Joselyn Navarro
Toms River
Summary
Results-driven Authorization Specialist with a strong focus on healthcare coordination. Expertise in managing authorization requests, analyzing patient eligibility, and resolving issues proactively to enhance patient care and streamline administrative processes.
Overview
5
5
years of professional experience
Work History
Authorization Specialist
Enhance Therapies
Lakewood
05.2025 - Current
- Managed authorization requests using electronic health record systems efficiently.
- Analyzed patient information to determine eligibility for services and treatments.
- Assisted staff in resolving authorization issues with proactive problem-solving techniques.
- Documented all interactions related to authorization processes in a clear manner.
- Ensured timely follow-up on outstanding authorizations to support patient care needs.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Reviewed authorization requests for accuracy and completeness.
Surgical insurance verifier
Shore outpatient surgicenter
Lakewood
05.2023 - Current
- Verifying surgical patient, a week in advance for procedures.
- Obtaining authorization/ referrals
- Explaining in detail patient benefits as well as any patient responsibility
- Crossed train at front office patient registration
- Collaborated with USPI surgical partners to streamline processes.
Physical therapy benefits coordinator
Seaview & Medical associates
Brick
06.2023 - 05.2024
- Verifying all physical therapy and acupuncture benefits
- Obtaining authorization from comp, PIP, and commercial insurance
- Keep track of expiring authorization
- Prepping chart for new and existing patients.
Biller
Focused billing and collection
Freehold
05.2023 - 05.2024
- Billing for multiple chiropractic office
- Collected on claims.
- Reprocessing denials
- Posting payment
Radiology coordinator
Astera cancer care
Edison
03.2021 - 01.2023
- Coordinating patient care
- Scheduling exams as well as obtaining results.
Education
Nursing associate degree -
Ocean county college
Toms river, NJ06-2026
High School Diploma -
Abraham Clark High School
Roselle, NJ01-2009
Skills
- Patient advocacy
- Medical billing
- Authorization management
- Electronic health records
- Data analysis
- Effective communication
- Healthcare coordination
- Insurance verification
- HIPAA compliance
- Prior authorization processing
- Medical terminology expertise
- Claims management
- Effective communication skills
- Eligibility procedures
- Microsoft office
- Proficient in Spanish
Certifications And Skills
- Bilingual Fluent in Spanish
- Communication Skills
- Passed and Certified Epic training.
- Experience with Kinum collection agency portal.
- Experience with Check scanning and balance.
- Experience with Cardpoint.
- Experience with multiple EMR systems.
- Proficient in Outlook and Microsoft.
Timeline
Authorization Specialist
Enhance Therapies
05.2025 - Current
Physical therapy benefits coordinator
Seaview & Medical associates
06.2023 - 05.2024
Surgical insurance verifier
Shore outpatient surgicenter
05.2023 - Current
Biller
Focused billing and collection
05.2023 - 05.2024
Radiology coordinator
Astera cancer care
03.2021 - 01.2023
Nursing associate degree -
Ocean county college
High School Diploma -
Abraham Clark High School