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Victoria Rosell

@victoriarosell

Utilization Management Coordinator at AdventHealth Daytona Beach, securing inpatient authorizations and helping prevent delays in patient care.

United States

Message

At AdventHealth Daytona Beach, I obtain prior authorizations for inpatient admissions and review clinical documentation against payer medical necessity requirements. I work with physicians, clinical teams, and insurers to secure timely approvals and resolve pending requests.

Previously, I supported patient access and revenue cycle operations at AdventHealth Waterman Hospital and verified insurance benefits at South Lake OB/GYN. I’m completing a Bachelor of Science in Healthcare Administration at AdventHealth University and hold a Certified Revenue Cycle Representative certification.

Experience

Work history, roles, and key accomplishments

Current

Utilization Management Coordinator

Current

AdventHealth Daytona Beach

Oct 2022 - Present (4 years)

Obtain prior authorizations for inpatient admissions and collaborate with physicians, clinical teams, and insurance companies to secure timely approvals. Review clinical documentation, track authorization status, and maintain accurate records in the EHR.

Prior Authorizations Clinical Documentation Review Payer Engagement Electronic Health Records (EHR)Payer Portals Case Management Revenue Cycle Operations

Consumer Access Representative

AdventHealth Waterman Hospital

Jul 2021 - Oct 2022 (1 year 3 months)

Assisted patients with registration, scheduling, insurance verification, and demographic updates. Supported revenue cycle operations by ensuring accurate patient information and maintaining HIPAA compliance.

Patient Registration Insurance Verification Scheduling Electronic Health Records (EHR)Revenue Cycle Operations HIPAA compliance

Insurance Verification Specialist

South Lake OB/GYN

Feb 2017 - Jul 2020 (3 years 5 months)

Verified insurance eligibility, benefits, and authorization requirements, and communicated with carriers to resolve discrepancies. Assisted with payer contract management and identified coverage issues to reduce claim denials.

Insurance Verification benefits analysis Payer Engagement Contract Management Denials Prevention Medical Billing