Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Pamela Arroyo

Pamela Arroyo

San Diego

Summary

Dynamic Healthcare Authorization Specialist with proven expertise at Rady Children's Health in insurance verification and patient relations. Adept at enhancing patient experiences through timely authorizations and effective communication. Bilingual in Spanish, skilled in EPIC, and committed to maintaining HIPAA compliance while delivering exceptional service and problem-solving solutions.

Overview

8
8
years of professional experience

Work History

Healthcare Authorization Specialist I

Rady Children's Health
San Diego
09.2024 - Current
  • Verified insurance benefits and accurately calculated patient responsibility estimates for families.
  • Secured timely authorizations for all designated service types to improve patient experiences.
  • Engaged with billing and coding staff to clarify authorization-related policies and procedures.
  • Provided customer service support related to authorization requests for internal and external clients.
  • Tracked authorization statuses using electronic databases and manual filing systems.
  • Executed additional assigned duties to ensure workflow continuity.

Referral

CHOC Health Alliance
San Diego
08.2021 - 09.2024
  • Collaborated with internal departments to facilitate seamless transitions for referred patients.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Assisted in training new employees on organizational referral policies.
  • Prioritized referrals based on urgency and ensured compliance with deadlines.

Patient Service Representative

Scripps Clinic
San Diego
01.2019 - 08.2021
  • Greeted patients and verified information to enhance visit experiences.
  • Assigned medical record numbers and scheduled appointments efficiently.
  • Processed point-of-service payments while resolving billing inquiries.
  • Prepared end-of-day reports and reconciled payments for accuracy.
  • Maintained clear communication with patients, providers, and staff.
  • Ensured completion of documentation prior to patient discharge.
  • Managed reception area to uphold cleanliness and organization.
  • Performed administrative tasks including filing, faxing, and photocopying.

Emergency Room Unit Secretary

Scripps Mercy Hospital
San Diego
03.2017 - 01.2019
  • Processed admissions paperwork for new patients in ER unit efficiently.
  • Prepared comprehensive reports on patient status and treatments for doctors.
  • Maintained confidentiality of patient information in compliance with HIPAA regulations.
  • Provided clerical support, including typing, filing, and photocopying documents.
  • Answered incoming calls from patients requesting medical advice or assistance.
  • Ensured accuracy and completeness of patient records and charts.
  • Coordinated with departments to enhance operations within ER unit.
  • Routed laboratory results to appropriate staff promptly.

Education

Medical Assistant

CET- Center For Employment Training
San Diego, CA
09-2008

High School Diploma -

San Diego High School
San Diego, CA
06-2004

Skills

  • Insurance verification and authorization
  • Patient documentation and relations
  • Benefit calculation and HIPAA compliance
  • Data entry accuracy
  • Problem solving
  • Eligibility procedures
  • Record keeping
  • Telephone etiquette
  • EPIC proficiency
  • Fluent in Spanish

Languages

Spanish
Professional

Timeline

Healthcare Authorization Specialist I

Rady Children's Health
09.2024 - Current

Referral

CHOC Health Alliance
08.2021 - 09.2024

Patient Service Representative

Scripps Clinic
01.2019 - 08.2021

Emergency Room Unit Secretary

Scripps Mercy Hospital
03.2017 - 01.2019

Medical Assistant

CET- Center For Employment Training

High School Diploma -

San Diego High School

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Pamela Arroyo