Darce Montijo
El Cajon
Summary
Detail-oriented prior authorization specialist with expertise in patient scheduling and pre-authorization management. Delivered compliance training and maintained accurate health records, resulting in enhanced operational efficiency and improved patient satisfaction. Managed electronic health records and facilitated effective patient-provider communication to support high-quality care.
Overview
6
6
years of professional experience
Work History
Lead Procedures Coordinator
California Pain Consultants
San Diego
06.2025 - Current
- Facilitated training for new staff on office procedures and scheduling protocols to enhance operational consistency.
- Coordinated communication between patients and healthcare providers to effectively resolve scheduling conflicts.
- Obtained pre-authorizations for minor surgical procedures, ensuring compliance and smooth patient flow.
- Scheduled patient appointments efficiently using electronic health record systems.
- Assisted patients in understanding treatment plans during scheduling.
- Maintained accurate patient records in compliance with regulations.
- Communicated office policies and treatment plans effectively to patients.
Authorization Coordinator
Chula Vista Cardiac Center
02.2023 - 06.2025
- Submitted prior authorization requests with required documentation to funding sources.
- Maintained follow-up on prior authorization requests for timely processing.
- Reviewed payer authorizations to determine approval or denial status.
- Organized files and managed records to track correspondence activities.
Authorization Coordinator
San Diego Imaging
04.2022 - 03.2023
- Ensured timely processing through consistent follow-up on prior authorization requests.
- Submitted complete prior authorization requests to relevant funding sources.
- Acquired new skills quickly to enhance daily efficiency and productivity.
- Reviewed records for completeness, attaching necessary documents to correspondence.
Medical Receptionist
La Mesa Health Care Medical Group
01.2021 - 02.2022
- Coordinated patient scheduling to enhance check-in, check-out, and billing efficiency.
- Verified insurance information and processed billing with accuracy.
- Managed office supplies and ordered inventory based on needs.
- Utilized electronic health record systems for timely updates of patient information.
- Operated multi-line phone system, greeting patients with professionalism.
- Assisted patients in completing medical forms and necessary documentation.
- Scheduled appointments for providers to improve clinician availability and manage patient loads.
Education
Certified Nursing Assistant - Medical Assisting
Maricopa Community Colleges - Glendale Community College
Glendale, AZ11-2009
Skills
- Patient communication
- Active listening
- Eligibility verification
- EMR management
- Patient optimization
- Demographic handling
- Authorization procurement
- Referral coordination
- Multitasking
- Patient support
- Administrative management
- Patient data analysis
- EHR management
- Prior authorization
- Scheduling expertise
Timeline
Lead Procedures Coordinator
California Pain Consultants
06.2025 - Current
Authorization Coordinator
Chula Vista Cardiac Center
02.2023 - 06.2025
Authorization Coordinator
San Diego Imaging
04.2022 - 03.2023
Medical Receptionist
La Mesa Health Care Medical Group
01.2021 - 02.2022
Certified Nursing Assistant - Medical Assisting
Maricopa Community Colleges - Glendale Community College