Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Milagros Zanabria

North Attleboro

Summary

Healthcare Administration Professional with 13 years of experience in improving patient care and operational efficiency. Expertise in health policy, program management, and stakeholder engagement, resulting in enhanced staff performance and patient outcomes. Proven ability to implement patient-centric solutions and streamline healthcare processes through effective leadership.

Overview

10
10
years of professional experience

Work History

Lead Prior Authorization Coordinator

Mass General Brigham
Boston
03.2025 - Current
  • Maintained precise records of authorization requests, contributing to compliance and a systematic approach to patient care management.
  • Processed prior authorization requests for Botox injections for Buy and Bill.
  • Coordinated resolutions for issues and appealed denied authorizations.
  • Assisted in scheduling urgent appointments across multiple clinics, ensuring timely patient access to critical services.

Referral Program Manager

Beth Israel Lahey
Boston
10.2022 - 09.2024
  • Collaborated with design teams, created educational training, and improved interdepartmental collaboration.
  • Led web content optimization and newsletter creation initiatives, significantly boosting staff engagement and awareness of referral program benefits.
  • Led high-impact forums, prepared agendas and presentations for 30+ attendees, and drove strategic discussions on program advancements.
  • Analyzed program data to identify trends and inform decision-making strategies.

Administrative Coordinator, Breast Care Center

Beth Israel Lahey
Boston
08.2021 - 10.2022
  • Expertly managed the Director's calendar, prioritizing critical appointments to optimize operational efficiency and resource allocation.
  • Improved surgical scheduling, reducing wait times for Hispanic Breast Care patients.
  • Provided empathetic support to diverse patient groups, addressing concerns and facilitating smooth clinic operations.
  • Managed communication between departments to facilitate information flow.

Reimbursement Support Specialist RBD (Contract)

Sanofi Genzyme
Cambridge
01.2021 - 04.2021
  • Streamlined insurance verification for rare blood disease cases to enhance patient care access.
  • Documented and collected insurance data to facilitate accurate patient financial planning.
  • Maintained daily records of payor interactions, ensuring data accuracy and improving communication.

Executive Assistant, Corporate Offices

Beth Israel Lahey
Cambridge
03.2020 - 08.2020
  • Processed purchase requisitions, ensuring compliance with system procedures.
  • Maintained confidentiality in sensitive HR matters, fostering trust.
  • Organized and facilitated regular meetings with senior management teams.

Administrative Coordinator, Ophthalmology

Beth Israel Hospital
Boston
11.2018 - 02.2020
  • Analyzed and optimized physician schedules, resulting in improved operational efficiency.
  • Facilitated physician meetings, documenting discussions and action items to promote effective communication.
  • Answered a high volume of phone inquiries and routed calls to appropriate personnel for timely assistance.
  • Managed referrals and prior authorizations work queues.

Referral Specialist

Beth Israel Lahey
Boston
06.2017 - 11.2018
  • Managed complex insurance referrals with precision, implementing strategies that resulted in a 50% increase in capture across surgical specialties.
  • Streamlined insurance referral processes, resulting in a substantial increase in capture across surgical specialties.
  • Utilized data analysis to identify and resolve bottlenecks.
  • Facilitated cross-departmental coordination to optimize referral workflows, enhancing overall efficiency and patient experience in the medical center.

Managed Care Coordinator, Primary Care

Beth Isreal Deaconess Medical Center
Needham
11.2015 - 05.2017
  • Minimized revenue leakage by redirecting patients' specialty care to in-network services.
  • Fostered strong relationships with physicians and insurance providers, facilitating seamless communication and coordinated care delivery.
  • Responsible for providing managed care insurance education tonew hires, leading to improved understanding and efficiency in managed care processes.
  • Educated patients on insurance benefits and coverage options related to their care plans.

Education

MBA - Healthcare Administration, Online Program

Massachusetts College of Pharmacy And Health Sciences
Boston, MA
07-2022

Bachelor of Science - Healthcare Administration

Rhode Island College
Providence
04-2015

Skills

  • Retro-authorizations
  • Documentation expertise
  • Benefit coverage
  • Strong organization
  • Workflow management
  • Process improvement strategies
  • Excellent Customer Service
  • Driven
  • Leadership
  • Critical thinking

Languages

Spanish
Professional

Timeline

Lead Prior Authorization Coordinator

Mass General Brigham
03.2025 - Current

Referral Program Manager

Beth Israel Lahey
10.2022 - 09.2024

Administrative Coordinator, Breast Care Center

Beth Israel Lahey
08.2021 - 10.2022

Reimbursement Support Specialist RBD (Contract)

Sanofi Genzyme
01.2021 - 04.2021

Executive Assistant, Corporate Offices

Beth Israel Lahey
03.2020 - 08.2020

Administrative Coordinator, Ophthalmology

Beth Israel Hospital
11.2018 - 02.2020

Referral Specialist

Beth Israel Lahey
06.2017 - 11.2018

Managed Care Coordinator, Primary Care

Beth Isreal Deaconess Medical Center
11.2015 - 05.2017

MBA - Healthcare Administration, Online Program

Massachusetts College of Pharmacy And Health Sciences

Bachelor of Science - Healthcare Administration

Rhode Island College
Milagros Zanabria