STACEY L VAZQUEZ
Milford,Milford
Summary
Dynamic, results-driven professional recognized for exceptional time management and problem-solving abilities. Strong commitment to reliability and adaptability, with a proven track record of quickly mastering new skills and technologies. Eager to leverage these strengths to enhance team performance and support organizational objectives, fostering a culture of continuous improvement and success.
Overview
9
9
years of professional experience
Work History
Authorization Specialist
Ocean Medical Imaging Of Delaware
08.2025 - Current
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Tracked referral submission during facilitation of prior authorization issuance.
- Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
POD ASSISTANT - MRI AUTH CORDINATOR
CNMRI PA
06.2019 - Current
- Using EPIC Professional software helped patients and practice to perform all daily needs scheduling, medication orders, referrals and all aspects of coordination of care.
- Obtained prior authorizations and processed referrals for diagnostic services and procedures
- Established relationships with identified referring providers
- Answered questions from patients, staff, and insurance companies
- Maintain updated patient records
REFERRAL SPECIALIST
Southern Delaware Medical Group
01.2017 - 05.2019
- Using Allscripts Professional software helped patients and the practice realize substantial savings and received shared saving
- Assisted the coordination of care while researching best medical outcomes
- Obtained prior authorizations and processed referrals for diagnostic services and procedures
- Established relationships with identified referring providers
- Answered questions from patients, staff, and insurance companies
- Maintain updated patient records for HEDIS and Quality Measures
- Scheduled appointments with specialists on behalf of clients.
Education
Certified Medical Assistant - Medical Assistant
Delaware Technical Community College
DE11-2012
Skills
- Prior authorization processing
- Data entry proficiency
- Medical terminology expertise
- HIPAA compliance
- Insurance verification
- Medical coding
- Documentation and paperwork
- Effective communication skills
- Verbal communication
- Appointment scheduling
Timeline
Authorization Specialist
Ocean Medical Imaging Of Delaware
08.2025 - Current
POD ASSISTANT - MRI AUTH CORDINATOR
CNMRI PA
06.2019 - Current
REFERRAL SPECIALIST
Southern Delaware Medical Group
01.2017 - 05.2019
Certified Medical Assistant - Medical Assistant
Delaware Technical Community College