Marisela Ibarra
College Station,TX
Summary
Detail-oriented insurance authorization specialist with strong HIPAA compliance and account reconciliation skills. Resolve authorization issues and support healthcare operations through accurate, timely documentation. Focus on quality, error reduction, and process adherence.
Overview
2
2
Languages
10
10
years of professional experience
Work History
Insurance Authorization Specialist
Central Texas Sinus and Allergy
College Station, Texas
01.2024 - Current
- Checked patient eligibility and benefits across multiple insurance platforms.
- Resolved authorization issues through direct communication with insurers, ensuring timely approvals.
- Maintained accurate records for authorization requests and approvals, supporting compliance and efficiency.
- Reviewed medical documentation for insurance compliance requirements.
- Advised physicians on coding issues impacting payment or reimbursement decisions by third-party payers, facilitating optimal claim outcomes.
- Assisted patients with understanding insurance coverage and available options.
- Supported medical staff in collecting patient information for submission.
- Reviewed medical records for accurate diagnosis code entry before claim submission.
Referral Coordinator
Central Texas Sinus and Allergy
College Station, Texas
01.2023 - 12.2023
- Coordinated patient referrals between healthcare providers and facilities to ensure seamless care transitions.
- Maintained accurate patient records in electronic health record systems.
- Updated referral databases to expedite request processing and improve tracking efficiency.
- Assisted with insurance verification for patient referrals.
- Processed referral paperwork, including authorization forms and consent documents.
- Provided timely referral status updates to patients, enhancing communication and support during the referral process.
- Entered patient intake details and updated medical records before treatment.
Office Associate
CHI Central Texas Sinus and Allergy
College Station, Texas
03.2017 - 12.2022
- Coordinated patient scheduling and appointment confirmations for sinus and allergy visits, ensuring efficient patient flow.
- Greeted patients and answered phone calls at front desk, providing excellent customer service and support.
- Processed insurance claims and verified coverage for patient procedures.
- Maintained medical records in compliance with privacy regulations.
- Monitored office supply inventory and ordered materials to ensure uninterrupted office operations.
- Entered data into computer systems accurately and on time.
- Performed various office tasks including photocopying, faxing, and scanning documents. such as photocopying, faxing, and scanning documents.
Education
Madisonville High School
Madisonville, TX05-2005
Skills
- CPT and ICD-10 knowledge
- HIPAA Compliance
- Payment posting
- Explanation of Benefits Review
- Denial Identification
- Refund Processing
- Credit Balance Review
- Payment Reconciliation
- EHR Systems Management
- Practice Management Software
- Data Entry & Documentation
- Account Reconciliation
Languages
English
Professional
Spanish
Professional
Timeline
Insurance Authorization Specialist
Central Texas Sinus and Allergy
01.2024 - Current
Referral Coordinator
Central Texas Sinus and Allergy
01.2023 - 12.2023
Office Associate
CHI Central Texas Sinus and Allergy
03.2017 - 12.2022
Madisonville High School