Elisia Reynoso

• Lead and oversee a team of Pre-Authorization Representatives, providing guidance, support, and quality control to ensure accurate and timely processing of authorization requests.
• Manage daily workflow operations, prioritize work queues, and monitor productivity to maintain service level expectations and improve team efficiency.
• Review and audit authorization requests for accuracy, completeness, and compliance with payer requirements and internal standards.
• Facilitate pre-authorizations for diagnostic imaging services, ensuring timely approvals and minimizing delays in patient care.
• Analyze patient insurance eligibility, benefits, and authorization requirements to ensure compliance and reduce denials.
• Provide coaching and training to team members on authorization processes, payer guidelines, and workflow best practices.
• Collaborate with providers, insurance carriers, and internal departments to resolve authorization issues and expedite patient scheduling.
• Identify process improvement opportunities and implement workflow enhancements to increase quality, productivity, and operational effectiveness.
• Maintain detailed documentation and ensure adherence to HIPAA regulations and organizational policies.

You may also want to update your professional summary to reflect your leadership role:

• Orthodontic travel assistant, prepare and place brackets for orthodontic Doctor to position and measure.
• Finish curing them off, then finishing placing last of braces.
• Capable of grasping on quickly to new procedures, or new tactics.

• Duties vary from cleaning instruments rooms, assisting in procedures as crown seats, extractions, fillings, etc.
• Worked with prosthetics as dentures and bridges.
• Assisted in scheduling.

• Received and screened high volume of internal and external communications.
• Updated financial, customer and business records with accurate information each day.
• Organized files, developed spreadsheets, faxed reports and scanned documents.
• AR/AP invoice's and billing statements.

• Handled large sums of money for closing time.
• Cashier for drive thru lobby.

• Cashier and drive thru.
• Prepared previous orders.
• Worked mornings, ability to prep and get things stocked early mornings.