Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Andrea Alarcon

Victorville

Summary

Detail-oriented individual with exceptional communication and customer service skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.

Overview

13
13
years of professional experience

Work History

Authorization Specialist

UCI Medical Center
01.2019 - Current
  • Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
  • Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
  • Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
  • Promoted positive customer experiences by addressing concerns or questions related to authorizations in a professional manner.
  • Assisted in training new team members on company policies and procedures for handling authorization requests.

Medical Assistant

St Jude Medical Center
04.2016 - 12.2018
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
  • Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
  • Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
  • Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
  • Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
  • Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.

Medical Assistant

Pain Specialists of Orange County
03.2014 - 04.2016
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
  • Reduced wait times for patients by maintaining an organized schedule and swiftly preparing examination rooms.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Updated inventory, expiration and vaccine logs to maintain current tracking documentation.
  • Supported ongoing quality improvement initiatives within the practice through active participation in staff meetings, professional development opportunities, and continuous selfassessment.

Medical Assistant

CRPM
03.2013 - 11.2013
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Updated patient information and insurance details for accurate electronic medical records.
  • Used EMR to schedule appointments for doctor visits and procedures.
  • Assisted with insurance verification, expediting the check-in process and ensuring accurate billing.
  • Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Contributed to a welcoming atmosphere at the practice by greeting patients warmly upon arrival, checking them in efficiently, and answering any questions they had about their visit or overall healthcare needs.
  • Performed diagnostic tests accurately, contributing to swift diagnosis and appropriate treatment options.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Assisted in various diagnostic procedures, ensuring accurate results and timely delivery of reports to physicians.

Education

Certificate - Medical Assistant

American Career College
Anaheim, CA
11-2012

High School Diploma -

El Camino Real High School
Placentia, CA
06-2007

Skills

  • Claims management
  • Microsoft office
  • Insurance verification
  • Data entry proficiency
  • Excellent Customer service
  • Call center operations
  • Account management
  • Organization and multitasking
  • Documentation and reporting
  • Remote work experience

Languages

Spanish
Professional Working

Timeline

Authorization Specialist

UCI Medical Center
01.2019 - Current

Medical Assistant

St Jude Medical Center
04.2016 - 12.2018

Medical Assistant

Pain Specialists of Orange County
03.2014 - 04.2016

Medical Assistant

CRPM
03.2013 - 11.2013

Certificate - Medical Assistant

American Career College

High School Diploma -

El Camino Real High School

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Andrea Alarcon