Yecenia Escobar
Bakersfield,California
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team and/or company goals. with over 15 years of experience In OB GYN as a medical assistant and authorization specialist. Responsive and reliable professional proficient Dedicated to increasing job opportunities Reliable Prior Authorization Specialist with over 17 years of experience working in fast-paced, OB GYN environment, Bilingual professional with skill in prior authorization for patients, finding solutions to issues and tackling work tasks in busy office. Hardworking Prior Authorization Specialist with successful background working closely with insurance company representatives to gain preapproval for procedures and testing. Detail-oriented performer with over [Number] years of managing documentation. Considered team player with exemplary multitasking skills.
Overview
16
16
years of professional experience
Work History
Prior Authorization Specialist, Medical Assistant
San Dimas Medical Group
10.2011 - Current
- Input all patient data regarding prior authorizations into system accurately
- Analyzed medical records and other documents to determine requests for authorization
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with guidelines
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
- Responded to inquiries from healthcare providers regarding prior authorization requests
- Reached out to insurance carriers to obtain prior authorizations
- Researched denied claims and contacted insurance companies to resolve and/or coordinate peer to peer
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Tracked referral submission authorizations
- Scheduled appointments
- Fielded telephone inquiries on authorization details from plan members and medical staff
- Developed and maintained productive working relationships with healthcare providers.
- Sanitized, restocked, and organized exam rooms and medical equipment
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations
- Obtained medical, medication, symptoms, and allergies
- Performed medical records management, including filing, organizing and scanning documents
- Collected and documented patient vital signs
- Called and faxed pharmacies to submit prescriptions and refills
- Scheduled appointments, distributed sample pharmaceuticals as prescribed
- Assisted with routine checks and diagnostic testing by collecting and processing specimens
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted
- Taught patients about medications, procedures, and care plan instructions
- Answered telephone calls to offer office information, answer questions, and direct calls to staff
- Explained procedures to patients to reduce anxieties and increase patient cooperation
- Oriented and trained new staff on proper procedures and policies
- Updated inventory, expiration and vaccine logs to maintain current tracking documentation
- Adhered to company policies and scripts to consistently achieve call-time and quality standards
- Placed outbound customer service or customer satisfaction calls to follow up
Medical Assistant, Phlebotomist, Nurse Assistant
Advanced Women's Health Center
11.2007 - 10.2011
- Sanitized, restocked, and organized exam rooms and medical equipment
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations
- Obtained medical, medication information, symptoms, and allergies
- Performed medical records management, including filing, organizing and scanning
- Stocked laboratory with appropriate supplies.
- Assembled tourniquets, needles, and blood collection devices
- Packaged and shipped specimens to central lab daily
- Monitored patients for reactions and verified sample quality
- Collected blood samples in accordance with laboratory protocols and regulations
- Verified proper storage and transportation of specimens to laboratories
- Spoke with patient to gather information for lab records, reduce fear, or anxiety and optimize cooperation
- Assisted in training and onboarding new phlebotomists and medical assistants
- Arranged supplies and instrumentation to meet needs of individual surgeons and enhance efficiency
- Kept views unobstructed by retracting, sponging, and suctioning surgical sites.
- Gowned and gloved staff to help team prepare for surgeries
- Paid close attention to operating procedures for adherence to established surgical techniques
- Applied antiseptics and sterile dressings to cover surgical locations and boost healing
- Assisted with transfer of patients from recovery room to operating room, providing care and support
- Skilled at working independently and in a team
- Self-motivated, with a strong sense of personal responsibility
- Proven ability to learn quickly and adapt to new situations and/or environments
- Worked effectively in fast-paced environments
- Demonstrated respect, friendliness and willingness to help wherever needed
- Excellent communication skills, both verbal and written
- Passionate about learning and committed to continual improvement
Education
High School Diploma -
Bakersfield High School
Bakersfield, CANo Degree - Medical Assisting, Nursing Assistant
Bakersfield Adult School
Bakersfield, CASkills
- Records Maintenance
- Authorizations
- Patient Referrals
- Prescription Coordination
- Effective Communication Skills
- Understanding of Insurance Details
- Data Entry
- Patient Scheduling
- Understanding of Medical Terms
- Physician Order Verification
- HIPAA Compliance
- Procedure Assistance
- Inventory Management
- Phlebotomy
- EMR / EHR
- Equipment Sterilization
- Prioritizing Stat Orders
- Compassionate
- Specimens Collection and Processing
- OB/GYN Procedures
- Emptying Catheter Bags
- Laboratory Maintenance
Languages
Spanish
Native or Bilingual
Timeline
Prior Authorization Specialist, Medical Assistant
San Dimas Medical Group
10.2011 - Current
Medical Assistant, Phlebotomist, Nurse Assistant
Advanced Women's Health Center
11.2007 - 10.2011
High School Diploma -
Bakersfield High School
No Degree - Medical Assisting, Nursing Assistant
Bakersfield Adult School
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