Detail-oriented professional with extensive experience in insurance verification and authorization coordination. Expertise in HIPAA compliance, time management, and task prioritization, driving successful patient outcomes through effective collaboration with healthcare teams.
Overview
8
8
years of professional experience
Work History
Insurance Verification Specialist
Vital Connect, Inc.
San Jose
08.2025 - Current
Verified patient insurance coverage for cardiac monitoring.
Communicated with patients to gather necessary insurance information.
Reviewed and analyzed insurance policies for accuracy and compliance.
Collaborated with healthcare providers to resolve any verification issues.
Documented verification outcomes in electronic health record systems.
Maintained accurate documentation on all pre-authorization requests, approvals and denials.
Checked incoming documentation for appropriate coding, catching errors and reaching out to healthcare providers to request revisions, when needed.
Authorization Coordinator
Alpha Orthopedics and Sports Medicine
McKinney
02.2025 - 07.2025
Initiate and track all surgical, DME, and specialty medication authorizations across multiple platforms.
Developed effective working relationships with payers, providers and other staff members to facilitate successful completion of the authorization process.
Review appeals and determine appropriate course of action to obtain approvals.
Maintain detailed records of all authorizations including tracking numbers, codes and timeframes.
Utilizes excellent customer service skills to respond promptly to patient inquiries regarding authorization and order statuses.
Develops strong rapport and loyalty with patients through timely, effective communicationcation.
Patient Service Specialist - Lead/Trainer
BaylorScott&White Institute for Rehabilitation
Allen
06.2018 - 01.2025
Led bustling outpatient PT/OT/ST clinic, fostering a collaborative environment and enhancing team performance.
Trained new hires, equipping them with essential skills to achieve proficiency and contribute effectively.
Coordinated multiple tasks in a dynamic work environment, ensuring smooth clinic operations.
Created and monitored daily billing reports and monthly bad debt reports.
Received one Torchbearer Award and 11 Living the Select Medical Way Awards.
Nominated for Impact Award recognizing exceptional contributions to clinic performance.