Lisette Carabotta
Miami
Summary
Efficient Authorization Specialist, known for high productivity and ability to complete tasks swiftly and accurately. Possess specialized skills in medical insurance verification and regulatory compliance that ensure smooth authorization processes. Excel in communication, problem-solving, and time management, which facilitate effective collaboration with healthcare providers and insurance companies.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Authorization Specialist
Ensemble Health Partners
Cin
03.2021 - Current
- Examined patient eligibility for services.
- Processed prior authorization requests in accordance with departmental guidelines.
- Created spreadsheets utilizing Microsoft Excel for tracking authorization status updates from payers.
- Explained eligibility details and affordability options to patients with kindness and respect.
- Coordinated with insurance companies to ensure coverage for services rendered.
- Handled incoming calls and inquiries from patients, providing timely and accurate information.
- Assisted in verifying patient eligibility and benefits prior to scheduled appointments.
- Developed and maintained scheduling templates and guidelines to improve efficiency.
- Assisted patients with canceling and rescheduling appointments.
Registrar
Nicklaus Children's Hospital
Miami
03.2014 - 03.2021
- Verified demographics and insurance information to register patients in computer system.
- Verified insurance eligibility and collected co-payments or deposits as required.
- Maintained current knowledge of changes in healthcare regulations by attending continuing education classes as required.
- Assembled registration paperwork and placed identification bands on patient.
- Guided patients through the completion of consent and other required medical forms.
- Filed medical records, scanned documents into the system, and maintained accurate patient information.
- Ordered and maintained supply inventory for medical office.
- Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
- Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
- Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Collaborated with other departments to ensure proper documentation was received prior to registering a patient.
- Explained various admission forms and policies, acquiring signatures for consent.
- Supported emergency department registration during peak times, ensuring rapid patient processing.
- Processed patient responsibility estimate determined by insurance at pre-registration.
- Answered telephones and directed calls to appropriate medical or administrative staff.
Education
Some College (No Degree) -
Miami Dade College
Miami, FLSkills
- Patient intake coordination
- Verification of insurance coverage
- Service excellence
- Efficient data entry
- Data organization in spreadsheets
- Effective organizational skills
- Problem-solving
- Proficient in computer applications
Languages
Spanish
Professional
Certification
- CRCR- Certified Revenue Cycle Representative.
References
References available upon request.
Timeline
Authorization Specialist
Ensemble Health Partners
03.2021 - Current
Registrar
Nicklaus Children's Hospital
03.2014 - 03.2021
Some College (No Degree) -
Miami Dade College
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