Authorization Specialist Referral Coordinator
Resume:
ANNABELL BUSTOS
Fresno CA *3720
SKILLS
• Prior Authorizations, Medicare, Medical, Commercial Insurance
• Verify Insurance, Medicare, Medical, Commercial, Insurance
• Intergy, EPIC, Onco, MOMS
• MS office, Excel, Outook
• Data Enrty, Strong Teamwork Skills, Customer Service, Patient Care
• High Level Support, High-Volume/Fast paced Environment
• Strong Communication, Clerical & Administrative, Highly Organized EXPERIENCE
The Heart Group-Cardovascular Associates
August 2015 – May 2020 Authorization Specialist
• Obtained authorization and submit referral for 17 Providers.
• Obtained authorizations for all Medi-Cal, Medi-Care, Private and Commercial insurance needed
• Obtained authorization for Echo, Nuclear, PET, Stress Test, Holtor Monitors, Office visits, EKG, SAT
• Sante referrals for all patients if needed
• New patient data input
• Review daily reports for next day appts of up to 360 patients
• Insurance verification, Medicare verification daily for next day appts
• Answer phones, obtain payment over the phone, scheduled office visits and office testing. Cardiac Institute
August 2007 – August 2015 M.A. / Authorization Specialist
• Obtain benefit and prior authorization from Private, Commercial and Medi-Cal insurance
• Determine insurance compatibility with health care provider programs
• Coordinate with patients regarding their insurance benefits and medical providers programs
• Re-verifying existing patients insurance coverage to determine benefits for office visit/testing
• Responsible for cardiac clearance for various facilities requesting Cardiac or surgical clearance
• Room in patient’s performed basic patient care recording vitals, EKG if needed.
• Scheduled surgical procedures, informed patient of upcoming hospital procedures and prep.
• Answered phones, scheduled office appts, testing appts. 2
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