Summary
Overview
Work History
Education
Skills
Accomplishments
Interests
Timeline
AccountManager

KAREN NARANJO

SUN CITY ,AZ

Summary

Skilled in Prior Authorization Process and adept at fostering professional relationships, my tenure at AMR-American Medical Response honed my ability to streamline authorization submissions and enhance compliance. Achievements include significantly improving process efficiency by leveraging ICD-10 coding familiarity and exceptional communication skills, contributing to business growth and operational excellence.

Overview

17
17
years of professional experience

Work History

Prior Authorization Specialist-Communication's

AMR-American Medical Response
06.2021 - Current
  • Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Verified eligibility and compliance with authorization requirements for service providers.

Admin

Alliance Rx Walgreens Prime Specialty Pharmacy
02.2019 - 06.2021
  • Handled sensitive information discreetly, maintaining strict confidentiality at all times as required by company policy or legal regulations.
  • Maintained personnel records and updated internal databases to support document management.
  • Organized workflow and delegated tasks effectively to ensure timely project completion without compromising quality.
  • Managed office inventory levels, ensuring adequate supplies were available while minimizing waste and unnecessary spending.

Real Estate

Professional Real Estate Group
03.2008 - 07.2018
  • Developed strong relationships with real estate agents, facilitating smoother housing searches for clients.
  • Supported real estate team members by performing ad-hoc administrative tasks as needed, enhancing overall productivity.
  • Stayed informed on current real estate trends by attending industry events, workshops, and professional development courses regularly.
  • Contributed to business growth, establishing strong relationships with real estate professionals to generate new leads.

Education

No Degree - Office Admin/Business

Laramie Community College
Cheyenne, WY
09-1981

High School Diploma -

Garey High
Pomona, CA
06-1978

Skills

  • Prior Authorization Process
  • ICD-10 Coding Familiarity
  • Medical Terminology
  • Medical Appeals Handling

Accomplishments

  • Collaborated with team of 7 in the development of [Admin].
  • Resolved product issue through consumer testing.
  • Documented and resolved [Issue] which led to [Results].
  • Achieved [all] by completing [work task] with accuracy and efficiency.

Interests

  • Road Trips
  • Adventure Travel
  • Train Travel

Timeline

Prior Authorization Specialist-Communication's

AMR-American Medical Response
06.2021 - Current

Admin

Alliance Rx Walgreens Prime Specialty Pharmacy
02.2019 - 06.2021

Real Estate

Professional Real Estate Group
03.2008 - 07.2018

No Degree - Office Admin/Business

Laramie Community College

High School Diploma -

Garey High
KAREN NARANJO