Sinthia Lievano
Lakewood,CA
Summary
Dynamic Prior Authorization Specialist with extensive experience at Retina Institute of The Carolinas, adept at navigating the prior authorization process and ensuring HIPAA compliance. Proven ability to enhance efficiency through electronic submissions, while delivering exceptional communication and problem-solving skills to facilitate timely approvals and improve patient care.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
5
5
years of professional experience
Work History
Prior Authorization Specialist
Retina Institute of The Carolinas & The Macular Degeneration Center
Arcadia, CA
07.2023 - 01.2025
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Monitoring authorization requests, following up on pending cases, and ensuring timely approvals.
Front Desk Receptionist
Retina Institute Of California
Long Beach, CA
01.2020 - 07.2023
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Scheduled, coordinated and confirmed appointments and meetings.
- Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
- Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
- Collected room deposits, fees, and payments.
- Scheduled appointments accurately using reservation software, reducing conflicts or doublebookings.
- Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
Education
Diploma -
Paramount High School
Paramount, CA06.2005
Skills
- Prior authorization process
- Medical terminology
- Medical appeals handling
- Authorizations
- Effective communication skills
- Retro-authorizations
- HIPAA compliance
- Appointment scheduling
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Prior Authorization Specialist
Retina Institute of The Carolinas & The Macular Degeneration Center
07.2023 - 01.2025
Front Desk Receptionist
Retina Institute Of California
01.2020 - 07.2023
Diploma -
Paramount High School