Results-driven Authorization Coordinator with expertise in prior authorization, workflow management, and communication. Proven track record of optimizing processes and enhancing teamwork to improve operational efficiency.
Work History
Lead Authorization Coordinator
11 Months
Navista | 09.2025 - Current
Managed patient information within electronic health record systems for accuracy and confidentiality.
Acted as a resource for clinical staff, providing guidance on insurance requirements and authorization protocols.
Optimized workflows within the department by identifying areas of improvement and proposing actionable solutions.
Developed comprehensive training materials for new Authorization Coordinators, contributing to their successful onboarding process.
Maintained up-to-date knowledge of insurance policies, enabling accurate evaluation of coverage eligibility criteria for patients.
Assisted in training new staff on authorization processes and system navigation.
Developed process improvement initiatives that reduced turnaround time for authorization requests.
Collaborated with multidisciplinary teams to resolve complex authorization issues effectively.
Monitored trends in authorization denials, providing insights for strategic adjustments in procedures.
Participated in regular audits of authorization files, addressing discrepancies and implementing corrective actions as needed.
Stayed informed about regulatory changes relevant to the healthcare industry, ensuring compliance in all authorization activities.
Contributed to the development of departmental policies and procedures relating to authorization management, promoting standardization across teams.
Authorization Corrdinator
2 Years 1 Month
Ccare, San Diego & California | 08.2023 - 09.2025
Coordinated authorization requests, ensuring compliance with regulatory standards and organizational policies.
Streamlined documentation processes, enhancing efficiency in handling patient care approvals.
Developed and maintained relationships with healthcare providers to facilitate timely authorizations.
Maintained consistent follow-up on status of prior authorization requests.
Reviewed documentation for accuracy and assessment of necessity.
Reviewed and analyzed authorization data to identify trends and improve operational workflows.
Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
Authorization / VOB Specialist
1 Year 4 Months
Urology Associates Of Central California | 04.2022 - 08.2023
Reviewed and processed requests for medical procedures and services efficiently.
Collaborated with healthcare providers to verify insurance eligibility and coverage details.
Implemented streamlined workflows that enhanced authorization turnaround times.
Coordinated patient authorizations to ensure compliance with insurance requirements.
Maintained accurate records of authorization requests in electronic health record systems.
Facilitated communication between clients, insurance providers, and internal teams to resolve inquiries efficiently.
Verified insurance and communicated coverage to staff and patients.
Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
Medical Assistant Intern
2 Months
California Pain Consultants | 09.2022 - 11.2022
Administered vaccinations and medications under supervision, prioritizing patient safety and comfort.
Supported healthcare providers by preparing examination rooms and maintaining sterile environments.
Educated patients on treatment plans, enhancing understanding of procedures and health management strategies.
Assisted in patient intake, ensuring accurate documentation and efficient processing of medical records.
Monitored inventory levels of medical supplies, contributing to cost-effective resource management practices.
Prepared examination rooms for patient visits, ensuring cleanliness and availability of necessary supplies.
Medical Assistant
2 Months
Advanced Retina Care | 01.2022 - 03.2022
Administered medications and performed diagnostic tests under physician supervision.
Assisted physicians with patient examinations and procedures to enhance care delivery.
Managed patient intake process, ensuring accurate medical history documentation.
Streamlined appointment scheduling system, reducing patient wait times significantly.
Educated patients on treatment plans and medication management for improved adherence.
Maintained medical records with precision, ensuring compliance with regulations and standards.
Obtained client medical history, medication information, symptoms, and allergies.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Restaurant Manager
12 Years 9 Months
London Bridge Pub | 06.2007 - 03.2020
Oversaw daily operations and ensured compliance with health and safety regulations.
Carefully interviewed, selected, trained, and supervised staff.
Met, greeted, and encouraged feedback from customers and used feedback to implement positive changes within restaurant.
Reconciled cash and credit card transactions to maintain accurate records.
Effectively managed payroll and timekeeping, and paperwork for new hires and terminations.
Managed staff scheduling, optimizing coverage for peak service times.
Trained and mentored team members to enhance service quality and efficiency.
Implemented inventory management systems to reduce waste and improve stock accuracy.
Led regular staff meetings to communicate expectations, share updates, and foster teamwork.
Managed daily operations to ensure a high level of efficiency, consistency, and quality in both food and service.
Education
Certified Medical Assistant - Medical Assisting/Healthcare
Central Coast College | Salinas , Ca | 06-2021
Ranked in Top 1% of class
Received Highest score in class NHA CCMA exams
Skills
Prior authorization management
Insurance verification expertise
Organizational development
Critical thinking
Problem-solving abilities
Regulatory compliance
Organizational growth
Customer support
Teamwork and collaboration
Customer service
Timeline
Lead Authorization Coordinator
Navista
09.2025 - CurrentRead More
Authorization Corrdinator
Ccare, San Diego & California
08.2023 - 09.2025Read More
Medical Assistant Intern
California Pain Consultants
09.2022 - 11.2022Read More
Authorization / VOB Specialist
Urology Associates Of Central California
04.2022 - 08.2023Read More
Medical Assistant
Advanced Retina Care
01.2022 - 03.2022Read More
Restaurant Manager
London Bridge Pub
06.2007 - 03.2020Read More
Central Coast College
Certified Medical Assistant from Medical Assisting/Healthcare