Lisa Porcaro
Authorization Team Lead
Atlantic Beach,FL
Summary
Team Leader experienced in directing activities of workgroups. Develops strategies, provides training, sets goals and obtains team feedback. Excellent interpersonal and communication skills. Big picture focus with excellence in communicating goals and vision to succeed. Problem solver, networker, and consensus builder. Organized Team Leader builds positive rapport, inspire trust and guide teams toward achievement of organizational goals. Strong facilitator adept at working cross-departmentally with co-management and top-level leadership. Excellent trainer and mentor. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
14
14
years of professional experience
Work History
Patient Access Center Authorization Team Lead
Brooks Rehabilitation Hospital
Jacksonville, FL
05.2016 - Current
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Enhanced overall team performance by providing regular coaching, feedback, and skill development opportunities.
- Established clear performance metrics for the team which helped in tracking progress towards set targets effectively.
- Coached team members in techniques necessary to complete job tasks.
- Directed and supervised team of 4 engaged in Type and Type development.
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Managed schedules, accepted time off requests and found coverage for short shifts.
- Developed monthly and daily production output plans to deliver on customer service and financial metrics.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Conducted training and mentored team members to promote productivity and commitment to friendly service.
- Mentored and guided employees to foster proper completion of assigned duties.
- Communicated KPIs outlined in annual plan to inform employees of expectations and deliverables.
- Generated reports detailing findings and recommendations.
- Influenced positive change within the organization through strategic thinking, innovation, problem-solving abilities, and consistent leadership style.
- Developed and maintained effective relationships with key stakeholders to better understand their needs and expectations.
- Worked different stations to provide optimal coverage and meet production goals.
Surgical Authorization Specialist
Baptist Medical Center
Jacksonville, FL
11.2015 - 05.2016
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Facilitated smooth transitions between different levels of care by coordinating required authorizations for patients moving from one service setting to another.
- Evaluated trends in authorization denials to identify areas for improvement in both internal processes and external communications with payers.
- Conducted regular audits of authorization records to verify accuracy and adherence to regulatory requirements, minimizing risk of noncompliance.
- Contributed to revenue growth by identifying opportunities for additional services requiring authorization within the organization.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
Referral Coordinator
UF Health Jacksonville
Jacksonville, FL
03.2015 - 11.2015
- Attended continuing education courses to stay current on referral processes and best practices.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
- Improved departmental workflow by assisting colleagues with tasks such as appointment scheduling or insurance verification when needed.
- Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care.
- Scheduled appointments with specialists on behalf of clients.
- Supported clinical team in managing complex cases through effective coordination of multiple referrals and appointments.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
- Processed referral requests from patients, doctors and other health care professionals.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Assisted with completion of referral forms and verified data accuracy and completion
- Collaborated with medical staff to ensure appropriate referrals based on individual patient needs and insurance coverage.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Contributed to practice growth by maintaining positive relationships with both patients and referring providers.
- Developed and implemented effective strategies to increase referral sources.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Discussed medical histories with patients in effort to provide most effective medical advice.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Medical Assistant
Brown Fertility
Jacksonville, FL
01.2010 - 03.2015
- Taught patients about medications, procedures, and care plan instructions.
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Collected and documented patient medical information such as blood pressure and weight.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Completed clinical procedures and gathered patient data for interpretation by physician.
- Performed medical records management, including filing, organizing and scanning documents.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Scheduled appointments, registered patients, and distributed sample pharmaceuticals as prescribed.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
- Verified patient insurance coverage and collected required co-payments.
- Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
- Collaborated with interdisciplinary healthcare teams to provide coordinated care for patients in various settings.
- Empowered patients through education on self-management techniques for chronic conditions such as diabetes or hypertension.
- Streamlined office operations by managing inventory levels, ordering supplies, and organizing storage areas.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Conducted community outreach events to promote wellness initiatives and expand access to healthcare services within the local area.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Measured patient pulse oximetry.
- Prepared lab specimens for diagnostic evaluation.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
- Oriented and trained new staff on proper procedures and policies.
- Collected pertinent data and calculations to aid physician in interpreting results.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Implemented care and efficiency improvements to support and enhance office operations.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
- Followed appropriate procedures to minimize patient's exposure to radiation.
- Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Education
Some College - Nursing
Mt. Saint Mary College
Newburgh, NYDiploma - High School
Washingtonville Senior High School
Washingtonville, NY06.1990
Skills
Quality control
Employee Evaluation
Performance improvement
Workplace safety
Equipment Maintenance
Account management
Safety processes and procedures
Complaint resolution
Client Service
Daily workflow improvement
Staff education and training
Problem-Solving
Excellent Communication
Decision-Making
Teamwork and Collaboration
Planning and Coordination
Organization and Time Management
Flexible and Adaptable
Self-Motivated
Active Listening
Teambuilding
Written Communication
Multitasking Abilities
Good Telephone Etiquette
Critical Thinking
Data Entry
Interpersonal Communication
Analytical and Critical Thinking
Dependable and Responsible
Timeline
Patient Access Center Authorization Team Lead
Brooks Rehabilitation Hospital
05.2016 - Current
Surgical Authorization Specialist
Baptist Medical Center
11.2015 - 05.2016
Referral Coordinator
UF Health Jacksonville
03.2015 - 11.2015
Medical Assistant
Brown Fertility
01.2010 - 03.2015
Some College - Nursing
Mt. Saint Mary College
Diploma - High School
Washingtonville Senior High School