julia Gomes
@juliagomes
I’m a healthcare Prior Authorization Technician focused on accurate, patient-centered coordination.
What I'm looking for
I’ve built my career across patient registration, medical assisting, and long-term care—bringing a steady, detail-first approach to every interaction. I’ve supported emergency room services through registration and insurance coordination, and I’m experienced with taking vitals, verification, referrals, ICD codes, and medication-related tasks including pain management and medication refills.
Most recently, I’m working in the PA dept. Tech role at CVS Caremark, processing prior authorizations for specialty medications with strong phone ethics and reliable computer skills. I’ve also worked across multiple care settings, including skilled nursing facility and temporary COVID response, and I’m comfortable charting, coordinating with doctors’ offices and hospitals, and working with medical insurance programs such as CAS and Novologix, plus As400.
Experience
Work history, roles, and key accomplishments
Prior Authorization Tech
CVS Caremark
Jan 2023 - Present (3 years 7 months)
Processes prior authorizations for specialty medications and provides customer support by phone. Coordinates with healthcare providers and insurance billing teams while verifying insurance information in internal systems.
Disability Caregiver
ARC of Kona
Jan 2020 - Aug 2023 (3 years 7 months)
Provided direct care to clients with disabilities, including assistance with daily living and medication administration tasks. Supported mobility and transfers (including wheelchair outings and lifting) and helped care for bed-bound clients.
Home Health Care Provider
Private Home Health Care
Jan 2015 - Jan 2019 (4 years)
Provided home health support including elderly/medical caregiving and assistance with daily patient needs. Supported patient safety and routine care activities as part of long-term and short-term care.
Patient Registration Coordinator
Hamakua Health Center
Jan 2014 - Present (12 years 7 months)
Served as a patient registration coordinator/navigator, verifying insurance and coordinating scheduling and follow-ups. Completed administrative tasks such as paperwork, email correspondence, and document handling (e.g., fax/copies), while also supporting medication-related needs (e.g., refills and pain management).
Patient Registration/PBX
NHCH Queens
Jan 2013 - Present (13 years 7 months)
Handled patient registration and PBX/telecommunications, including insurance coordination and verification. Assisted with patient care such as taking vitals, charting, referrals, and medication-related tasks (e.g., injections) with cross-training across hospital departments.
COVID Response Assistant
Hale Ho'ola Hamakua
Assisted in a skilled nursing facility during COVID response, supporting patient care for patients with COVID. Performed routine care tasks including taking vitals, maintaining safety, and helping with hygiene and daily living activities.
Education
Degrees, certifications, and relevant coursework
Big Island Nursing School
Certified Nursing Assistant (C.N.A.), Nursing Assistant
Completed a C.N.A certification program at Big Island Nursing School in 2004.
Honokaa High School
High School Diploma, General Studies
Earned a diploma from Honokaa High School in 2003.
Island CPR
CPR Certification, CPR
Completed an Island CPR program and earned CPR certification.
NHERC
Medical Assistant Certification, Medical Assisting
Completed an NHERC medical assistant program and earned medical assistant certification.
Availability
Location
Authorized to work in
Job categories
Skills
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