Anna Tovar
Los Banos,CA
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Golden Bear Physical Therapy
Modesto , CA
2019.09 - Current
- Provided guidance to providers regarding the prior authorization process
- Reviewed prior authorization requests to ensure accuracy and completeness of required information
- Applied knowledge of Medicare, Medicaid and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations
- Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures
- Coordinated resolutions for issues and appealed denied authorizations.
Payroll Manager/Account Executive - Payables and Receivables
Cecilia's Market
Los Banos , CA
2008.01 - 2023.11
- Verified accuracy of employee hours worked, pay rate changes, deductions, bonuses, and other payroll data
- Reconciled monthly payroll accounts to ensure accurate payments to employees
- Resolved discrepancies between payroll records and timekeeping systems
- Responsible for entering customer payments into the accounting software system
- Maintained accurate records of accounts receivable and payable transactions
- Analyzed customer account information to identify discrepancies or trends in payment history.
Medical Assistant/Referral Coordinator
Family Health/ Access Family Health
Los Banos , CA
2015.04 - 2019.08
- Measured vital signs and took medical histories to prepare patients for examination
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes
- Conducted insurance verification and pre-certification and pre-authorization functions
- Labeled and completed lab requisitions using ICD and CPT coding.
Education
Medical Assistant -
Milan Institute Modesto
03.2015
High School Diploma -
Los Banos High School
06.2000
Skills
- Dietary Problem Identification
- Data Analysis
- Referral Coordination
- HIPAA Compliance
- Medication Administration
- Insurance Precertification Processes
- Fluent in Spanish
- First Aid/CPR
- Venipuncture and Phlebotomy
- Updating Medical Record
Certification
Certified Lactation Specialist, WIC, 2022
Timeline
Prior Authorization Specialist
Golden Bear Physical Therapy
2019.09 - Current
Medical Assistant/Referral Coordinator
Family Health/ Access Family Health
2015.04 - 2019.08
Payroll Manager/Account Executive - Payables and Receivables
Cecilia's Market
2008.01 - 2023.11
Medical Assistant -
Milan Institute Modesto
High School Diploma -
Los Banos High School
Certified Lactation Specialist, WIC, 2022
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