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