1632 Garland Ave.

Tustin, CA 92780
rpf65bbe@westpost.net
7146517466
Rocio Prado
Objective
Seeking a challenging, long term, full-time position that will allow me to utili
ze my skills and experience as well as afford me the opportunity for growth.
Experience
05/08 08/10 Gordian Medical Inc. Irvine, CA
PriorAuthorization Coordinator
Patients insurance verification benefits with Medicare Part B, Commercial HMOs,
PPOs and Indemnity Plans and nationwide Medicaid
Corrected demographic changes to the patients orders to match insurance informat
ion
E-mailed Clinicians on any new update on their orders for them to make the corre
ctions and to avoid any further delay on any future orders
Contacted the DME Pre-certification and Medical Management Departments to obtain
prior approval or notification
Obtained appropriate signed documents and referrals from the patients PCP
08/06-03/08 Western Dental Services Orange, CA
Data Entry
Reviewed charts for treatment complete and corrected procedure codes
Traced and corrected payments posting errors, adjusted account balances, late fe
es and closed contracts to the patients financial ledger, traced patients EOB
Corrected contracts by merging them with the correct accepted terms agreed with
the patients
Answered patients their billing inquiries on their monthly statements
Scanned and e-mailed the patients complaint letters to Office/Regional Managers
and follow ups
Entered treatment authorization requests for Medi-Cal patients
05/04-11/05 Teva Pharmaceuticals Irvine, CA
Inspector
Applied the principles of pharmaceutical Good Manufacturing Practice GMP
Supported the roles of Quality Assurance QA and followed closely FDA regulations
Classified gross defects of finished dosage inject-able solutions
09/01-07/04 Sally Beauty Supply Santa Ana, CA
Assistant Manager
Shared product knowledge to meet our customer needs and enjoyed interacting with
customers
Performed cashier duties/ Meeting sales quotas
Prepared daily reports, bank deposits documentation and reconciliation for end o
f day sales
Correction count, placed inventory orders, processed shipping and receiving orde
r forms
Education
Santa Ana College
1632 Garland Ave. 714-651-7466
 Tustin, CA 92780 rpf65bbe@westpost.net
Rocio Prado
Objective
Seeking a challenging, long term, full-time position that will allow me to utili
ze my skills and
experience as well as afford me the opportunity for
growth.
Experience
05/08 08/10 Gordian Medical Inc. Irvine, CA
Prior Authorization Coordinator
Patients insurance verification benefits with Medicare Part B, Commercial HMOs,
PPOs and Indemnity Plans and nationwide Medicaid
Corrected demographic changes to the patients orders to match insurance informat
ion
E-mailed Clinicians on any new update on their orders for them to make the corre
ctions and to avoid any further delay on any future orders
Contacted the DME Pre-certification and Medical Management Departments to obtain
prior approval or notification
Obtained appropriate signed documents and referrals from the patients PCP
08/06-03/08 Western Dental Services Orange, CA
Data Entry
Reviewed charts for treatment complete and corrected procedure codes
Traced and corrected payments posting errors, adjusted account balances, late fe
es and closed contracts to the patients financial ledger, traced patients EOB
Corrected contracts by merging them with the correct accepted terms agreed with
the patients
Answered patients their billing inquiries on their monthly statements
Scanned and e-mailed the patients complaint letters to Office/Regional Managers
and follow ups
Entered treatment authorization requests for Medi-Cal patients
05/04-11/05 Teva
Pharmaceuticals Irvine, CA
Inspector
Applied the principles of pharmaceutical Good Manufacturing Practice GMP
Supported the roles of Quality Assurance QA and followed closely FDA regulations
Classified gross defects of finished dosage inject-able solutions
09/01-07/04 Sally Beauty Supply Santa Ana, C
A
Assistant Manager
Shared product knowledge to meet our customer needs and enjoyed interacting with
customers
Performed cashier duties/ Meeting sales quotas
Prepared daily reports, bank deposits documentation and reconciliation for end o
f day sales
Correction count, placed inventory orders, processed shipping and receiving orde
r forms
Education
Santa Ana College
Associate in Arts 2009
Central County Regional Occupational Program Certificates: Mortgage Loan Pro
cessing 07, General Office Clerk 01
Skills
Computer literate, MS 2000: Access, Excel, Power Point, Word, Calyx Point softwa
re, Windows 98, XP, 10-key by touch, type 45 wpm, Sage Pro, excellent communicat
ion, organization and customer service skills, ability to handle multiple priori
ties, demonstrate good judgment and decision making, proven ability to problem-s
olve, strong attention to detail, fast learner, positive attitude, ability to ma
nage time effectively and work independently and Bilingual English/Spanish