Marangeli Cardona Rodríguez
Mayagüez
Summary
Obtain a job where I can develop my skills and abilities. At the same time acquire new experiences in order to contribute to the agency’s goals and provide an excellent service.
Overview
2
2
years of professional experience
Work History
Prior Authorization Specialist (CVS Pharmacy)
Infosys BPM
Aguadilla, Puerto Rico
12.2025 - Current
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Educated healthcare professionals on how to properly submit a request for pre-authorization.
- Provided guidance to providers regarding the prior authorization process.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Senior Process Associate (Highmark)
Infosys BPM
Aguadilla
06.2025 - 11.2025
- Verify the patient's insurance coverage, including eligibility, benefits, and authorizations for medical services.
- Interpret benefit language to determine covered services under each plan type.
- Analyze documentation regarding patients to determine the outcome and urgency of prior authorization requests.
- Utilize medical coding knowledge to execute prior authorization request submission.
- Maintain confidential documentation to comply with HIPAA.
Senior Process Associate (Horizon)
Infosys BPM
Aguadilla
04.2024 - 06.2025
- Utilize claims processing software to track and manage claims accurately.
- Verify the correctness of claim data for processing.
- Maintain confidentiality of information under HIPAA regulations.
- Enter claim information accurately into database systems.
- Manage workload to meet productivity and quality standards.
- Process claims payments for future investigation.
- Organize information using spreadsheets, databases, and word processing tools.
Education
Bachelor of Science - Forensic Science
Interamericana University
Skills
- Spanish/English
- Customer service
- Computer skills
- Adaptability to change
- Time management
- Attention to detail
- Problem solving
- Effective communication
Timeline
Prior Authorization Specialist (CVS Pharmacy)
Infosys BPM
12.2025 - Current
Senior Process Associate (Highmark)
Infosys BPM
06.2025 - 11.2025
Senior Process Associate (Horizon)
Infosys BPM
04.2024 - 06.2025
Bachelor of Science - Forensic Science
Interamericana University
Accomplishments
- Rising Star Recognition: Infosys BPM (Horizon)
- EOM certificate: Infosys BPM (Lumen)