Carlos A. Quevedo
El Cajon,CA
Summary
Dynamic and results-oriented professional with extensive experience at Balboa United, excelling in patient advocacy, financial counseling, and clinical quality coordination. Demonstrated expertise in Medicaid and Medicare knowledge and Spanish fluency, significantly enhancing patient care and interdepartmental cooperation. Proven track record in improving healthcare access and navigating complex insurance landscapes, achieving seamless patient transitions and superior service delivery.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Patient Advocate/Patient Financial Counselor
Balboa United
02.2023 - Current
- Assisted patients in understanding individual rights and responsibilities regarding care, coverage, and payment.
- Improved communication between patients, families, and healthcare providers to enhance understanding.
- Assisted patients in navigating complex healthcare systems and procedures to reduce emotional strain.
- Resolved patient billing issues in line with established guidelines.
- Assisted patients in applying for local, county, state, and federal resources.
Clinical Quality Coordinator
Balboa United
02.2022 - 03.2023
- I resolved issues through active listening and open-ended questioning, escalating major problems to upper management.
- Delegated tasks to staff to organize and improve office efficiency.
- Monitored patient areas so that questions could be promptly addressed.
- Provided backup to front desk and back-office staff.
- Cross-trained existing employees to maximize team agility and performance.
- Conducted routine facility inspections, a crucial part of our operations, to identify areas needing improvement and eliminate hazards for safety of our staff and patients.
- Ordered all supplies and checked inventory levels.
Dialysis Transition Coordinator
Balboa United
08.2017 - 07.2021
- Responsible for coordinating outpatient dialysis for patients of California's most extensive kidney care practice.
- Communicated directly with patients and their care teams to set up timely treatment at the outpatient facility of their choice.
- Established and maintained relationships between Balboa United, hospitals, and dialysis providers in Southern California.
- Verifies insurance eligibility and connects patients to appropriate resources if they do not have any or lack adequate coverage.
- Empathized with patients and treated each case as though I was taking care of my own family.
- Assisted with scheduling vein mappings, surgeon consults, and permanent access surgeries.
- Gathered all required documents and ensured that all verifications were in place for prompt placement of patients.
Medical Assistant
Balboa Nephrology Medical Group
07.2014 - 08.2017
- Obtained patient medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Educated patients about medications, procedures, and care plan instructions.
- Oriented and trained new staff on proper procedures and policies.
- Assisted physician during exams and provided translation for Spanish-speaking patients.
- Tracked inventory of injectable medications and office supplies and communicated with supervisor once more supplies were needed.
- Maintained all logs and required checks.
- Provided coverage for several clinics when necessary.
- Arranged for hospital admissions and laboratory services.
- Assisted with establishment of company's Vascular Health Clinic.
Education
Bachelor of Science - Healthcare Administration
Western Governors University
Salt Lake City, UT2025
Diploma - Medical Assisting
UEI College
San Diego, CA2011
Skills
- Patient Rights
- Eligibility Determination
- Interdepartmental cooperation
- Database coordination
- Verbal and written communication
- Medicaid and Medicare knowledge
- Proficient in Epic
- Insurance understanding
- Financial Counseling
- Interpersonal Communication
- HIPAA Compliance
- Patient-focused care
Certification
- AHIP: Fellow, Health Insurance Advanced Studies (FHIAS®)
- AHIP: Professional, Health Insurance Advanced Studies (PHIAS®)
- WGU: Healthcare Management Certificate
- WGU: Micro-credential in Business Essentials
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Patient Advocate/Patient Financial Counselor
Balboa United
02.2023 - Current
Clinical Quality Coordinator
Balboa United
02.2022 - 03.2023
Dialysis Transition Coordinator
Balboa United
08.2017 - 07.2021
Medical Assistant
Balboa Nephrology Medical Group
07.2014 - 08.2017
Bachelor of Science - Healthcare Administration
Western Governors University
Diploma - Medical Assisting
UEI College
- AHIP: Fellow, Health Insurance Advanced Studies (FHIAS®)
- AHIP: Professional, Health Insurance Advanced Studies (PHIAS®)
- WGU: Healthcare Management Certificate
- WGU: Micro-credential in Business Essentials
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