Natalie Villegas
Midlothian,TX
Summary
Detail-oriented Prior Authorization Specialist experienced in medical and pharmaceutical terminology. Delivered exceptional customer service through strong verbal and written communication skills while managing administrative responsibilities in fast-paced environments. Bilingual professional focused on resolving issues and obtaining prior authorization information to enhance patient care.
Overview
1
1
Certification
15
15
years of professional experience
Work History
Prior Authorization Specialist
PharMerica
Arlington, Tx
07.2019 - Current
- Processed prior authorization requests for medications and services to ensure timely access for patients.
- Communicated with healthcare providers to gather necessary documentation.
- Reviewed patient records to ensure compliance with insurance guidelines.
- Submitted authorization and referral requests to health plans based on specific insurance requirements. to health plan via avenue of insurance requirements, including but not limited to website, phone, & fax.
- Verified patient insurance coverage for eligibility, benefits, and authorizations to facilitate medical services.
Medical Assistant and Front Desk
Midlothian Primary Care
Midlothian, TX
11.2013 - 03.2017
- Demonstrated expertise in front office operations at a modern medical center.
- Managed patient appointments aligned with doctor's schedule to optimize clinic workflow.
- Handled telephone enquiries with discretion and sensitivity
- Inserting patients' insurance information and able to to do insurance prior authorizations
- Taking a patient's blood pressure, temperature, pulse, respiration and weight
- Coordinated medication requests to support patient care.
- Reviewed and verified various insurance policies for patient eligibility..
PCA
Medical Center of Arlington
Arlington, TX
10.2011 - 06.2014
- Measured and recorded patients' vital signs in a clinical setting
- Taking patients' vital signs
- Supported patients with ambulation to enhance mobility and comfort
- Removing catheters and IVs under nurses' orders
- Performed collection of newborn screening samples for health assessments
- Organized and stocked medical supply rooms to maintain readiness
Education
Pharmacy Technician -
University of Arlington
Arlington, TXSkills
- Prior authorization
- Insurance verification
- Experience and training in medical and pharmaceutical terminology
- Attention to detail
- MS Word, Excel, PowerPoint, Outlook, Internet Research, E-mail
- Problem solving
- Strong verbal and written communication skills, professionalism
- Customer service personality eager to assist
- Problem solving
Certification
Pharmacy trainee, 11/01/17
Timeline
Prior Authorization Specialist
PharMerica
07.2019 - Current
Medical Assistant and Front Desk
Midlothian Primary Care
11.2013 - 03.2017
PCA
Medical Center of Arlington
10.2011 - 06.2014
Pharmacy Technician -
University of Arlington