GABRIELITA ZELAYA-VALLE . BS/Cpht
Hialeah,FL
Summary
Supervisor, Senior Technician, and Patient care coordinator with a Strong Offer of advanced expertise in patient care, health care administration, and policy development and interpretation. Strong background in managing cross-functional teams and guiding the delivery of complex patient care services. Adept at building a highly collaborative, accountable work culture.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Professor
Florida education institute
Miami, FL
11.2023 - 03.2024
- Implemented ethical standards in classroom discussions
- Designed and taught Anatomy curriculum
- Conducted hands-on Pharmacy Lab experiments
- Instructed students in Pharmaceutical Calculations
- Prepared students for PTCB certification exam
- Delivered engaging Chemistry lectures
- Ensured compliance with HIPAA regulations
- Assigned and graded Lab Assignments
- Facilitated learning of Chemotherapy protocols
- Managed day-to-day Pharmacy Operations
- Utilized effective Instructional Techniques
- Explained complex Physiology concepts
- Developed detailed Syllabus for each course
- Introduced students to Medical Terminology
- Guided students in Pharmacy Practice scenarios
- Created engaging Course Content
- Maintained accurate records of Student Attendance
- Evaluated and recorded Student Grades
- Organized and distributed Course Materials
- Utilized PowerPoint presentations in lectures
- Engaged in ongoing Professional Development activities
- Demonstrated proper Aseptic Technique in lab settings
- Taught students about IV administration
- Explained complex Pharmacy Law regulations
- Introduced students to various Dosage Forms
- Explained principles of Pharmacology to students.
Senior Lead Pharmacy Technician IV
CaremarkPCS, L.L.C.
Miami, FL
12.2015 - 10.2023
- Managed Medicare, Medicaid, and insurance billing and Coding.
- Patient care and monitored medication management.
- Specialized in refill authorizations
- Managed prior authorizations and foundation processes
- Analyzed data to improve pharmacy operations
- Coordinated team efforts for efficient workflow
- Supervised a team of pharmacy technicians and Interns
- Managed prescriber accounts and communications
- Coordinated and processed treatment plans for oncology and HIV patients.
- Assisted in the preparation of sterile products for dispensing to patients.
- Resolved billing issues with insurance companies or other third-party payers.
- Filled prescriptions accurately under the direction of a pharmacist.
- Trained new employees on pharmacy operations, policies, procedures, and safety protocols.
- Managed inventories, rotated stock, removed expired or damaged drug products and resolved discrepancies in drug counts.
- Communicated effectively with doctors and insurance agencies to resolve prescription cost discrepancies.
- Ensured compliance with all relevant regulations, laws, and standards.
- Supervised the daily operations of the pharmacy department.
- Resolved customer complaints regarding prescription orders.
- Coordinated with physicians and insurance companies for prescription refills.
- Provided technical assistance to other departments within the organization.
- Audited medication dispensing activities to ensure accuracy and safety.
- Performed clerical duties such as filing, answering phones, data entry.
- Reviewed prescriptions for accuracy prior to filling them out.
- Managed staff schedules and assigned tasks appropriately.
- Ensured that all staff members adhered to established protocols.
- Received and stored incoming supplies and informed supervisors of stock needs and shortages.
Medical Assistant
CIMA Medical center and Spa
Miami, FL
01.2023 - 05.2023
- Verified patient insurance coverage and collected required co-payments
- Assisted physicians with minor surgeries, including preparing the operating room and sterilizing instruments
- Performed medical records management, filing, organizing, and EMT management
- Authorized drug refills.
- Managed referrals
- Prior Authorizations.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
- Provided assistance to medical staff in performing minor surgical procedures.
- Prepared laboratory specimens for analysis and organized lab results for review by the physician.
- Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
- Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
- Educated patients on healthcare topics such as nutrition and disease prevention methods.
- Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
- Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
- Organized patient charts before each day's clinic sessions began.
- Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
- Monitored vital signs of hospitalized patients throughout their stay at the hospital or clinic setting.
- Registered new patients into practice management software program accurately entering demographic information.
- Filed insurance claims forms in accordance with applicable regulations.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Scheduled appointments for patients via phone and in person.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Incorporated outside records into charts and EHR.
- Handled general office duties to support administrative staff during peak hours.
Office Supervisor
Star pharmacy llc
Hialeah, FL
01.2014 - 01.2028
- Managed daily operations and workflow in the office
- Oversaw and coordinated administrative support functions
- Supervised and trained office staff
- Developed and implemented office policies and procedures
- Handled communication with clients, vendors, and other departments
- Supervised, trained and mentored staff members in the use of office equipment and procedures.
- Managed a team of 10 medical office staff, including hiring and training new employees.
- Monitored patient flow in the office to ensure efficient scheduling of appointments.
- Conducted weekly meetings with staff to discuss performance goals, objectives, and challenges.
- Oversaw daily operations of the medical office, including handling customer inquiries and complaints.
- Managed inventory of medical supplies and equipment, ensuring adequate stock levels at all times.
- Assisted in developing marketing strategies to increase patient volume and revenue growth.
- Ensured proper coding of diagnosis and services provided by physicians for insurance reimbursement purposes.
- Provided guidance on HIPAA regulations related to the use of electronic health records.
- Analyzed current practices within the medical office to identify areas of improvement or potential cost savings opportunities.
- Resolved conflicts among staff members in a timely manner while maintaining professional standards.
- Served as liaison between physicians, patients, hospital administration, vendors and suppliers.
- Implemented quality assurance measures such as peer reviews or chart audits to ensure accurate documentation.
- Assisted with referrals and prepared medical records for patients.
- Worked with insurance company representatives to verify benefits and obtain balances owed.
- Submitted diagnosis and procedure codes for insurance companies.
- Performed medical transcription duties.
- Managed office inventory and completed new purchases.
- Resolved customer complaints or answered customers' questions.
Education
Master of Science - MBA/MHA ( Pending)
University of Phoenix
Tempe, AZBachelor's Natural Sciences -
Florida International University
Bachelors Business Management and supervision -
Broward College
Skills
- Medical Account Management
- Policies & Protocols
- Medication Management Clinical Claims Rejection and Resolution
- Emerging Clinical Trends Formulary Information HIPAA Relationship
- Staff Management
- Training
- Data Entry
- Billing
- PA procedure Foundation Assistance
- Phlebotomy
- EMT
- HIPPA AND CMS LAWS
- Injections administration
- Referrals management
- Medicare and Medicaid Billing
- Sales
- Salesforce Management
- Asembia
- Microsoft Office Systems
- Medical Terminology
- Quality control
- Inventory management
- Contract management
- Doctor account management
- Statistical Data
- HIPAA Regulations
- Patient Care
- Medical Records
- Maternal-Fetal Medicine
- Meetings
- Scheduling
- Preparing Correspondence
- Recording Vital Signs
- Referrals
- D2L
- Powerpoint Presentations
- Project Management
- Career Counseling
- Online Teaching
Certification
- Pharmacy Technician
- CPHT
- Medical Assistant
- CPR & AED
Languages
- Spanish
- English
Languages
English
Full Professional
Spanish
Professional
References
References available upon request.
Timeline
Professor
Florida education institute
11.2023 - 03.2024
Medical Assistant
CIMA Medical center and Spa
01.2023 - 05.2023
Senior Lead Pharmacy Technician IV
CaremarkPCS, L.L.C.
12.2015 - 10.2023
Office Supervisor
Star pharmacy llc
01.2014 - 01.2028
Master of Science - MBA/MHA ( Pending)
University of Phoenix
Bachelor's Natural Sciences -
Florida International University
Bachelors Business Management and supervision -
Broward College
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