Stephanie Exposito
Philadelphia,PA
Summary
Detail-oriented and highly organized Authorization Specialist and Call Center Rep with 7 years of experience in processing and managing authorization requests in healthcare/insurance/finance.. Proven ability to verify eligibility, communicate effectively with clients, providers, and vendors, and ensure compliance with regulatory standards. Skilled in handling complex documentation, resolving issues, and maintaining accurate records.
Overview
10
10
years of professional experience
Work History
Authorization Specialist
LIBERTY Dental Plan
Tampa, FL
02.2022 - 08.2024
- Coordinated with various departments such as billing, coding, and clinical teams to obtain necessary documentation for authorization submissions.
- Ensuring that all necessary documentation is in place for authorization.
- Verifying that the requested service or product is eligible for coverage or approval.
- Making sure that authorization requests comply with relevant regulations, policies, and procedures.
Front Desk Receptionist
Prado Vision & Lasik
Tampa, FL
07.2019 - 12.2021
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Assisted with customer requests and answered questions to improve satisfaction.
- Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
- Resolved customer complaints in a timely manner.
- Performed light administrative duties such as filing paperwork, data entry.
Member Service Representative
Freedom Health and Optimum Health
Tampa, FL
07.2018 - 03.2019
- Conducted regular surveys to gather feedback from members about their satisfaction with our services.
- Responded quickly and efficiently to emails sent by current or prospective members regarding their account status or service needs.
- Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
- Participated in daily huddles with team members in order to discuss common goals and objectives.
Authorization Representative
Argus Dental & Vision Inc.
Tampa, FL
01.2017 - 07.2018
- Identified areas of improvement in customer service processes and suggested changes accordingly.
- Assisting patients, clients, or customers with understanding the authorization process.
- Helping resolve issues that arise during the authorization process.
- Coordinating with doctors, healthcare professionals, or clients to ensure accurate and timely submission of required information.
Customer Service Representative
GDiT
Tampa, FL
09.2014 - 11.2016
- Developed positive relationships with customers through friendly interactions.
- Conducted regular follow-up calls with customers after resolving their issues.
- Used approved scripts to de-escalate angry customers during telephone interactions.
- Kept records of customer interactions or transactions, thoroughly recording details of inquiries.
Education
Associate of Arts -
Hillsborough Community College
Tampa, FLSkills
- Account updating
- Complaint resolution
- Sales closing
- Data gathering
- Quality assurance controls
- Quality control
- Inbound phone calls
- Documentation and reporting
Languages
Spanish
Native/ Bilingual
Timeline
Authorization Specialist
LIBERTY Dental Plan
02.2022 - 08.2024
Front Desk Receptionist
Prado Vision & Lasik
07.2019 - 12.2021
Member Service Representative
Freedom Health and Optimum Health
07.2018 - 03.2019
Authorization Representative
Argus Dental & Vision Inc.
01.2017 - 07.2018
Customer Service Representative
GDiT
09.2014 - 11.2016
Associate of Arts -
Hillsborough Community College
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