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Florentino V
@florentinova478
Healthcare administrative and insurance specialist
États-Unis
Anglais
À propos de moi
Healthcare administrative specialist with 18+ years helping medical offices streamline insurance and patient access. I handle insurance verification, benefits eligibility, prior authorizations, and patient demographic updates across Medicare, Medicaid, and commercial payers. Experienced with Epic, Athena, Allscripts, and OncoEMR — and quick to learn any system you use. Known for reducing denials, speeding approvals, and keeping documentation audit-ready. HIPAA-compliant and detail-oriented. Let's take administrative work off your plate so your team can focus on patient care.
Compétences
Florentino V
hors ligne •
Temps de réponse moyen de 1 heure
Voir mes services
Data
I will manage insurance verification and prior auth for your medical office
Assistance générale
I will be your medical healthcare virtual assistant
Expérience professionnelle
OSTEOPOROSIS PRE AUTHORIZATION SPECIALIST
Denver Arthritis Clinic • Temps plein
Sep 2025 - Jan 2026 • 4 mos
Provided insurance verification and prior authorization support for osteoporosis treatments, helping patients obtain timely access to medically necessary care. Verified eligibility, benefits, copays, deductibles, and coverage limitations; submitted authorization requests with required clinical documentation; monitored pending requests; followed up with insurance carriers; and initiated appeals for denied authorizations. Collaborated with physicians, nurses, schedulers, and insurance representatives while ensuring accurate CPT/ICD-10 coding and compliance with documentation requirements.
MEDICAL CENSUS/ELIGIBILITY SPECIALIST
Behavioral Health Solutions • Temps plein
Nov 2023 - Jan 2024 • 2 mos
Specialized in insurance eligibility and benefits verification for behavioral health patients across Colorado and Washington. Processed new and established patient eligibility, referrals, medical census information, and insurance records with a strong focus on accuracy and timely processing. Identified and resolved insurance discrepancies, educated patients about coverage, and coordinated with multiple departments to prevent insurance issues from delaying treatment.
Outpatient Brain Injury Scheduler, Lead
Craig Hospital • Temps plein
Feb 2022 - Jan 2023 • 11 mos
Led outpatient scheduling for a multidisciplinary brain injury care team, coordinating appointments for more than 50 patients per day. Verified insurance eligibility and benefits, maintained scheduling records, optimized Excel tracking tools, created communication forms, and generated weekly reports. Improved scheduling accuracy by 15% through standardized provider communication and helped recover 5–10 hours of scheduler time each week. Supervised and mentored a team of three staff members.
