Ivonne Solorzano
West Hempstead,NY
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
17
17
years of professional experience
Work History
Insurance Verification Specialist
Garden City Surgi center
09.2024 - 12.2024
- Performed verification of insurance benefits within a surgical outpatient facility.
- Collaborated with colleagues to address work queues, achieving patient outreach turnaround time of 2 to 5 days before scheduled procedures.
- Handled large volumes of inbound and outbound calls while maintaining effective communication.
- Secured agreements for individual out-of-network cases.
- Verified authorization documentation was completed for both new and existing patients before examinations.
- Generated and managed weekly invoices for provider compensation cases.
Patient Account Representative
Medix Staffing/Catholic Health
05.2024 - 08.2024
- Engaged as a contractor with Medix., providing specialized staffing services.
- Recouped $9,000 in paid claims by analyzing and rebilling appropriate claims.
- Compiled and processed insurance claims accurately.
- Generated weekly admission reports consistently.
- Implemented solutions for leadership in collaboration with team members.
- Supported patients and families by providing efficient solutions for care-related billing concerns.
Prior Authorization Specialist
HealthCare Partners, IPA
02.2017 - 02.2024
- Navigated complex insurance protocols effectively.
- Cut authorization processing times by one day through collaboration with PCP offices.
- Resolved insurance denials efficiently.
- Created and reviewed audit files for critical initiatives.
- Enhanced team cooperation, mentored new hires, and audited their training.
Residential Counselor
Catholic Charities
06.2016 - 12.2016
- Ensured safety and support for children aged 5-17 with emotional difficulties at multiple group home locations.
- Assisted with daily routines like showering, nutrition guidance, and exercise recommendations.
- Handled crisis situations and implemented behavior support plans.
- Documented and communicated resident progress.
- Ensured seamless overnight safety and completed necessary chores.
Key Holder
Le Creuset
01.2014 - 12.2014
Case Manager
Student Loan Solutions
07.2013 - 12.2013
Customer Experience Coordinator
Marshalls
06.2008 - 07.2013
Education
Some College - Liberal Arts
Nassau Community College
Garden City, NYSome College - Liberal Arts
Morrisville State College
Morrisville, NYHigh School Diploma -
Long Beach High School
Lido Beach06.2007
Skills
- Attention to detail
- HIPAA compliance
- Data entry
- Medical terminology
- Customer service
- Claims processing
- Customer database systems
- Claims management
- Insurance verification
- Effective communication skills
- Proficient in Microsoft office
Accomplishments
Employee of the quarter at Marshalls (July 2013)
Timeline
Insurance Verification Specialist
Garden City Surgi center
09.2024 - 12.2024
Patient Account Representative
Medix Staffing/Catholic Health
05.2024 - 08.2024
Prior Authorization Specialist
HealthCare Partners, IPA
02.2017 - 02.2024
Residential Counselor
Catholic Charities
06.2016 - 12.2016
Key Holder
Le Creuset
01.2014 - 12.2014
Case Manager
Student Loan Solutions
07.2013 - 12.2013
Customer Experience Coordinator
Marshalls
06.2008 - 07.2013
Some College - Liberal Arts
Nassau Community College
Some College - Liberal Arts
Morrisville State College
High School Diploma -
Long Beach High School