Open to opportunities

Cynthia Torres

@cynthiatorres2

Message

Authorization specialist with 15+ years managing utilization and insurance approvals.

United States

Message

What I'm looking for

I’m looking to contribute to a high-performing healthcare organization focused on efficiency, compliance, and quality patient care—handling utilization management and accurate authorization processing with strong Health IT/EMR experience and confidentiality.

I’m a detail-oriented healthcare professional with over 15 years of experience in utilization management and insurance authorization, supported by a strong foundation in health information technology.

In my authorization work, I review clinical documentation, verify patient insurance eligibility and benefits, and coordinate with providers and health plans to ensure accurate, timely approvals for inpatient and outpatient services.

I’m committed to strict HIPAA confidentiality, precise data entry, and complete documentation of prior authorization follow-ups and determinations within company software or client EMRs. I also communicate effectively with providers, members, and health plans, including handling routine and urgent inquiries through calls and document imaging.

Experience

Work history, roles, and key accomplishments

Authorization Specialist

Health Network One

Oct 2017 - Mar 2026 (8 years 5 months)

Reviewed clinical documentation and coordinated with providers and health plans to ensure timely, accurate inpatient and outpatient authorization approvals while maintaining strict HIPAA confidentiality. Managed insurance eligibility/benefit review and completed EMR/client software documentation for prior authorizations, follow-ups, and determinations.

Utilization Management Prior Authorizations HIPAA compliance ICD 10 Coding CPT Coding

Medical Office Assistant

Tenet Health

May 2007 - Dec 2015 (8 years 7 months)

Supported daily clinic operations by scheduling appointments, verifying insurance eligibility, collecting/process payments, and managing accurate patient documentation. Interviewed and processed patients’ insurance and medical records, created/filed electronic and paper charts, and transcribed provider diagnoses and recommendations into the EMR.

Patient Scheduling Medical Records Management Medical Transcription Payment Processing

Education

Degrees, certifications, and relevant coursework

Florida Technical College

Associate degree, Health Information Technology

2013 - 2015

Grade: GPA: 4.0

Activities and societies: Excellence In Leadership Award; Florida Technical College President's List (Apr 2015); Highest GPA Award (Mar 2014); Outstanding Professional Achievement in Anatomy & Physiology (May 2014); Outstanding Professional Achievement in Lab Procedures (May 2014); Outstanding Professional Achievement in Cardiology (May 2014).

Completed an associate program in Health Information Technology at Florida Technical College (2013–2015), graduating with a 4.0 GPA and earning multiple academic and leadership awards.