Open to opportunities

Jacqueline Acebo

@jacquelineacebo

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Bilingual health services care coordinator specializing in utilization management and authorization processing.

United States

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What I'm looking for

I’m looking for a care coordination or utilization management role where accuracy, HIPAA compliance, and clear provider communication matter—ideally in a high-impact team that values process improvement, speed, and patient-centered continuity of care.

I’m a bilingual (English/Spanish) Health Services Coordinator and Care Coordinator with 2+ years of experience in utilization management and care coordination, built through roles spanning inpatient, SNF, and behavioral health workflows. I focus on authorizations, medical necessity review support, and eligibility/benefits verification to help clinical teams move cases forward accurately and on time.

In my current role, I create and manage authorizations and referrals, process inpatient notifications for acute care and SNF admissions, and resolve patient service requests in fast-paced, high-volume environments. I also conduct eligibility verifications and benefits reviews, ensure completeness of authorization requests, and train and onboard new hires to strengthen departmental performance.

Previously, I served as a primary point of contact for providers, reviewing and processing faxed and phone requests for medical and clinical services while verifying procedure codes, notification requirements, and benefit coverage to determine authorization needs. I enter requests and updates into medical management systems, research rules and regulations using reference tools, and communicate decisions clearly to providers and members.

Earlier in my career, I processed prior authorization requests for emergency hospital admissions, managed daily onsite and discharge reports for a multi-hospital network, and generated determination correspondence using the Trucare system. I also supported members with state assistance applications and worked on CMS-submitted scripts, managing high-volume call workflows and mentoring new hires.

Experience

Work history, roles, and key accomplishments

Current

Care Coordinator

Current

Solis Health Plans

May 2024 - Present (2 years)

Created and managed authorizations and referrals to support clinical teams and seamless patient care. Processed inpatient notifications for acute care and SNF admissions and performed eligibility/benefits verification while maintaining HIPAA-compliant documentation.

Utilization Management Authorization Referral Coordination Benefit Verification Medical Necessity Review HIPAA compliance Inpatient Notifications UM System Data Entry

Medical Management Coordinator

Doctors Healthcare Plans, Inc

Jan 2023 - Feb 2024 (1 year 1 month)

Served as primary point of contact for providers regarding medical, behavioral, and clinical service notifications and authorizations. Reviewed and processed phone/fax requests, validated procedure codes and coverage requirements, entered updates into medical management systems, and communicated authorization decisions.

Authorization Provider Liaison HIPAA compliance

Utilization Review Coordinator

MMM of Florida

Nov 2018 - Dec 2022 (4 years 1 month)

Processed and reviewed prior authorization requests across phone, fax, and electronic systems while verifying member eligibility and prioritizing based on urgency and clinical need. Coordinated care access, routed complex requests for clinical medical-necessity determination, finalized authorizations, and produced daily census reports.

Authorization Care Coordination HIPAA compliance

Inpatient Coordinator

Magellan Complete Care

Feb 2015 - Nov 2018 (3 years 9 months)

Processed prior authorizations for emergency hospital admissions and collaborated with medical and behavioral clinical review staff to support timely determinations. Managed onsite and discharge reports across a multi-hospital Florida network, generated determination correspondence using Trucare, and trained new hires.

Prior Authorizations Inpatient Care Coordination Emergency Admission Notifications TruCare Training HIPAA compliance

Case Management Coordinator

Altegra Health

Oct 2007 - Feb 2015 (7 years 4 months)

Assisted members with applications for state assistance programs, including Food Stamps and Medicare Savings Programs, and obtained award letters from the Social Security Administration. Managed high-volume member contact, supported CMS-related script submissions, and trained new hires on departmental processes and best practices.

Case Management Program Applications Support Documentation Management Training Data Entry