Veronica Ventura
Dallas,Texas
Summary
Hardworking and passionate job seeker with strong organizational skills and over 8 years of knowledge in the ABA field, which 6 of those years have been as an authorization specialist.
Overview
12
12
years of professional experience
Work History
Authorization Specialist
Acorn Health LLC
06.2019 - Current
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Conducted regular audits of authorization records to verify accuracy and adherence to regulatory requirements, minimizing risk of noncompliance.
Authorization Specialist
BEHAVIORAL INNOVATIONS
02.2016 - 09.2018
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Verified eligibility and compliance with authorization requirements for service providers.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Reached out to insurance carriers to obtain prior authorization.
OFFICE MANAGER
BEHAVIORAL INNOVATIONS
03.2012 - 02.2016
- Coordinated special projects and managed schedules.
- Maintained computer and physical filing systems.
- Managed office operations while scheduling appointments for Clients.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Interact with families and clients as they came to the centers to do therapy.
- Maintained accountability of office supplies and resources.
Education
Bachelor of Arts - THEOLOGY
Liberty University
Lynchburg, VA05.2018
High School Diploma -
Allen High School
Allen, TX05.2000
Skills
- Continuous Learning
- Problem Solving Abilities
- Attention to Detail
- Prior Authorization Processing
- Conflict Resolution
- Critical Thinking
- Decision Making
- Insurance Verification
- Professionalism
- Computer Literacy
- Organizational Skills
- Telephone Etiquette
- Program Knowledge
Timeline
Authorization Specialist
Acorn Health LLC
06.2019 - Current
Authorization Specialist
BEHAVIORAL INNOVATIONS
02.2016 - 09.2018
OFFICE MANAGER
BEHAVIORAL INNOVATIONS
03.2012 - 02.2016
Bachelor of Arts - THEOLOGY
Liberty University
High School Diploma -
Allen High School
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