Jacqueline Navarro
Fort Leavenworth,KS
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
18
18
years of professional experience
Work History
Care Coordinator
Cardinal Health
01.2023 - Current
- Determine if payer is already in SalesForce database; if not, research payer on website to obtain demographic information and forward to senior team member for data entry
- Paid attention to detail while completing assignments.
- Developed and maintained courteous and effective working relationships.
- Strengthened communication skills through regular interactions with others.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Managed time efficiently in order to complete all tasks within deadlines.
Prior Authorization Specialist
Ascent Pain Solutions
08.2022 - 10.2022
- Communicated with people from various cultures and backgrounds on application process.
- Assisted clients with completion of applications and paperwork.
- Interviewed applicants and explained scope of different available benefits.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Verified eligibility and compliance with authorization requirements for service providers.
- Processed patients lacking coverage for planned procedures.
- Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Input all patient data regarding claims and prior authorizations into system accurately.
Surgery Scheduler
Surgery Center of Naples
10.2017 - 04.2022
- Verified insurance coverage and obtained pre-authorizations
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries
- Coordinated with facilities to set up surgeries
- Expertly managed planning, scheduling, and coordination of outpatient procedures
- Checked patients in and out and collected payments
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling
- Answered telephone calls to offer office information, answer questions, and direct calls to staff
- Assisted with medical coding and billing tasks
- Performed various administrative tasks by filing, copying and faxing documents
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls
- Updated daily operating room calendars with accurate appointment schedules
- Obtained payments from patients and scanned identification and insurance cards
Medical Records & Team Lead
Gastroenterology Group of Naples
06.2005 - 11.2016
- Scanned and uploaded medical records into electronic medical records system
- Printed and photocopied documents to provide patients with copies of medical records
- Verified accuracy of patient information in medical records
- Uploaded physician progress notes, history, and physicals into electronic medical records
- Followed exact procedures for handling transfers and other releases of medical records
- Sorted and distributed incoming and outgoing medical records
- Supported medical staff by providing organized and accurate medical records
- Maintained accuracy, completeness, and security for medical records and health information
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information
Education
High School Diploma -
Lely High School
Naples, FL06.1991
Skills
- Quick learner and passionate about learning
- Health insurance and prior authorization experience
- Outstanding scheduling and appointment coordinating skills
- Typing Speed of 65 WPM with 99% Accuracy
- Experience with Microsoft Word, Outlook, PowerPoint, and Google calendar
- Electronic systems experience includes: Allscripts, SIS, Salesforce, eClinicalWorks, EMR Systems
- Medical Records Management
- Health Care System
- Manage Records
- Patient Health Information Access
Languages
Spanish
Native or Bilingual
Timeline
Care Coordinator
Cardinal Health
01.2023 - Current
Prior Authorization Specialist
Ascent Pain Solutions
08.2022 - 10.2022
Surgery Scheduler
Surgery Center of Naples
10.2017 - 04.2022
Medical Records & Team Lead
Gastroenterology Group of Naples
06.2005 - 11.2016
High School Diploma -
Lely High School