing.
- Monitored and kept track of patients' eligibility.
- Monitored authorization workflows, identifying areas for process improvement and efficiency gains.
- Assisted in training new clerks on protocols and best practices for handling authorizations.
- Resolved discrepancies in authorization requests through effective communication with insurance representatives.
- Managed incoming calls professionally while multitasking other job duties, demonstrating excellent time management skills.
- Maintained compliance with healthcare regulations through thorough knowledge of medical codes, billing practices, and insurance guidelines.
- Expedited resolution of insurance issues by acting as a liaison between patients, providers, and insurance companies.
- Provided valuable support during peak periods or staff shortages by cross-training in various administrative tasks within the office setting.
- Safeguarded patient privacy through strict adherence to HIPAA guidelines when managing sensitive information.
- Promoted efficiency by maintaining organized records of all active authorizations, referrals, and related documentation.
- Reviewed documentation for accuracy and assessment of necessity.
Tour Receptionist
Holiday Inn Club Vacations at Orange Lake Resort
Kissimmee, FL
06.2023 - 11.2023
- Greeted and assisted guests at the timeshare tours reception, ensuring a welcoming experience.
- Maintained organized front desk operations, streamlining guest service procedures.
- Managed timeshare tours' check-ins and check-outs processes, enhancing operational efficiency. Reviewed and verified personal identity documentation.
- Answered central telephone system and directed calls accordingly.
- Trained new staff on front desk protocols and customer service standards.
- Monitored tour reservations using property management systems.
Restaurant Hostess
Clean Tech Outsourcing
Kissimmee, FL
10.2022 - 06.2023
- Greets and seats guests, ensuring a welcoming atmosphere.
- Coordinates with servers to optimize guest flow during peak hours.
- Trains new staff on customer service standards and operational procedures.
- Implements strategies to improve seating efficiency and reduce wait times.
- Demonstrated strong multitasking skills by handling telephone inquiries while attending to in-person guest needs seamlessly.
- Handled high-pressure situations gracefully, managing multiple tasks simultaneously while being organize and resourceful.
- Managed reservations effectively, accommodating special requests and ensuring accurate guest counts.
Restaurant Busser
Clean Tech Outsourcing
Kissimmee, FL
09.2022 - 09.2022
- Maintained cleanliness and organization of dining area to enhance guest experience.
- Assisted servers by promptly clearing tables and resetting for new guests.
- Monitored stock levels of utensils and supplies to ensure timely replenishment.
Education
High School Diploma -
Maria Auxiliadora School
Venezuela 06-2019
Modern Languages- Combination: English-French
Central University of Venezuela
Venezuela 01-2023
Skills
- HIPAA compliance
- Insurance verification
- Critical thinking
- Healthcare regulations
- Medical terminology proficiency
- Teamwork and collaboration
- Records management
- Authorizations handling, reviewing and monitoring
- Reliability
- Easy to adapt / Fast learner Self-motivation/ Organized
- Conflict Resolution
- Multitasking Abilities
- Time Management & Task prioritization
- Communication skills
- Work ethic
- Attention to detail
Certification
- Medical Coding and Billing, University Of Central Florida - August 2024-October 2025 (370 contact hours/37 CEUs)
- Adults English Program, Venezuela American Center - (288 academic hours)- Level C1
- Teenagers English Program, Venezuela American Center- (320 academic hours)- Level B2
- Kids English Program, Venezuela American Center- (288 academic hours)- Level B1
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Authorization Clerk
Poinciana Personal Care
11.2023 - 01.2026
Tour Receptionist
Holiday Inn Club Vacations at Orange Lake Resort
06.2023 - 11.2023
Restaurant Hostess
Clean Tech Outsourcing
10.2022 - 06.2023
Restaurant Busser
Clean Tech Outsourcing
09.2022 - 09.2022
High School Diploma -
Maria Auxiliadora School
Modern Languages- Combination: English-French
Central University of Venezuela