Recent graduate with Associate degree in Healthcare Administration. Detail-oriented individual with exceptional communication skills and personality. Extensive experience in the medical field as a Medical Assistant, Receptionist, Medical Biller, Coder, Phlebotomist and Prior-Authorization Specialist. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments.
Researched denied claims and contacted insurance companies to resolve these issues.
Tracked referral submission during facilitation of prior authorization issuance.
Fielded telephone inquiries on authorization details from plan members and medical staff.
Input all patient data regarding claims and prior authorizations into system accurately.
Appeal denied prior authorization requests by submitting proof of medical necessity.
Correctly answering clinical questions to achieve authorization.
Make sure correct procedure ordered matches correct request/ICD-10/CPT codes.
Trained new employees
Fill in for other Medical Assistants, Receptionists as needed.
Verified eligibility and compliance with authorization requirements for service providers.
Assisted physician with tasks such as Medial Branch Blocks, Radiofrequency Ablations, Genicular Nerve Block procedures alongside physician by providing required medication in specific order while operating Fluoroscopy Equipment.
Pre-Screening patients before procedure.
Assist manager with any task necessary such as traveling between Parkwest and Outlook office.
Preparing radiofrequency probes for sterilization and operating centrifuge equipment.
Medical Assistant/Laboratory Phlebotomist
Castillo Primary Care
01.2019 - 08.2022
Maintained adequate stock of medical supplies by tracking inventory levels and placing replenishment orders prior to depletion.
Coordinated sanitization, restocking, and organization of exam rooms and medical equipment.
Obtained client medical history, medication information, symptoms, and allergies.
Coordinated patient placement in exam rooms to enhance operational efficiency. Responded to patient questions, providing necessary information about upcoming examinations. Set up and maintained examination rooms for physicians, prioritizing cleanliness and accessibility.
Managed medical records by implementing systematic filing, organizing, and scanning of documents.
Managed telephone inquiries by delivering office information and routing calls to appropriate staff.
Oriented and trained new staff on proper procedures and policies.
Recorded and analyzed patient medical history, vital signs, and current complaints during intake.
facilitated regular assessments and diagnostic testing by means of specimen collection and processing.
Processed blood samples through centrifugation according to clinical protocols.
Executed venipuncture, subcutaneous, and intramuscular injections while preparing and analyzing urine specimens for flu, COVID, and strep tests.
Assisted in training and onboarding new employees.
Ensures compliance with HIPAA standards while safeguarding patient confidentiality in each interaction.
Home Healthcare Specialist
Hildebrand Home Healthcare
04.2018 - 01.2020
Provided mobility assistance such as walking and regular exercising.
Provided transportation and appointments management.
Assisted disabled clients to support independence and well-being.
Traveled to clients' homes to complete healthcare services and promote continuity of care.
Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
Provided direct personal care and administrative services to clients.
Medical Receptionist/Prior Authorization Specialist
Open MRI of Loma LInda
02.2008 - 05.2012
coordination of patient appointments
Enhanced office staff and operational efficiency by managing essential administrative responsibilities.
Adhered to strict HIPAA guidelines to protect patient privacy.
Proofread draft of the neuro-radiologists final report.
Submitted and obtained prior authorizations for procedure.
Conduct comprehensive evaluations of all patients prior to imaging to ensure health safety
Facilitated sedation and comfort of claustrophobic patients through administration of Valium and supportive communication
onboarding new team members.
Coordinated office opening and closing while ensuring continuous operational efficiency. Set and reset security systems to enhance safety protocols. Monitored equipment status, ensuring all devices were operationally ready.
Education
Associate of Science - Healthcare Administration
Colorado Technical University
Colorado Springs, CO
11-2025
Completed Program But Not Externship - Medical Assistiant/Phlebotomy
Prior Authorization Specialist/Medical Receptionist at Cardiology Consultants of Southwest FloridaPrior Authorization Specialist/Medical Receptionist at Cardiology Consultants of Southwest Florida
Administrative Assistant/Prior Authorization Specialist at Penn Highlands Lung Center Lung Innovations NetworkAdministrative Assistant/Prior Authorization Specialist at Penn Highlands Lung Center Lung Innovations Network