Alejandro

Precertification Representative

Review medical requests, Verify patient coverage and eligibility, Request prior authorizations, Coordinate with healthcare providers, Enter and update information, Handle inbound calls from users, patients, or providers, Provide personalized guidance and support regarding healthcare services, Record, verify, and update information in internal databases, Resolve inquiries, complaints, and claims in a timely manner, Support the validation of medical authorizations and precertifications, Direct communication with U.S. health insurance companies to manage prior authorizations related to sleep studies, Telephone communication with patients to collect relevant medical information, Internal management of medical orders in coordination with the clinical or administrative team, Verification of coverage, eligibility, and plan conditions through platforms such as Availity, payer portals, or internal systems, Detailed recording of all actions in electronic health record (EHR) systems or CRM platforms

Customer Service Representative

Follow up on authorizations, Collaborate with clinical and billing teams

Authorization Representative

Customer Service Representative

Reception and handling of bilingual calls (English and Spanish), providing effective support to patients and medical staff, Scheduling, canceling, and rescheduling medical appointments through electronic systems, ensuring accuracy and adherence to organizational protocols, Sending internal messages and communications to physicians and clinical staff, Using digital tools and medical platforms to log activities, with a strong focus on service quality

Medical Records Assistant

Organizing and maintaining institutional records, ensuring proper storage, classification, and preservation of documentation, Preparing periodic reports related to administrative processes, Carrying out document management tasks, including receipt, registration, digitization, tracking, and safekeeping of both physical and electronic records