Miriam Guevara
Miami
Summary
Experienced with managing complex authorization processes, ensuring compliance and efficiency. Utilizes strong problem-solving abilities to streamline workflows and enhance patient satisfaction. Knowledge of industry standards and team collaboration drives successful authorization management.
Overview
16
16
years of professional experience
Work History
Authorization Specialist
Dr. Francisco Muguercia
06.2021 - 04.2024
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Remote Recruiting Coordinator- Contract
Alexander Mann Solutions
04.2019 - 06.2021
- Schedule 20 interviews a day for Higher management
- Provided support throughout the hiring process by coordinating interviews and other activities as needed
- Utilized applicant tracking systems to manage candidate profiles and track progress of recruitment processes
- Conducted background checks on potential employees using online tools or third-party vendors
- Prepared offer letters and negotiated compensation packages for candidates selected for hire
- Collaborated with Human Resources team to ensure compliance with federal, state, and local employment laws
- Submitted and tracked pre-employment background checks and investigations
- Informed job applicants of details such as duties and responsibilities, compensation, benefits, schedules, working conditions, and promotion opportunities.
Remote Sr. Recruiting Coordinator
PeopleScout
01.2016 - 04.2019
- Assisted with payroll hours entry in Kronos
- Provided Talent Advisors with new candidates' on-board process
- Overseeing background and pre-employment screening process
- Initiated active role in mastery of learned programs by reviewing guidelines, listening to calls, soliciting and utilizing feedback as necessary
- Accurate data entry entered in Workday ATS platform
- Adhere to Recruitment Process Standard Operating Procedures (SOPs) by client to ensure compliance with legal requirements and labor laws
- Demonstrated openness to and acceptance of fluctuating business needs by maintaining pleasant professional demeanor and flexibility with scheduling.
Peoplescout supporting Bank of America
Peoplescout
08.2015 - 01.2016
- Responsible for pre-employment process for contact centers roles
- Supported 3 recruiters with pre-employment process
- Scheduled candidates for fingerprinting, and I-9s section 2
- Processed I-9 verifications
- Tracked background, and fingerprints results
- Sent clear to start notifications to candidates, recruiters, and managers
- Checked rehire eligibility for new hires
- Scheduled interviews for managers at branches via outlook
- Created offer letters
- Responsible for bilingual requisitions language assessments scheduling
- Analyzed current trends in the job market to stay up-to-date on competitive salaries, benefits packages
- Conducted background checks on potential employees using online tools or third party vendors.
HR Assistant/Recruiting Team
Mount Sinai Medical Center
10.2008 - 04.2015
- Acts as primary point of contact for all Human Resources visitors
- Assisted Recruiters with pre-screening process
- Reviewed application for completeness, following up with applicant as appropriate
- Entered requisitions into Taleo and enter new hire information from application into Lawson, ensuring data entered is accurate and complete
- Provide support to the recruitment function with the pre-employment process, including background checks, employment verifications, reference checking, OIGs and employee health clearances
- General office work, scanning documents, answering the phone and checking recruitment and employee services voicemail periodically (throughout the day), forwarding messages to the appropriate party
- E-mail open position listing to various colleges, universities and agencies on a weekly basis
- Assisted recruiters with coordination of interview schedules, follow up with candidates, and all other duties, as assigned
- Source applicants for nursing positions such as: Allied Health, RNs for all the departments within the hospital, and Clerical and support services positions
- Established a positive employer brand image by attending career fairs and engaging with college students across multiple campuses.
Education
Bachelor of Science -
Barry University
Miami Shores, FL12.2012
Skills
- Medical terminology expertise
- Claims management
- Insurance verification
- Prior authorization processing
Languages
Spanish
Timeline
Authorization Specialist
Dr. Francisco Muguercia
06.2021 - 04.2024
Remote Recruiting Coordinator- Contract
Alexander Mann Solutions
04.2019 - 06.2021
Remote Sr. Recruiting Coordinator
PeopleScout
01.2016 - 04.2019
Peoplescout supporting Bank of America
Peoplescout
08.2015 - 01.2016
HR Assistant/Recruiting Team
Mount Sinai Medical Center
10.2008 - 04.2015
Bachelor of Science -
Barry University
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