Isa

Prior Authorization Manager with a proven track record of leading, mentoring, and scaling high-performing revenue cycle teams. Expert at directing operations for a team of 12 specialists, designing standardized authorization protocols, and cultivating strong payer relationships to maximize approval rates. Skilled in transforming complex clinical documentation into streamlined, compliant workflows that minimize denial rates and accelerate patient care.

Prior Authorization Specialist Manager at Biobridge Solutions (2024-01 – Present)

Prior Authorization Manager with a proven track record of leading, mentoring, and scaling high-performing revenue cycle teams. Expert at directing operations for a team of 12 specialists, designing standardized authorization protocols, and cultivating strong payer relationships to maximize approval rates. Skilled in transforming complex clinical documentation into streamlined, compliant workflows that minimize denial rates and accelerate patient care.

Operations Assistant and Prior Authorizations at Florida Family Primary Care (2017-01 – 2022-11)

Highly disciplined and responsible Referral and Authorization Manager with a proven track record of optimizing care coordination and driving regulatory compliance within a busy PCP office. Expertly managed the end-to-end referral and prior authorization pipeline, eliminating care delays while significantly boosting HEDIS and STAR rating compliance by proactively identifying patient care gaps and scheduling critical preventive screenings. A proactive leader who authored and implemented comprehensive standard training guides and workflow cheat sheets that streamlined clinic operations and reduced authorization turnaround times.

Known for meticulous accountability, successfully navigating complex insurance denials and maintaining seamless communication between providers, patients, and payers to ensure high-quality, compliant patient care.

Bachelor of Science in Medicine – Universidad De Carabobo Valencia

Medical Coding diploma