Amanda Cortes

Authorization Coordinator

• Data Entry: Processing referrals: specialists, surgeries, inpatient admissions, acute & Skilled services
• Verify eligibility, benefits, and contracts with various health plans and upload health plan criteria
• Obtain additional information for pending authorizations for utilization review
• Worked very closely with reviewing nurse and assisted with any additional information needed
• Made calls to patients notifying them of referrals processed and decision

Lead Health Service Specialist

• Assisted Case Management department with weekend coverage of entering and processing face sheets
• Reporting: ran daily, weekly and monthly reports to ensure authorizations were processed correctly and made any corrections needed for end of month audits
• Staffing: Sent out daily staffing and coverage emails
• Distributed and assigned coverage for staff on PTO or out sick to ensure referrals were processed timely
• Coordinated weekend coverage to ensure Stat and Urgent referrals were processed in compliance
• Assisted with overseeing Authorization coordinators - sent out daily production of work still awaiting to be processed