Savina Concepcion

Led a team of 12 Patient Care Coordinators, overseeing daily operations and ensuring adherence to patient care protocols. Developed and optimized workflows for patient intake, resulting in a 15% increase in processing speed and a 20% reduction in scheduling errors. Managed inventory for wound care supplies, ensuring adequate stock levels, and placing orders for daily skin grafts.

Coordinated patient care for mobile wound care provider visits for patients with complex wounds. Submitted prior authorization requests to large insurance organizations with responsibility for tracking approval and denials. Trained new hires with our team to excel in scheduling and insurance processes.

Reviewed incoming prior authorization requests for three major Medicare and Medicaid health plans in Washington. Triaged member request forms by inputting into Epic Portal with full knowledge of ICD10 and CPT Codes. Answered incoming phone calls from providers' offices and members to resolve conflicts and answer questions in a timely manner.

Reviewed incoming pre-authorization requests from providers' offices and determined if requests needed further review with a medical team. Reduced out of compliance deadlines from day 14 to day 3 that meet CMS requirements. Prepared and distributed member letters, detailing approval of services or reasons for denial and possible appeal measures.

Completed high school education at Auburn Mountainview High School.