Claudia Sandoval
@claudiasandoval
Reliable authorization specialist with exceptional multitasking and problem-solving skills.
United StatesWhat I'm looking for
As a dedicated Authorization Specialist with over four years of experience in the healthcare sector, I have honed my skills in verifying patient eligibility and obtaining benefits through various insurance portals. My role at United Health Group-Optum allowed me to excel in documenting benefits and prior authorization details, ensuring compliance with department guidelines. I take pride in my ability to follow up on pending and denied authorizations, facilitating peer-to-peer reviews when necessary, and consistently exceeding productivity expectations.
Prior to my tenure at United Health Group, I worked at Altamed Medical Group, where I was responsible for requesting and obtaining prior authorizations for radiology and cardiology procedures. My attention to detail and strong organizational skills enabled me to maintain accurate patient records and collaborate effectively with scheduling departments to ensure timely appointments. My experience as a Medical Optical Technician further solidified my ability to manage multiple tasks efficiently while providing excellent patient care.
Experience
Work history, roles, and key accomplishments
Authorization Specialist
United Health Group - Optum
Jun 2021 - Nov 2024 (3 years 5 months)
Responsible for verifying patient eligibility and obtaining benefits through phone and insurance portals. Documented benefits and prior authorization details, followed up on pending authorizations, and appealed denials. Collaborated with scheduling to assist with appointments and consistently exceeded productivity expectations.
Authorizations Specialist
Altamed Medical Group
May 2020 - Jun 2021 (1 year 1 month)
Requested and obtained prior authorizations for radiology and cardiology procedures. Documented authorization details, followed up on pending requests, and collaborated with scheduling departments to check authorization requirements. Consistently met quality and productivity standards.
Medical Optical Technician
Santa Ana Family Optometry
Oct 2013 - Jan 2020 (6 years 3 months)
Managed phone communications, matched lab jobs with paperwork, and ensured timely delivery of optical services. Verified patient eligibility, obtained benefits, and handled billing for optical services. Maintained inventory and contacted patients regarding missed appointments.
Education
Degrees, certifications, and relevant coursework
High School
High School Diploma
Certified Clinical Medical Assistant
Certification, Medical Assistance
Completed training as a Certified Clinical Medical Assistant, focusing on patient care, medical terminology, and clinical procedures.
BLS Certification
Certification, Emergency Response
Received Basic Life Support (BLS) certification from the American Heart Association, ensuring readiness to respond to medical emergencies.
Availability
Location
United StatesAuthorized to work in
Job categories
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