Jeniffer Figueroa
Merced,CA
Summary
Proven Authorization Coordinator with a track record of enhancing patient treatment approvals at NorCal Pain Treatment Center by leveraging strong communication skills and prior authorization knowledge. Excelled in reducing delays and improving insurance verification processes, demonstrating critical thinking and effective time management.
Overview
3
3
years of professional experience
Work History
Authorization Coordinator
NorCal Pain Treatment Center
Turlock Ca
05.2022 - Current
- Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Reviewed authorizations from payer to determine approved or denied items.
- Enhanced communication between healthcare providers and insurance companies, reducing delays in patient treatment approvals.
- Maintained consistent follow-up on status of prior authorization requests.
- Reviewed documentation for accuracy and assessment of necessity and submit a request for prior authorization with required documentation to appropriate funding source.
- Stayed informed about regulatory changes relevant to the healthcare industry, ensuring compliance in all authorization activities.
- Maintained up-to-date knowledge of insurance policies, enabling accurate evaluation of coverage eligibility criteria for patients.
Patient Care Coordinator
Golden Bear Physical Therapy
Modesto, CA
01.2022 - 05.2022
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Trained new staff members on office procedures and protocols, ensuring consistency in patient care delivery.
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Reduced wait times by implementing an effective appointment reminder system for patients, minimizing no-shows and late arrivals.
- Proactively identified scheduling issues and developed quick solutions to promote efficiency and profitability.
Education
Medical Assistant Certification -
Merced College Career Advancement Academy
Merced, CA2018
High School Diploma -
El Capitan High School
Merced, CA2017
Skills
- Prior Authorization Knowledge
- Strong Communication Skills
- Critical thinking abilities
- Insurance Verification Expertise
- Effective Time Management
- Attention to Detail
- Problem-solving abilities
- Time Management
- Customer Service
- Reliability
- Effective Communication
- Decision-Making
Languages
Spanish
Native or Bilingual
Timeline
Authorization Coordinator
NorCal Pain Treatment Center
05.2022 - Current
Patient Care Coordinator
Golden Bear Physical Therapy
01.2022 - 05.2022
Medical Assistant Certification -
Merced College Career Advancement Academy
High School Diploma -
El Capitan High School