Christina Parker
Menifee
Summary
Dynamic Authorization Coordinator at SCAN Health Plan with a proven track record in prior authorization and strong communication skills. Enhanced patient care through efficient coordination of medical procedures and proactive renewal processes. Committed to compliance with healthcare regulations while fostering a collaborative environment that drives organizational growth.
Overview
16
16
years of professional experience
Work History
Authorization Coordinator
SCAN Health Plan
01.2015 - 08.2024
- Collaborated with multidisciplinary teams to ensure timely submission of documentation required for insurance approval.
- Improved patient care by efficiently coordinating authorizations for medical procedures and treatment plans.
- Facilitated timely renewals of ongoing authorizations by closely monitoring expiration dates and initiating renewal processes proactively.
- Reviewed authorizations from payer to determine approved or denied items.
- Maintained consistent follow-up on status of prior authorization requests.
- Participated in regular audits of authorization files, addressing discrepancies and implementing corrective actions as needed.
Member Service Specialist
SCAN Health Plan
01.2015 - 06.2015
- Handled escalated calls professionally, mitigating concerns effectively while maintaining excellent rapport with clients.
- Assisted in training new team members, sharing best practices, and contributing to a cohesive work environment.
- Provided personalized financial guidance based on individual goals, helping members make well-informed decisions about their finances.
- Participated actively in continuous improvement initiatives that bolstered member satisfaction and increased overall team performance.
Patient Service Representative
Altamed Medical Group
01.2014 - 01.2015
- Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
- Verified insurance eligibility and coverage for patients.
- Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
- Filed and maintained patient records in accordance with HIPAA regulations.
Intake Coordinator
Molina Healthcare
01.2009 - 01.2013
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
- Completed intake assessment forms and filed clients' charts.
- Collaborated with healthcare professionals to ensure patients received appropriate services and resources.
- Answered phone calls and provided new clients with required paperwork to initiate service.
Education
Nursing
El Camino College
Torrance, CASkills
- Prior authorization
- Strong communication skills
- Organizational growth
- Critical thinking
- Patient confidentiality compliance
- Healthcare regulations
- Time management
Languages
Spanish
Native or Bilingual
Timeline
Authorization Coordinator
SCAN Health Plan
01.2015 - 08.2024
Member Service Specialist
SCAN Health Plan
01.2015 - 06.2015
Patient Service Representative
Altamed Medical Group
01.2014 - 01.2015
Intake Coordinator
Molina Healthcare
01.2009 - 01.2013
Nursing
El Camino College
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