Gloria Lozano

Coordinated and obtained prior authorizations for specialty treatments, diagnostic imaging, and interventional pain procedures. Verified patient insurance eligibility and coverage for medical services, ensuring accurate benefits interpretation and minimizing claim denials.

Guided patients through insurance verification and benefits explanation prior to treatment or procedures. Managed scheduling of patient appointments, ensuring appropriate coordination with provider availability and treatment timelines.

Coordinated and scheduled patient appointments for imaging services including X-rays, MRIs, CT scans, and ultrasounds. Provided patients with pre-procedure instructions and prepared documentation for upcoming diagnostic visits.

Processed a high volume of medical-only and future medical claims with accuracy and adherence to established timelines. Evaluated claims to determine eligibility and benefit levels based on internal policies and regulatory requirements.

Coordinated surgical scheduling for spine procedures, collaborating with hospitals, surgical centers, and clinical teams. Verified patient insurance coverage and secured pre-authorizations for surgical and outpatient procedures.

Scheduled surgical procedures and coordinated logistics with physicians, hospitals, and external providers. Created and maintained patient charts, ensuring accuracy and accessibility of clinical information.

Completed coursework in Business Administration, Medical Terminology, and Anatomy. Gained foundational knowledge in these areas relevant to healthcare administration.