Referral coordinator, revenue cycle support, prior authorization

MARIANYS RAMOS GUZMAN

Lake Wales, FL Open to Remote Roles Nationwide

Bilingual: English & Spanish

321-***-**** *********.*****@*****.***

PROFESSIONAL SUMMARY

High-performing Referral & Prior Authorization Specialist with 2+ years of experience supporting high-volume healthcare operations in fully remote environments. Proven ability to manage 60–70+ referrals daily while maintaining accuracy, reducing authorization delays, and preventing claim denials. Strong background in Epic EHR, insurance verification, and revenue cycle support. Recognized for efficiency, compliance, and cross-functional coordination that improves patient access and operational workflow performance.

CORE COMPETENCIES

• High-Volume Referral Management (60–70+ Daily)

• Prior Authorization Processing & Tracking

• Insurance Eligibility & Benefits Verification

• Denial Prevention & Issue Resolution

• Revenue Cycle Support

• Epic EHR Documentation

• CPT & ICD-10 Knowledge

• HIPAA & Regulatory Compliance

• Remote Workflow Optimization

TECHNICAL SKILLS

• Epic EHR

• Insurance Carrier Portals

• Microsoft Office Suite

• Remote Communication & Collaboration Tools

PROFESSIONAL EXPERIENCE

Referral & Authorization Coordinator (Remote)

Orlando Health Medical Group 2024 – Present

• Manage 60–70+ referrals daily with strong attention to documentation accuracy and compliance standards.

• Submit, monitor, and follow up on high-volume prior authorizations for specialty services.

• Verify insurance eligibility and benefits to proactively reduce claim denials and scheduling delays.

• Collaborate with insurance carriers, provider offices, and internal departments to resolve authorization discrepancies.

• Support revenue cycle performance by improving turnaround times and minimizing lost reimbursement opportunities.

Recruiter

Arrow Workforce Solutions 2020 – 2024

• Led full-cycle recruitment including sourcing, screening, onboarding, and compliance management.

• Maintained high-volume candidate pipelines while consistently meeting placement and billing targets.

• Recognized for highest consecutive billable performance within branch operations.

• Strengthened communication and negotiation skills transferable to healthcare coordination roles.

EDUCATION

Medical Assistant

Florida Technical College

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