Yanet Medina
Fort Myers,FL
Summary
Dynamic Pre Authorization Specialist at Miami Institute for Joint Reconstruction, adept at claims management and effective communication. Achieved consistent productivity in processing authorizations while ensuring HIPAA compliance. Proven ability to enhance supplier relationships and negotiate favorable terms as a Buyer's Assistant, demonstrating strong customer service and data entry skills.
Experienced with managing complex authorization processes, ensuring compliance and efficiency. Utilizes strong problem-solving abilities to streamline workflows and enhance patient satisfaction. Knowledge of industry standards and team collaboration drives successful authorization management.
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Pre Authorization Specialist
Miami Institute for Joint Reconstruction
02.2016 - Current
- Optimized workflow processes through effective communication between departments regarding MRI authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various MRI, CT scans services.
- Collaborated with healthcare providers to obtain necessary documentation for prior STAT authorization requests.
- Contributed to goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
Buyer's Assistant
The Butcher Shop Market
01.2011 - 02.2016
- Maintained up-to-date the purchasing decisions and stay ahead of competitors.
- Handled high volume purchasing tasks while maintaining accuracy under tight deadlines.
- Enhanced supplier relationships by negotiating favorable terms and maintaining regular communication.
- Supported sourcing efforts by conducting thorough research into potential partners'' track records within the industry.
Education
Associate of Science - Early Learning And Child Care
Miami Dade College
Miami, FL05-2012
Skills
- Claims management
- Medical terminology expertise
- Insurance verification
- Data entry proficiency
- Prior authorization processing
- Appointment scheduling
- Documentation and paperwork
- Microsoft office
- Effective communication skills
- Policy interpretation
- Verbal communication
- Data entry
- Record keeping
- Telephone etiquette
- Programming
- Recordkeeping and data input
- Proficient in spanish
- Customer service
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated with nurses and directors in the development of finding a faster way to obtain all materials for insurance companies.
- Achieved great relationships by introducing our company to their line of business.
Certification
- Certified MRI specialist, Miami Institute for joint reconstruction 2016 to present.
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
Pre Authorization Specialist
Miami Institute for Joint Reconstruction
02.2016 - Current
Buyer's Assistant
The Butcher Shop Market
01.2011 - 02.2016
Associate of Science - Early Learning And Child Care
Miami Dade College
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