Simona Mack
Orlando
Summary
Detail-oriented Insurance Verification and Intake Coordinator with over 5 years of experience in healthcare operations, specializing in insurance verification and patient coordination. Expertise includes verifying eligibility, obtaining prior authorization, managing referrals, and maintaining precise documentation. A unique ability to balance administrative accuracy with compassionate support ensures a seamless patient experience. Recognized as a strong communicator and collaborative team member, providing valuable insights from both clinical and administrative healthcare settings.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Insurance Verification Specialist
Centene, Acaria Health Specialty Pharmacy
03.2022 - Current
- Ensure claims are processed correctly and in a timely manner.
- Made contact with insurance and copay assistance carriers to discuss policies, individual patient benefits and to collect payment.
- Investigate and find solutions for rejected claims.
- Document communications accurately to ensure compliance and follow-up.
- Coordinate with IV department to find solution for rejected claims in a timely manner.
Insurance Verification Coordinator I
Aerotek/Aston Carter-Acaria Health Specialty Pharmacy
01.2021 - 03.2022
- Obtain and verify insurance eligibility for services provided
- Collect clinical information
- Document all pertinent communication with patients
- Handle inbound/outbound calls
Clinical Technician II
Orlando Health’s Arnold Palmer Hospital for Children
01.2015 - 01.2020
- Perform ADL’s for 12 to 24 patients on a daily basis
- Respond to patient emergencies
- Transport patient to various test and procedures
- Assist patients and their families by giving them excellent patient care in the best way possible
Patient Care Associate
Mount Sinai Beth Israel Medical Center
01.2013 - 01.2015
- Obtain patient vital signs
- Respond to patient emergencies
- Perform ADL’s and venipuncture drawing and EKG on up to 12 patients.
Patient Care Technician/Trauma Technician
Optimal Workforce Solutions/Westchester Medical Center
01.2013 - 01.2015
- Obtain patient vital signs and glucose levels
- Respond to pediatric and adult trauma emergencies, set up the trauma bay for incoming patients
- Perform venipuncture drawing and EKG on up to 12 patients
Nurse Assistant
Pelham Parkway Nursing Home
01.2011 - 01.2013
- Provide residence support with feeding
- Perform ADLs for residence and obtain daily vital signs
- Escort residence to various internal and external activities
Education
Associates of Applied Science - Computer Information Systems
Southeast College of Technology
Memphis, TN05-2002
Skills
- Proficient in Microsoft Office
- Analytical problem-solving
- Effective time management
- Effective communication
- Team collaboration
- Accurate EMR data management
Certification
- CPR/AED/First Aid Certified
- Certified Nursing Assistant
- Certified Patient Care Technician
- CPI Nonviolent Crisis Intervention
Timeline
Insurance Verification Specialist
Centene, Acaria Health Specialty Pharmacy
03.2022 - Current
Insurance Verification Coordinator I
Aerotek/Aston Carter-Acaria Health Specialty Pharmacy
01.2021 - 03.2022
Clinical Technician II
Orlando Health’s Arnold Palmer Hospital for Children
01.2015 - 01.2020
Patient Care Associate
Mount Sinai Beth Israel Medical Center
01.2013 - 01.2015
Patient Care Technician/Trauma Technician
Optimal Workforce Solutions/Westchester Medical Center
01.2013 - 01.2015
Nurse Assistant
Pelham Parkway Nursing Home
01.2011 - 01.2013
Associates of Applied Science - Computer Information Systems
Southeast College of Technology
ADDITIONAL WORK EXPERIENCE
- 2007-2010 CUNY Citizenship Now Project - Database Manager
- 2004-2007 Eastern Caribbean Civil Aviation Authority - Secretary Air Navigation Services
- 2003-2004 Barnhills Restaurant - Server
- 2002-2004 ALSAC St Jude Children Research Hospital - Outbound Sales Rep
- 2000-2002 Stream International - Customer Service Team Lead
- 1997-1999 Cable & Wireless Telecommunications Company - Technical Support Helpdesk
Duke of Edinburgh's Award
Completed a global recognized leadership program emphasizing initiative, teamwork and responsibility. Demonstrated strong leadership and problem-solving skills through organizing group expeditions, volunteering in the community, and developing personal goals in skill and physical achievement. Levels achieved - Bronze, Silver and Gold
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