Summary
Overview
Work History
Education
Skills
Timeline
Generic

TANYA SOFRONIS

Westbury,NY

Summary

Organized Administrative Support Coordinator known for high productivity and efficient task completion. Possess specialized skills in office management, data entry accuracy, and workflow optimization. Excel in communication, problem-solving, and time management, ensuring seamless operations in fast-paced environments.

Overview

18
18
years of professional experience

Work History

Administrative Support Coordinator

Northwell Health Physician Partners Obstetrics and Gynecology
Great Neck, NY
01.2023 - Current
  • Initial point of contact between clinical staff and insurance companies to facilitate peer-to-peer reviews or gather additional clinical notes for optimum coverage of services
  • Ensure timely submission and tracking of authorizations with medical documentation
  • Follow-up of denied authorizations through appeal processes
  • Confirmed eligibility and verified services with commercial and private insurance to ensure coverage accuracy
  • Developed strong customer service relationships with patients, clinical and administrative staff, and insurance payers regarding benefit changes and updates
  • Informed team members, including managers and site leadership, of enhancements or adjustments to improve future workflow

Insurance Verification Specialist

Mount Sinai Doctors
Carle Place, NY
01.2022 - 01.2023
  • Prior-authorization of diagnostic and high-technology services
  • Executed data charge and coding entry for services to ensure accurate billing
  • Reviewed coding edits and errors to enhance submission accuracy
  • Facilitated timely financial batch closures each week to maintain operational efficiency

Billing and Coding Specialist

Long Island Heart Associates
Mineola, NY
01.2009 - 01.2022
  • Reviewed coding edits and errors to ensure accurate submission and compliance with regulations
  • Verified insurance eligibility and services to ensure accurate billing and compliance
  • Entered data charges for services performed, enhancing record accuracy and billing efficiency
  • Conducted follow-up on outstanding claims to facilitate prompt payment and address issues. including claim correction, adjustments, denials and appeals

Education

Associate of Arts - Teacher Education Childhood

Nassau Community College
Garden City, NY
08-2013

High School Diploma -

W.T. CLARKE HIGH SCHOOL
Westbury, NY
06-2007

Skills

  • Insurance authorizations, medical coding and epic charting for specialties in Cardiology, Endocrinology, Family Medicine, Gynecology & Obstetrics, Laboratory, Pharmacy, Radiology, Urology
  • Epic Software, Epic Professional Billing, Soarian, E-Care, Athena GECB, Legacy MD Charts, Sinai Central, Study-Cast, Excel, PowerPoint

Timeline

Administrative Support Coordinator

Northwell Health Physician Partners Obstetrics and Gynecology
01.2023 - Current

Insurance Verification Specialist

Mount Sinai Doctors
01.2022 - 01.2023

Billing and Coding Specialist

Long Island Heart Associates
01.2009 - 01.2022

Associate of Arts - Teacher Education Childhood

Nassau Community College

High School Diploma -

W.T. CLARKE HIGH SCHOOL
TANYA SOFRONIS