Leylamar Rosado
Saint Cloud,FL
Summary
Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every patient a positive and memorable experience.
Overview
7
7
years of professional experience
Work History
Consumer Access Specialist
Advent Health Orlando
Orlando , FL
08.2022 - Current
- Verified insurance authorizations with payers via telephone or web-based systems.
- Processed prior authorization requests in accordance with departmental guidelines.
- Tracked authorization statuses using electronic databases or manual filing systems.
- Coordinated communication between providers, patients, payers, and other departments as needed.
- Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
- Created spreadsheets utilizing Microsoft Excel for tracking authorization status updates from payers.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Provided customer service to internal and external customers related to authorization requests.
Referral Coordinator
Phca Medical Group
Orlando, FL
08.2020 - 06.2022
- Obtain authorizations from insurances.
- Verify Insurances
- Answered questions and resolved concerns raised by both patients and specialists.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Preparing and processing referrals excellent customer service/patient services via phone.
- Managed up to 60-70 patient referrals daily.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Works as a liaison in between medical center and patient and sends task accordingly.
Front Desk Receptionist
Phca Medical Group
Orlando, FL
08.2016 - 08.2020
- Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Scheduled and confirmed appointments.
- Greeted incoming patients and verified paperwork to manage smooth intake processes.
- Explained policies and procedures to visitors.
- Answered and directed incoming calls using multi-line telephone system.
- Verify Insurances.
Education
Sistema Universitario Ana G Mendez - Universidad Del Turabo
Gurabo, PR05.2013
High School Diploma -
Cypress Creek High School
Orlando, FL05.2011
Skills
- Multi-line phone proficiency
- Insurance precertification processes
- Accurate documentation
- Bilingual
- CPT coding
- Authorization Specialist
- Medical Records
- Team Player/Fast Learner
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Consumer Access Specialist
Advent Health Orlando
08.2022 - Current
Referral Coordinator
Phca Medical Group
08.2020 - 06.2022
Front Desk Receptionist
Phca Medical Group
08.2016 - 08.2020
Sistema Universitario Ana G Mendez - Universidad Del Turabo
High School Diploma -
Cypress Creek High School