Supinee Pisitchaiyakul
Summary
Compassionate Registered Nurse with a Bachelor of Science in Nursing and California Public Health Nurse Certificate. Completed 950 clinical hours across medical surgical, pediatrics, maternal newborn, behavioral health, critical care, and community health settings. Expertise in clinical judgment, patient education, and interdisciplinary collaboration, complemented by experience in utilization management for effective care coordination. Committed to ongoing education as a Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Regal Medical Group
Northridge, CA
01.2020 - 11.2023
- Collaborate with physicians, nurses, health plans, and interdisciplinary teams to coordinate timely patient care and referral authorizations.
- Process and manage prior authorizations, including approvals, denials, deferrals, and follow-up, while maintaining regulatory and organizational compliance.
- Coordinate utilization management activities to facilitate appropriate care in the right setting at the right time.
- Maintain accurate documentation, patient notifications, and electronic records using REA and internal healthcare systems.
- Prioritize multiple cases while consistently meeting turnaround time and quality standards in a fast-paced healthcare environment.
Prior Authorization Coordinator
Regal Medical Group
Northridge, CA
09.2018 - 01.2020
- Verified insurance eligibility and benefits for durable medical equipment (DME), home health services, and specialty referrals to support timely authorization decisions.
- Processed prior authorization requests, including pending, approved, and denied cases, ensuring accurate documentation and timely resolution.
- Collaborated with nurses, physicians, medical directors, and provider offices to coordinate referrals and facilitate continuity of patient care.
- Identified referral processing trends and worked with internal teams to improve workflow efficiency and maintain organizational performance standards.
Clinic Operation
Asian Pacific Health Care Venture,
Los Felize, CA
07.2017 - 09.2018
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Education
Bachelor of Science - Nursing (BSN)
Azusa Pacific University
Azusa, CA12-2026
Bachelor of Arts - Psychology
Humboldt State University
Arcata, CA07-2010
Skills
- Claims Analysis
- Benefit Verification
- Patient Advocacy
- Customer Service
- Patient Assessment
- Case Management
- Medical terminology
- Care Coordination
- Electronic Health Records
- NextGen
- Microsoft Office
- Therapeutic Communication
- Health Insurance Terms
- Appeals Management
- REA
Accomplishments
- Promoted from Prior Authorization Coordinator to Prior Authorization Specialist based on performance and expanded responsibilities.
Certification
- California Registered Nurse License
- California Public Health Nurse Certificate
- Basic Life Support (BLS), American Heart Association
- First Aid Certification
Languages
Thai
Native or Bilingual
Clinical Experience
- USC Arcadia Hospital – Medical Surgical (90 hrs)
- Queen of the Valley Hospital – Pediatrics (92 hrs)
- Pomona Valley Hospital Medical Center – Maternal & Newborn (90 hrs)
- Las Encinas Hospital – Behavioral Health (90 hrs)
- PIH Health Hospital – Medical Surgical (132 hrs)
- Foothill Presbyterian Hospital – Critical Care Unit (139 hrs)
- CASA Treatment Center & FUCI – Community Health Nursing (135 hrs)
- Huntington Hospital - Medical Surgical (190 hrs)
Timeline
Prior Authorization Specialist
Regal Medical Group
01.2020 - 11.2023
Prior Authorization Coordinator
Regal Medical Group
09.2018 - 01.2020
Clinic Operation
Asian Pacific Health Care Venture,
07.2017 - 09.2018
Bachelor of Science - Nursing (BSN)
Azusa Pacific University
Bachelor of Arts - Psychology
Humboldt State University