Detail-oriented healthcare professional with expertise in electronic health records, insurance verification, and patient scheduling. Committed to ensuring compliance and optimizing referral management for seamless patient care.
Overview
9
9
years of professional experience
Work History
Care Coordinator Auth Scheduling Specialist
Advocate Health
Rock Hill
11.2025 - Current
Maintained accurate patient records in electronic health systems for easy access.
Communicated with healthcare providers to verify referral requirements and processes.
Scheduled patients according to availability, urgency and insurance authorization guidelines.
Adhered to HIPAA regulations when handling confidential patient information.
Verified documents and associated records to catch and resolve discrepancies.
Scheduled surgical procedures in collaboration with surgeons and medical staff.
Prior Authorization Specialist
Cencora
Fort Mill
04.2017 - 10.2025
Reviewed prior authorization requests for accuracy and completeness.
Communicated with healthcare providers to gather necessary documentation.
Processed insurance claims and verified patient eligibility for services.
Collaborated with pharmacy staff to ensure timely approvals for medications.
Handled appeals for denied authorizations, ensuring compliance with regulations.
Maintained up-to-date knowledge of insurance policies and industry trends.
Care Coordinator / Scheduling Supervisor at Always Best Care Senior Service of NapervilleCare Coordinator / Scheduling Supervisor at Always Best Care Senior Service of Naperville
Surgery Scheduling Coordinator/Prior Authorization Specialist at Sonoran Ear Nose Throat and AudiologySurgery Scheduling Coordinator/Prior Authorization Specialist at Sonoran Ear Nose Throat and Audiology