Tory Torino
Staten Island,NY
Summary
Great multitasker and critical thinker with devotion to accuracy and efficiency. Supervises and leads office to maximize and streamline functionality. Efficient Authorization Specialist with comprehensive knowledge of medical insurance policies, coding and procedures. Demonstrated ability to liaise effectively between patients, healthcare providers, and insurance companies for smooth transactions. Strengths include strong problem-solving skills, thoroughness in documentation and a keen eye for identifying inconsistencies. Proven impact in previous roles includes streamlined authorization processes, improved patient satisfaction rates, and reduced claim denials. I am also a dedicated manager with high integrity and deep knowledge of the field brining several years od related experience to support business.
Overview
12
12
years of professional experience
Work History
Authorization Specialist
Extended Home Care Services
Staten Island , New York
05.2023 - Current
- Verified insurance authorizations with payers via telephone or web-based systems.
- worked fully hybrid/remote -
- Reviewed applications to verify client information and resolve discrepancies.
- Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
- Prepared appeal letters on behalf of clients when necessary to resolve disputes with insurers.
- Prepared written responses to customers regarding the status of their appeal or grievance filings.
- Educated clients and their families about their rights and available community resources.
- Follow up with the rehab therapist and case managers on approvals, denials, appeals, and nursing in the field.
- Working with providers via the portal, phone, and emails.
- Responsible for providing excellent customer service over the phone for member insurance, provider. Accountable for the review of all prior authorization requests by using prior authorization guideline questions. Maintained 98%–100% audit scores for all phones.
Help Aid ,DCF
Dcfusion
West Palm , Florida
08.2013 - 11.2025
- Prioritized and organized tasks to efficiently accomplish service goals.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Worked effectively in team environments to make the workplace more productive.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Booking Assistant
Nyu Langone
Manhattan, New York
03.2018 - 05.2023
- Maintained inventory of office supplies and placed orders when necessary.
- Identified leads on new clients by collaborating with talent scouts and contacting about potential representation.
- Provided exceptional customer service to ensure satisfaction of guests.
- Assisted customers via phone by providing confirmations, answering questions and offering general information.
- Maintained an organized filing system for all booking documents.
- Organized files, developed spreadsheets, faxed reports and scanned documents, maintaining front desk and reception area in neat and organized fashion.
Sales Manager
bison works
Millville, New Jersey
10.2016 - 03.2018
- Maintained accurate records of all transactions between customers and company representatives.
- Coordinated Daily Field Reports (DFRs) and distributed to clients.
- Identified and developed new markets for products or services.
- Resolved customer complaints regarding sales and service.
- Supported sales team members to drive growth and development.
- Trained, coached, and mentored junior sales personnel to ensure success in their roles.
Education
Bachelor of Science - Nursing Administration
Palm Beach State Collage
Florida City, FL01-2018
High School Diploma -
Palentine High
Illinois City, IL06-2015
Skills
- Insurance verification
- Medical coding
- Medical terminology expertise
- HIPAA compliance
- Data entry proficiency
- Prior authorization processing
- Claims management
- Documentation and paperwork
- Interviewing techniques
- Verbal communication
- Telephone etiquette
- Eligibility procedures
- Record keeping
- Knowledgeable in [software]
- Microsoft office
- Programming
- Data entry
- Appointment scheduling
- Medicaid
- Application review
- Interviewing
- Recordkeeping and data input
Accomplishments
- Deans list
- honors in high school
- outstanding communication
- providing exceptional patient education and conseling
Timeline
Authorization Specialist
Extended Home Care Services
05.2023 - Current
Booking Assistant
Nyu Langone
03.2018 - 05.2023
Sales Manager
bison works
10.2016 - 03.2018
Help Aid ,DCF
Dcfusion
08.2013 - 11.2025
Bachelor of Science - Nursing Administration
Palm Beach State Collage
High School Diploma -
Palentine High
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