Priscilla Cordova

Obtained referrals and pre-authorizations for visits and procedures, performing data entry for billing and pharmacy benefits. Verified eligibility and benefits, prepared and transmitted claims using billing software, and followed up on unpaid or denied claims.

Performed all prior authorizations for prescriptions, CT scans, MRI, PET scans, injections, genetic testing, and referrals for all providers. Followed up on pending authorizations and provided backup as a Medical Assistant when needed.

Reviewed referrals from providers to obtain prior authorizations, ensuring coding requirements and data accuracy for requests. Followed up with referring providers and payers to determine authorization status and communicate denials or additional information needs.

Greeted patients, maintained vitals and records for accurate patient care, and assisted with physical and emotional needs. Obtained prior authorizations for various studies and medications, scheduled surgeries, and supported chemotherapy nurses.

Maintained accurate records of patient care, monitored vital signs, and responded to patient needs. Provided pre- and post-operative care, obtained medical history, and performed clerical duties including prior authorizations and referrals. Assisted with surgical procedures and USD studies.

Facilitated successful internal and external audits through sound documentation and composed effective accounting reports summarizing accounts payable data. Posted receipts, monitored client payments, reconciled vendor statements, and handled payment discrepancies.

Roomed patients, took vital signs, and performed urinalysis. Assisted with various procedures including paps, LEEPS, colps, and biopsies, and scheduled mammograms and ultrasounds.

Completed high school education, earning a diploma in May 1992.

Completed a program at Pima Medical Institute in November 2001. This training likely focused on medical assisting, preparing for a career in healthcare.