Summary
Overview
Work History
Education
Skills
Timeline
Generic

Monica Leyva

Phoenix,AZ

Summary

Dedicated professional prepared to bring extensive expertise and results-oriented approach to Specialist role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies.

Overview

29
29
years of professional experience

Work History

Financial Clearance Medication PA Specialist III

Phoenix Children Hospital
02.2016 - Current
  • Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
  • Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
  • Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews.
  • Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
  • Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.

Surgical Coordinator, Authorization Specialist, Medical Assistant II

Dignity Health
03.2004 - 01.2016
  • Surgery scheduling for multiple physicians, authorizations, pre-operative and post-operative appointments, surgical packets and billing of surgeries.
  • Performed clinic patient registration and office appointment scheduling.
  • Assist in minor office procedures, such as colposcopy.
  • Loop electro excision procedure (LEEP), endometrial biopsy and Intrauterine insemination.
  • Allscripts, Centricity, Excel and Outlook word
  • Translator for the physicians: English/Spanish

Medical Assistant Registration Clerk

Maricopa Integrated System
02.2000 - 03.2004
  • Assist in minor office procedures such as colposcopy, Loop electro excision procedure (LEEP).
  • Immunizations, blood draws and auto clave.
  • Supply ordering, trained in Chartmaxx, patient registration and scheduling.
  • Translator for the physicians: Spanish/English

Certified Nursing Assistant

Baptist Village Sun Ridge
10.1998 - 02.2000
  • Assisted residents with activities of daily living such as bathing, feeding and range of motion.

Certified Nursing Assistant

Renaissance Village
10.1997 - 10.1998
  • Assisted residents with activities of daily living such as bathing, feeding and range of motion.

Medical Assistant

Clinica Adelante
11.1996 - 08.1997
  • Assisted physicians, performed immunizations, blood draws
  • Assisted in minor office procedures, medical records, patient registration, switchboard and scheduling.
  • Translator for physicians: Spanish/English

Education

GED -

Texas Education Agency
Brownsville, TX
09-1994

Skills

  • Customer relations
  • Expert problem solving
  • Analytical thinking
  • Documentation management

Timeline

Financial Clearance Medication PA Specialist III

Phoenix Children Hospital
02.2016 - Current

Surgical Coordinator, Authorization Specialist, Medical Assistant II

Dignity Health
03.2004 - 01.2016

Medical Assistant Registration Clerk

Maricopa Integrated System
02.2000 - 03.2004

Certified Nursing Assistant

Baptist Village Sun Ridge
10.1998 - 02.2000

Certified Nursing Assistant

Renaissance Village
10.1997 - 10.1998

Medical Assistant

Clinica Adelante
11.1996 - 08.1997

GED -

Texas Education Agency
Monica Leyva