Raul Paguay
Queens
Summary
Diligent OBGYN Pre-Authorization Representative proficient in obtaining authorizations accordingly to prevent any claim denials and ensuring services will be covered. Effective communicator dedicated to improving workflow efficiency through collaboration. Bilingual and organized professional eager to leverage strong time management skills in dynamic environments.
Overview
9
9
years of professional experience
Work History
OBGYN Pre-Authorization Representative
Weill Cornell Medical Center
New York
03.2024 - Current
- Obtained prior authorization for OBGYN procedures and treatment by verifying insurance eligibility and benefits.
- Tracked authorization status and followed up on pending pre-authorization requests to ensure timely approvals.
- Collaborated with team members to streamline workflow and enhance accuracy in pre-authorization processes.
- Actively running insurance ensuring plan is active and covered with insurance companies.
Legal Assistant
Omrani and Taub P.C
01.2022 - 02.2024
- Assisting the attorneys by retrieving police reports, retrieving documentation from NYC Supreme Courts, investigating the scene of accident, uploading information onto the company's drive, File management.
- Organized and maintained case files, ensuring easy access to important information.
- Communicated with clients to gather information and provide status updates.
- Provided administrative support to attorneys by managing calendars; scheduling appointments; organizing files; preparing correspondence; filing court documents; and obtaining necessary signatures.
COVID 19 Screener
Javits Center
03.2020 - 07.2020
- Maintained compliance with HIPAA protocols to safeguard patient privacy, documented data in designated systems to present to client upon request, updated electronic medical record with new patients' appointment and billing information, assessed workplace locations to guarantee accommodations met needs of clients with handicaps or disabilities.
- Screened individuals for COVID-19 symptoms prior to entry.
Server/Busser/Cashier/Stock
Fornino Pizza
06.2017 - 08.2019
- Went above and beyond expectations by helping with various tasks to support teammates and provide customer service, Collected dishes and utensils at a moment's notice, maintaining customer satisfaction and dining room cleanliness. Carried food, dishes, trays or silverware from kitchens or supply departments to serving counters.
- Provided exceptional customer service in a fast-paced dining environment.
- Managed table assignments and ensured timely service for guests.
- Maintained cleanliness and organization of dining area throughout shifts.
Education
Associate of Arts -
New York City of Technology
Brooklyn, NY12-2023
Skills
- Obtaining authorizations
- Insurance verification
- Attention to detail
- Workflow efficiency
- Time management
- Multitasking
- Follow-up skills
- Effective communication
References
Available upon request.
Personal Information
Title: Pre-Authorization Representative
Languages
Spanish
Professional
Timeline
OBGYN Pre-Authorization Representative
Weill Cornell Medical Center
03.2024 - Current
Legal Assistant
Omrani and Taub P.C
01.2022 - 02.2024
COVID 19 Screener
Javits Center
03.2020 - 07.2020
Server/Busser/Cashier/Stock
Fornino Pizza
06.2017 - 08.2019
Associate of Arts -
New York City of Technology