LIZ PRADIA
Georgetown,TX
Summary
Dedicated detail-oriented professional with extensive experience in healthcare operations and patient education. Skilled in problem-solving and optimizing workflows, managing complex schedules and fostering communication between providers, patients, and insurance carriers, ensuring seamless service delivery and patient satisfaction.
Overview
16
16
years of professional experience
Work History
Operations Coordinator II
Essential Anesthesia Management
Lafayette, LA
07.2024 - 08.2025
- Liaised among anesthesiologist, CRNAs, hospital, and company management to ensure smooth operations.
- Evaluated and optimized operational systems and procedures for enhanced efficiency.
- Cultivated partnerships with medical leaders, chief anesthesiologists, and chief CRNAs.
- Managed scheduling and staffing of CRNAs across multiple facilities to reduce labor costs, and meet demand.
- Provided technical support for internal software applications during chief CRNA onboarding.
- Participated in team meetings to address challenges and develop effective solutions.
- Engaged facility leaders and 1099 CRNAs to assess needs and improve services.
Insurance Authorization Specialist
Advanced Pain Care
Austin, TX
08.2022 - 07.2024
- Served as physician liaison, fostering professional communications between providers and patients.
- Coordinated interactions among patients, billing staff, and insurance carriers.
- Organized daily surgery and spinal procedure orders based on reports from multiple providers.
- Verified medical benefits, referrals, credentialing, and CPT codes for accuracy in documentation.
- Reviewed prior authorization requests against established criteria to validate patient eligibility.
- Documented authorization outcomes in patient charts and attached relevant approvals to appointments.
- Contacted patients for feedback on experimental procedures to complete authorization processes.
- Investigated options for non-covered experimental procedures to facilitate patient care.
Surgery Scheduling Coordinator
Austin Regional Clinic Orthopedics
Austin, TX
11.2009 - 08.2022
- Coordinated surgery schedules for multiple orthopedic specialists. Booked surgeries according to physician volume and collaborated with surgical teams to ensure a smooth workflow and timely procedures, to maintain prompt turnaround times.
- Located scheduling barriers and implemented appropriate solutions.
- Interviewed or called prospective surgery patients to determine the date, time frame, and facility for their procedures. Communicated with patients about pre-operative instructions and scheduling details.
- Assisted in resolving patient inquiries and concerns regarding surgery logistics.
- Gathered detailed, current medical information, and reviewed patients' medical histories to ensure safety during surgery.
- Coordinated pre-operative lab tests, X-rays, arranged hospital admissions according to physician orders, and scheduled follow-up appointments according to post-operative protocols.
- Ensured appropriate ICD coding of procedures, collaborated with patients' insurance to discuss the prior authorization process, and facilitated communication between patients, surgeons, and insurance providers effectively.
- Organized and prioritized urgent surgery requests from physicians and staff.
- Trained and guided clinical staff to schedule and coordinate surgeries.
Education
Bachelor of Arts - Health Administration
University Of Phoenix
Tempe, AZSkills
- Microsoft applications proficiency
- Electronic medical records (EMR)
- Epic systems expertise
- HIPAA compliance
- Medical coding proficiency
- Attention to detail
- Time management
- Leadership skills
- Problem-solving ability
- Interpersonal skills
- Self-starter mentality
- Resourcefulness
- Results orientation
- Insurance pre-certifications knowledge
- Patient education
- Multitasking ability
- Organizational skills
- Collaborative teamwork
Timeline
Operations Coordinator II
Essential Anesthesia Management
07.2024 - 08.2025
Insurance Authorization Specialist
Advanced Pain Care
08.2022 - 07.2024
Surgery Scheduling Coordinator
Austin Regional Clinic Orthopedics
11.2009 - 08.2022
Bachelor of Arts - Health Administration
University Of Phoenix