Open to opportunities

Gabriella Cavazos

@gabriellacavazos

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Certified Medical Assistant specializing in provider enrollment and healthcare operations.

United States

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What I'm looking for

I seek a role in provider enrollment or healthcare operations where I can apply credentialing, insurance verification, and prior authorization expertise, grow within a collaborative, compliance-focused team, and improve processes in fast-paced settings.

I am a Certified Medical Assistant with 5+ years supporting provider enrollment, insurance verification, credentialing support, prior authorizations, and regulatory compliance across hospital, outpatient, and telehealth settings. I navigate multiple EMR and business systems to validate enrollment and licensure requirements and resolve complex inquiries within strict service-level timelines.

I have hands-on experience reviewing and validating provider and patient data, submitting and tracking prior authorizations using CoverMyMeds, and collaborating with providers, payers, pharmacies, and billing teams to drive successful outcomes. I maintain meticulous documentation in EMR systems (Athenahealth) and ensure compliance with HIPAA, OSHA, and payer requirements.

I am recognized for delivering high-quality customer service, clear written and verbal communication, and attention to detail in high-volume environments. I hold NRCMA certification and BLS/CPR credentials and am bilingual in English and Spanish.

Experience

Work history, roles, and key accomplishments

Provider Enrollment Specialist

HCA Memorial Hospital

Dec 2024 - Jul 2025 (7 months)

Reviewed and validated provider and patient data to ensure compliance with payer and Medicaid requirements, verified insurance eligibility and authorization needs, and resolved enrollment issues within service-level timelines.

Payer Enrollment Insurance Verification Medicaid Regulatory Compliance Customer Service

Medical Assistant

ENT & Allergy Centers of Texas

Apr 2022 - Dec 2024 (2 years 8 months)

Supported provider enrollment maintenance, submitted and tracked prior authorizations via CoverMyMeds, and served as liaison among providers, pharmacies, payers, and patients to resolve authorization and enrollment issues.

Payer Enrollment Prior Authorizations CoverMyMeds Insurance Verification EMR Documentation

Medical Assistant

Medical City Dallas

Jan 2022 - Dec 2024 (2 years 11 months)

Maintained provider and patient records to support enrollment, billing, and compliance, investigated insurance discrepancies, and communicated updates to providers and billing teams in a high-volume setting.

Insurance Verification EMR & Compliance Documentation Communication

Medical Assistant

Questcare Medical Center

Dec 2019 - Apr 2022 (2 years 4 months)

Performed front- and back-office operations including insurance verification and enrollment validation, managed high-volume communications, and ensured documentation met HIPAA and organizational standards.

Insurance Verification HIPAA Documentation

Medical Assistant

Texas Children's Hospital

Aug 2019 - Dec 2021 (2 years 4 months)

Provided clinical and administrative pediatric support, collected and documented patient and provider data in EMR systems, and communicated with families and care teams while maintaining privacy and regulatory standards.

Pediatric Support Clinical Support Communication