Rebecca Gomez
Phoenix,AZ
Summary
Experienced medical authorization and insurance specialist with a strong background in prior authorizations, neuromodulation and surgical approvals, appeals, benefits verification, and medical documentation. Skilled in resolving insurance issues, coordinating patient care, and maintaining accurate records in fast-paced healthcare environments.
Overview
13
13
years of professional experience
Work History
Neuromodulation & Surgery Authorization Coordinator
Advanced Spine and Pain Center
Phoenix, AZ
11.2023 - Current
- Process prior authorizations for neuromodulation procedures and surgeries
- Manage insurance denials, appeals, and authorization follow-ups
- Coordinate and maintain surgical schedules to ensure full utilization of provider and facility capacity
- Schedule and manage patient appointments related to surgical procedures, including pre- and post-op visits
- Verify insurance benefits, eligibility, and update patient information
- Maintain accurate EMR documentation and upload authorizations for claims processing
- Communicate with providers, patients, and insurance carriers regarding approvals and scheduling changes
- Manage inbound and outbound patient calls while ensuring timely follow-up
Referral Coordinator
Novaspine Pain Institute
Sun City, AZ
01.2017 - 11.2023
- Obtained authorizations for surgical, outpatient, and in-office procedures
- Verified insurance eligibility, benefits, and deductibles
- Managed authorization denials, appeals, and insurance correspondence
- Utilized CPT coding knowledge to support accurate documentation
- Scheduled procedures, secured referrals, and coordinated follow-up care
- Maintained medical records, data entry, and patient account updates
- Provided excellent patient service and provider support
Back Office Medical Assistant
Phoenix Urological Surgeons
Phoenix, AZ
11.2013 - 02.2016
- Assisted with urological procedures, injections, biopsies, catheter care, and patient treatments
- Performed vitals, urinalysis, specimen preparation, and patient intake
- Managed prior authorizations for imaging, medications, and procedures
- Handled appointment scheduling, triage calls, prescription management, and EMR documentation
- Maintained inventory, sterilization, and patient chart preparation
Skills
- Prior Authorizations & Appeals
- Insurance Verification
- Medical Documentation
- EMR Systems (NextGen, Allscripts)
- CPT & Medical Terminology
- Pre-Operative & Post-Operative Scheduling
- High-Volume Workflow Management
- Patient & Provider Communication
- Problem Solving
- Data Entry & Record Accuracy
- Clinical Procedure Support (Hands-on Medical Assisting Experience)
- Attention to Detail
- HIPAA Compliance
Languages
Spanish
Professional Working
Timeline
Neuromodulation & Surgery Authorization Coordinator
Advanced Spine and Pain Center
11.2023 - Current
Referral Coordinator
Novaspine Pain Institute
01.2017 - 11.2023
Back Office Medical Assistant
Phoenix Urological Surgeons
11.2013 - 02.2016
SYSTEMS
- NextGen
- Allscripts
- Asana
- Microsoft Office Suite