Marliana Espinal
Bronxville
Summary
Offering excellent organizational skills and keen attention to detail, eager to thrive and grow within healthcare environment. Brings foundational understanding of insurance verification and claims processing, along with proficiency in data entry and customer service. Ready to use and develop analytical and communication skills in Prior Authorization Specialist role.
Overview
15
15
years of professional experience
Work History
Prior Authorization Specialist
Weill Cornell Medicine Dept of Pulmonary
08.2022 - Current
- Supervised and trained clinical support staff, overseeing daily workflow and front/back office efficiency
- Mentored new team members on EMR usage, clinical protocols, and insurance procedures
- Handled patient escalations and coordinated with providers to ensure smooth clinic operations
- Assisted with optimizing scheduling systems and improving prior authorization turnaround times
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
Team Lead /Clinical Support Assistant
Weill Cornell Department of Pulmonary
05.2012 - 04.2015
- Supported interdisciplinary clinical teams by coordinating care and scheduling for complex diagnostic procedures
- Processed e-prescription refill requests and ensured medication accuracy
- Entered vital signs and clinical data into EPIC EMR while maintaining strict confidentiality
- Managed DME orders (oxygen, PAP machines, nebulizers), confirming delivery and follow-up with patients
- Worked effectively in fast-paced environments.
- Trained new team members by relaying information on company procedures and safety requirements.
- Worked different stations to provide optimal coverage and meet production goals.
- Managed schedules, accepted time off requests and found coverage for short shifts.
Medical Assitant
Weill Cornell Medicine Dept of Pulmonary
09.2010 - 05.2012
- Performed vital signs, EKGs, spirometry, specimen collection, and assisted during procedures
- Supported front-desk operations including patient intake, scheduling, and insurance verification
- Maintained medical supply inventory and ensured proper equipment sterilization and availability
- Documented patient encounters and procedure notes in the EMR system
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
Education
Certificate - Medical Assistant
Sanford Brown Institute
Skills
- Prior Authorizations & Insurance Verification
- CRM Systems & EMR: EPIC, Centricity IDX
- Durable Medical Equipment (DME) Coordination
- ICD-10 & CPT Coding (Basic Proficiency)
- Medical Terminology
- Leadership
- Patient Scheduling & Procedure Coordination
- Microsoft Office Suite: Word, Excel, PowerPoint
- Clinical Support: EKGs, Spirometry, Vital Signs Monitoring
- Staff Training
- Teamwork and collaboration
- Medical appeals handling
- Insurance verification
Timeline
Prior Authorization Specialist
Weill Cornell Medicine Dept of Pulmonary
08.2022 - Current
Team Lead /Clinical Support Assistant
Weill Cornell Department of Pulmonary
05.2012 - 04.2015
Medical Assitant
Weill Cornell Medicine Dept of Pulmonary
09.2010 - 05.2012
Certificate - Medical Assistant
Sanford Brown Institute
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