Ulysselis Andujar
Miami,FL
Summary
Professional and prepared insurance specialist skilled in managing complex authorizations, ensuring compliance, and optimizing workflow efficiency. Strong focus on team collaboration and achieving results, adaptable to changing needs. Proficient in insurance verification, claim processing, and communication with healthcare providers. Reliable and results-driven with strong attention to detail and organizational skills.
Overview
9
9
years of professional experience
Work History
Insurance Authorization Specialist
Ensemble
07.2021 - Current
- Achieved higher accuracy rates in authorizations, utilizing attention to detail and organizational skills.
- Increased efficiency of the authorization process with effective communication among multidisciplinary teams.
- Coordinated pre-authorization requirements for medical treatments or services, enhancing overall patient experience before appointments.
- Managed high-volume caseloads to meet strict submission deadlines, prioritizing tasks accordingly.
Registrar
Nicklaus Children's Hospital
09.2016 - 06.2021
- In-depth knowledge of patient registration process
- Interviews patient and families to obtain demographic, third party payer, financial/medical information, and identification to schedule, or pre-register/register patients.
- Improved patient satisfaction by efficiently registering patients and verifying insurance information.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
Education
Bachelor of Science - Supervision And Management
Miami Dade College
Miami, FL05-2019
Associate of Arts - Business Administration And Management
Miami Dade College
Miami, FL05-2016
High School Diploma -
Southwest Miami Highschool
Miami, FL06-2014
Skills
- Prior authorization
- Strong communication skills
- Medical terminology
- Proficiency in MS Office, Excel, PowerPoint, and Access
- Ability to assist on multiple projects with tight timelines in a fast paced environment
- HIPAA compliance
Languages
English
Spanish
Timeline
Insurance Authorization Specialist
Ensemble
07.2021 - Current
Registrar
Nicklaus Children's Hospital
09.2016 - 06.2021
Bachelor of Science - Supervision And Management
Miami Dade College
Associate of Arts - Business Administration And Management
Miami Dade College
High School Diploma -
Southwest Miami Highschool
Similar Profiles
Bree CassellBree Cassell
General Surgery Coder at EnsembleGeneral Surgery Coder at Ensemble
Rhonda RussellRhonda Russell
Insurance Follow-Up Specialist at EnsembleInsurance Follow-Up Specialist at Ensemble
Marquia PaulsonMarquia Paulson
Receptionist at EnsembleReceptionist at Ensemble
Dr.Rukiyar MartyDr.Rukiyar Marty
Virtual Utilization Review Nurse at EnsembleVirtual Utilization Review Nurse at Ensemble
Luca PalaciosLuca Palacios
Lifeguard 1 at City Of MiamiLifeguard 1 at City Of Miami