Jessica Ramirez

• Managed reception and processing of authorization requests from doctors’ offices.
• Supported nurse services by checking member benefits, applying authorization approval or denial criteria, and maintaining communication with offices and facilities regarding authorization inquiries.
• Investigated authorization issues, collected necessary information, and developed solution guidance to address authorization delays and authorization corrections.
• Handled incoming emails by sorting and routing to relevant recipients to support day-to-day operations.
• Coordinated with team members to execute daily assignments and achieve team targets.
• Reviewed activities regularly to identify improvement opportunities and support continuous process enhancement.
• Acquired expert knowledge in health care operations and strengthened communication skills.
• Collaborated with healthcare providers to resolve complex authorization requests efficiently.
• Coordinated authorization processes to ensure timely and accurate patient care delivery.

Candidate, Expected Graduation: undetermined

• Relevant Coursework: CNA (Status: Complete) (Grade Received: A)
• Relevant Coursework: Anatomy & Physiology (Grade Received: A)
• Relevant Coursework: Communications (Grade Received: A)