Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
DE
11-2012

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
STACEY L VAZQUEZ