Zenzele Sanders
Los Angeles,California
Overview
5
5
years of professional experience
Work History
Prior Authorization Coordinator
UCLA Health
Los Angeles, CA
09.2023 - Current
- Perform analysis using Availity and Aidin applications.
- Obtain information and enter prior authorization data required for claims adjudication.
- Proficient in obtaining necessary authorizations for medical procedures and medications.
- Collaborate with healthcare providers, insurance companies, and patients to ensure timely approvals.
- Ensure accuracy of policy information to facilitate the authorization process.
Collaborate with healthcare providers to gather necessary information for authorization requests. - Address any discrepancies in medical documentation
- Communicate approval or denial outcomes to healthcare providers and patients
- Prepare and submit prior authorization requests to insurance companies.
- Adhere to specific guidelines and timelines for submission.
- Monitor the status of authorization requests.
- Follow up with insurance companies to expedite approvals.
Health Administrative Assistant III
UCLA Health- Various Locations
Los Angeles, CA
11.2022 - Current
- Proficiently managed diverse administrative responsibilities across multiple healthcare settings.
- Recorded accurate patient medical histories, physical examinations, and treatment plans during encounters.
- Maintained organized electronic health records (EHR) to ensure data accuracy and accessibility.
- Accompanied healthcare providers during patient appointments, facilitating real-time documentation.
- Coordinated patient flow, managing intake forms, and checking insurance eligibility for up to 30 patients daily.
- Provided compassionate personal care for clients experiencing health, homelessness, and mental health challenges.
- Supported the HIV prevention team with scheduling coordination for a team of 10 healthcare professionals.
- Demonstrated flexibility in scheduling to ensure adequate coverage during peak periods.
- Modeled CICARE behavior in all interactions, fostering a positive and caring environment.
- Excelled in general receptionist duties, managing phone calls, greeting patients, and providing information.
- Fostered effective communication between healthcare professionals, ensuring streamlined patient care.
- Organized and maintained patient information using Excel, ensuring accuracy and confidentiality.
- Contributed to the efficient clinical workflow by managing appointment schedules and follow-up appointments.
Healthcare Coordinator and Covid Screener
T shield 3
Los Angeles, CA
01.2022 - 07.2022
- Coordinated school scheduling for student and staff Covid testing, managing logistics to ensure timely testing for all participants.
- Prepared up to 20 classrooms daily for Covid testing, ensuring availability of proper equipment and materials for efficient testing processes.
- Administered Covid tests for students K-8, adhering to safety protocols and providing support and reassurance to young students during the testing process.
- Collected samples and maintained accurate and confidential student data, facilitating easy reference and record-keeping.
- Managed the timely drop-off of tests to the lab, ensuring the delivery and accuracy of results.
Covid Screener
Milestone Technologies
Los Angeles, CA
06.2021 - 12.2021
- Administered Rapid/PCR tests to private and public clients, ensuring accuracy and timeliness of results.
- Maintained confidentiality of sensitive patient information, following HIPAA regulations and adhering to best practices for data security.
- Ensured the safety of employees and visitors by performing screening questions and temperature checks before allowing admission to the building.
- Collaborated with a diverse and inclusive team of healthcare professionals and client services providers, including security, to provide a seamless testing experience for clients.
Peer Health Educator
Non Profit Organization CHAIN Reaction
Los Angeles, CA
06.2019 - 06.2020
- Facilitated peer health education and life skills activities to promote healthy behaviors and positive self-esteem among transitional housing program clients.
- Participated in the placement interview process for the transitional teen housing program, evaluating candidates and providing input on their suitability for the program.
- Managed a budget of $300 to provide monthly stipends, groceries, and daily check-ins to up to 10 clients, ensuring timely and accurate payments and support.
- Served as DPSS liaison for the transitional housing program, collaborating with external organizations to ensure compliance with regulations and program goals.
- Demonstrated proficiency in peer education, program coordination, and client support skills, contributing to a safe and supportive environment for clients.
Prorgam Assistant
Crystal Stairs
Los Angeles, CA
02.2020 - 05.2020
- Assisted case managers with managing case loads related to childcare programs and services for underserved communities, ensuring timely and accurate service delivery to clients.
- Scheduled recertification interviews with clients, following up with reminders and confirmations to minimize delays or missed appointments.
- Managed data on up to 100 clients using Excel spreadsheets, ensuring accuracy and confidentiality.
- Demonstrated proficiency in data management, scheduling, and communication skills, contributing to a smooth and efficient program operation
Education
Bachelor of Science - Public Health
San Jose State University
San Jose, CA05-2019
Skills
- Patient Scheduling
- HIPAA Compliance
- Insurance Verification
- Proficient in Electronic Health Records (EHR) systems, such as Care Connect
- Strong medical terminology knowledge Exceptional attention to detail and the ability to multitask in a fast-paced clinical environment
- Excellent communication and interpersonal skills for effective teamwork with healthcare professionals
- Efficient typing speed and data entry skills
- Proficient knowledge of Microsoft Office, Google Drive, Outlook, email systems, and the internet
Timeline
Prior Authorization Coordinator
UCLA Health
09.2023 - Current
Health Administrative Assistant III
UCLA Health- Various Locations
11.2022 - Current
Healthcare Coordinator and Covid Screener
T shield 3
01.2022 - 07.2022
Covid Screener
Milestone Technologies
06.2021 - 12.2021
Prorgam Assistant
Crystal Stairs
02.2020 - 05.2020
Peer Health Educator
Non Profit Organization CHAIN Reaction
06.2019 - 06.2020
Bachelor of Science - Public Health
San Jose State University
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