Daisy Alan
Moreno Valley
Summary
Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth. Dedicated employee known for punctuality, pursuing employment options where good customer service and positive attitude will make a difference.
Resourceful Authorization Coordinator known for high productivity and efficient task completion. Specialize in insurance verification, patient communication, and regulatory compliance. Excel in time management, problem-solving, and adaptability, ensuring smooth workflow and effective coordination within healthcare settings.
Overview
19
19
years of professional experience
Work History
Authorization Coordinator
DLP Eye Group
Commerce
07.2025 - Current
- Coordinated patient authorization processes for various eye care services.
- Managed communication with insurance providers to verify coverage details.
- Processed and submitted authorization requests for surgical procedures efficiently.
- Collaborated with healthcare providers to gather necessary patient documentation.
- Maintained accurate records of authorization requests and outcomes in the system.
- Assisted patients in understanding their insurance benefits and authorization status.
- Monitored updates on insurance policies affecting patient authorizations regularly.
- Managed workflow processes for authorization requests, including routing documents and tracking progress.
- Reviewed and approved authorization requests according to established criteria.
- Maintained accurate records of all authorizations in the system.
- Performed administrative duties such as filing, copying, scanning, faxing.
- Implemented strategies to improve the efficiency of the authorization process.
- Researched information as necessary to resolve customer inquiries or issues with authorizations.
- Coordinated communication between departments regarding authorization procedures.
- Identified discrepancies in authorization requests, reported them to management, and took corrective action as needed.
- Created detailed documentation of processes related to authorizing services and products.
- Analyzed data from various sources to ensure accuracy of authorizations.
- Evaluated current policies and procedures related to authorizing services or products, making changes where appropriate.
- Collaborated with other departments within the organization to ensure timely completion of authorizations.
- Assessed customer needs by reviewing past authorizations and making recommendations based on those reviews.
- Updated spreadsheets and other document filing systems.
Ophthalmic Technician
Riverside Eye Specialists
Riverside
09.2022 - Current
- Nextech EMR knowledge
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Documented conversations with customers to track requests, problems and solutions.
- Researched resolutions, contacted necessary departments and responded back to customer back phone, mail or fax as follow up.
- Kept customer and system account information accurate and current to support timely resolutions for concerns.
- Reviewed customer account information to determine current issues and potential solutions.
- Documented customer inquiries and feedback and entered service delivery suggestions in company database.
- Interacted with customers to provide and process information in response to inquiries, concerns and requests about services and products.
- Followed up on emailed or web-submitted customer inquiries within standard response times.
- Delivered customer support to high call load.
- Prepared patients and administered eye exam tests.
- Sent patient prescriptions to pharmacies and scheduled future appointments.
- Obtained and recorded patient medical history and operated ophthalmic equipment.
- Wrote, edited and filed patient medical records, maintaining confidentiality.
- Observed pupils, visual acuteness and extra-ocular movements to check patient status.
- Instructed and educated patients on prescriptions and provider instructions to optimize treatment plans.
- Interacted with eye care providers to facilitate patient treatment goals.
- Counseled patients in surgery and treatment plans.
- Surgery Scheduling/ HMO authorization requests.
- Maintained smooth patient flow throughout facility, promoting efficient overall operations.
- Led patients to exam rooms, collected medical histories and asked questions regarding health and current medications to provide physicians with optimal initial data.
- Screened patients for issues and eye diseases, checking visual acuity, color plates, pupil dilation and papillary function.
- Diagnostic Testing. OCT ON/MACULA/ OPTOS/ IOL MASTER/ ITRACE/ Visual Field/ Autorefractor
- Lensometry
- Documented patient care by charting patient condition and treatment in records.
- Conducted tonometry (icare) tests to measure intraocular pressure.
Customer Service Representative
Anthem
Cerritos
10.2021 - 03.2023
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Consulted with customers to resolve service and billing issues.
- Set up and activated customer accounts.
- Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Made outbound calls to obtain account information.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Managed and obtained insurance authorizations for patient referrals from physicians.
Ophthalmic Technician
Soledad Eye Surgeons
Los Angeles
01.2007 - 04.2020
- Obtained and recorded patient medical history and operated ophthalmic equipment.
- Observed pupils, visual acuteness, and extra-ocular movements to check patient status.
- Advised patients on ocular medications, dressings and contact lenses.
- Counseled patients in surgery and treatment plans.
- Sanitized ultrasonic instruments and equipment to avoid spread of disease.
- Performed eye care screenings and made recommendations to patients regarding proper eye care.
- Authorized refills for patient prescriptions, keeping careful track of all medications and side effects.
- Educated patients on conditions, explaining treatment options and possible medication side effects.
- Explained procedures in easy-to-understand terminology to patients and their families.
- Prepared operating suites for surgeries by stocking supplies, placing equipment in position.
- Organized and updated patient charts to incorporate insurance carrier changes.
- Led patients to exam rooms, collected medical histories and asked questions regarding health and current medications to provide physicians with optimal initial data.
- Maintained smooth patient flow throughout facility, promoting efficient overall operations.
- Screened patients for issues and eye diseases, checking visual acuity, color plates, pupil dilation and papillary function.
- Conducted tonometry or tonography tests to measure intraocular pressure.
- Leveraged strong interpersonal, communication and collaboration skills to relate successfully to diverse individuals, including patients and staff, on daily basis.
- Checked inventory levels and ordered supplies, medications and materials to meet expected demand.
- Addressed issues noted during preliminary examinations with physician to provide important information and boost appointment success.
- Promoted healing and patient satisfaction by delivering detailed instructions for pre- and post-op eye care to patients as directed by physicians.
- Kept examination rooms, clinical areas and equipment clean and patient-ready.
- Dilated patients' eyes and administered prescribed treatments.
- Tested patients visual fields and ocular motility and completed full patient work-ups.
- Collected essential medical information and documented data in EHR platform.
- Administered ophthalmic drops and ointments for treatment or to aid in diagnostics.
- Coordinated surgical services, including setting appointments, verifying insurance and informing patients of important points such as pre-surgery restrictions.
- Completed standardized Oct, Visual Field, IOL lenstar and Fundus Photo ophthalmology tests.
- Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Educated patients about medications, procedures and physician's instructions.
- Organized charts, documents and supplies to maintain team productivity.
- Contacted pharmacies to submit and refill patients' prescriptions.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Collaborated with local pharmacies to resolve and clarify issues with patient medication.
- Efficiently performed insurance verification and pre-certification and pre-authorization functions.
- Contributed to office operations by triaging patients by severity of medical complaint.
Education
High School Diploma -
Bell Senior High School
Bell, CAMedical Assisting
United Education Institute
Huntington Park, CASkills
- Ocular measurements
- Supplies inventory
- Retinal procedure assistance
- Preliminary testing
- Medical history obtainment
- Ophthalmology testing
- Diagnostic testing
- Instrument sterilization
- Physician assistance
- Patient interview expertise
- Organizational skills
- Problem resolution
- Working collaboratively
- Team management
- Organization
- Patient scheduling
- Customer Service
- Data entry
- Calm and level-headed under duress
- Authorizations knowledge
- Time management
- Fluent in Spanish
- People skills
- Reliable and Punctual
- Courteous and Professional
- Multi-Line Phone Systems
- Payment Processing
- Multitasking and Prioritization
- Patient authorization
- Insurance verification
Education and Training
other,other
Languages
- English
- Spanish
Timeline
Authorization Coordinator
DLP Eye Group
07.2025 - Current
Ophthalmic Technician
Riverside Eye Specialists
09.2022 - Current
Customer Service Representative
Anthem
10.2021 - 03.2023
Ophthalmic Technician
Soledad Eye Surgeons
01.2007 - 04.2020
High School Diploma -
Bell Senior High School
Medical Assisting
United Education Institute