KARINA BRAVO
Lubbock,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
7
7
years of professional experience
Work History
New Patient Coordinator
Texas Oncology
Lubbock, TX Remote
06.2024 - Current
- Scheduled timely appointments to improve long-term health outcomes.
- Streamlined incoming referral processes by developing standardized forms that improved accuracy when inputting new patient information into the system.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Managed a high volume of new patient referrals, prioritizing urgent cases and maintaining organized records.
- Processed eligibility and benefits verification and authorization requests.
Authorization Coordinator
Sierra View Medical Center
Remote
09.2022 - 05.2024
- Submitted for prior authorization with required documentation to appropriate funding source.
- Reviewed authorizations from payer to determine approved or denied items.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
- Work Remotely.
- Streamlined authorization processes by implementing a centralized tracking system for pending and approved requests.
- Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
- Maintained up-to-date knowledge of insurance policies, enabling accurate evaluation of coverage eligibility criteria for patients.
- Increased efficiency in handling authorization cases through effective prioritization based on urgency and complexity levels.
- Reduced errors in documentation submissions by performing meticulous quality checks before forwarding them to insurance companies.
- Maintained consistent follow-up on status of prior authorization requests.
Referral Coordinator
Family Health Care Network
03.2019 - 09.2022
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Scheduled appointments with specialists on behalf of clients.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Trained 5 staff on referral and intake process.
- Streamlined referral process by implementing efficient tracking and communication systems.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Collaborated with medical staff to ensure appropriate referrals based on individual patient needs and insurance coverage.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
Patient Access Representative
Family Health Care Network
03.2018 - 03.2019
- Scheduled timely appointments to improve long-term health outcomes.
Education
San Joaquin Valley College
Visalia, CASkills
- EMR Systems
- Specialist Referrals
- Insurance Eligibility Verifications
- Process improvement strategies
- Prior Authorization Knowledge
- Professionalism and Ethics
- Correspondence Management
- Effective Communication
- Healthcare industry understanding
- Multi-Line Phone Systems
- Multitasking Abilities
Timeline
New Patient Coordinator
Texas Oncology
06.2024 - Current
Authorization Coordinator
Sierra View Medical Center
09.2022 - 05.2024
Referral Coordinator
Family Health Care Network
03.2019 - 09.2022
Patient Access Representative
Family Health Care Network
03.2018 - 03.2019
San Joaquin Valley College