Isela Aguilar
Summary
Medical office operations expert with a focus on billing and insurance verification. Proficient in electronic medical records management and patient registration, leading to improved workflow efficiency. Bilingual in English and Spanish, facilitating effective communication with diverse patient populations. Experienced in ICD-9 coding and regulatory compliance, ensuring operational standards are met.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Secretary / Outpatient Infusion Center
Sharp Health Care
Chula Vista
11.2022 - Current
- Address customer service requests and issues on daily basis; communicate with customers and resolved 99% issues with services including referrals, appointments and authorizations
- Attain daily tasks including billing, and communication with nurses, physicians and other team members to reach the department goals such as productivity, and financial goals
- Establish orders and physician prescriptions by checking unit dose medication for quantity and, verifying transcriptions of medication orders, Overseeing authorization process to prevent 10 adverse drug reactions
- Verify insurance information for over 150+ patients weekly, arranging referrals and manage diagnostic testing at local lab. Ensure adherence to HIPPA guidelines seeking patients signatures on necessary paperwork
- Conduct patient’s insurance eligibility, accelerated registration process in over 150+ patients weekly. Ensuring protection of confidential information
- Document daily reports ensuring all physician agreements are signed and physicians are covered by infusion department
- Schedule patient appointments, procuring accurate demographic information for correct registration at community hospital; prepared charts on health history, allergies and insurance of more than 400+ patients, ensuring completion of forms
Human Resources Administrative Assistant
Sharp Health Care
San Diego
08.2019 - 11.2022
- Executed Human Resources and general administrative collaboration for the Employee Occupational Health Department. Collaborate with physicians, nurses, volunteers, and patients. Report to Licensed Vocational Nurse (LVN)
- Trained and hired over 50+ newly hired employees, listing new hire paperwork into central database, validated data entry, achieving employment paperwork 2 weeks before scheduled timeline
- Attained administrative duties including records management and scheduling staff meetings; undertook procurement, storage and distribution of supplies to assist the office with 20+ employees
- Utilized health management software for patient management and documentation, identifying new programs to improve patient outcomes; monitored network operations and associated compliance with local and state laws in 5 member team
- Handled inbound customer service requests and issues on daily basis; communicated with customers making sure to excel in customer service standards
- Protected operations in a 5 member Medical admin team, keeping claims information, confidential; maintained up to date medical documentation, including claimant, physician, employer, and hospital details
- Performed other general clerical duties, screening and directing phone calls, printing and distributing daily critical reports for nurse practitioner
Emergency Department Unit Clerk
Sharp Health Care
Chula Vista
01.2013 - 08.2019
- Supervised daily operations within the medical office to facilitate service delivery in collaboration with physicians and department team members. Collaborated with patient admission, discharges, and transfers
- Conducted administrative support for over 25+ Emergency staff workers daily. Nurses and physicians assisting with all the necessary phone calls, paperwork and transportation
- Processed credit card payments. Prepared monthly reports. Reviewed finance & billing (review of patient's financial responsibility) upon admission received & processed copay, printing, and filing receipts
- Listed medical information into Electronic Medical(EMR) directed batch scanning and quality checks. updated over 150+ patients documents utilizing computerized information systems
- Performed and solved a variety of issues regarding technology maintenance, office equipment, parking, and access and kept track of all records with 100% accuracy
- Managed and documented all the 5150 holds/transfers, trauma transfers, children's and /or / children trauma transfers, paperwork
- Enrolled over 50+ daily medical records (retrieving diagnostic studies, lab results, and patient information per doctor's orders)
- Registered over 50+ patient data management daily through transcription, order entry, and documentation
Education
Medical Billing/Coding -
Purdue University Global
West Lafayette, Indiana03.2025
Certification
National Healthcareer Association
03-2025
Bachelor of Science - Healthcare Administration
University of Phoenix
Arizona City, AZ05.2013
Skills
- Bilingual English and Spanish
- Billing and insurance verification
- Medical coding and ICD-9
- Medical office procedures
- Office equipment operation
- Microsoft Office proficiency
- Telephone management
- Document editing and creation
- Team collaboration
- Accountability and responsibility
- Electronic medical records management
- Patient registration processes
- Interpersonal communication skills
- Data protection and confidentiality
- Data entry and management
- Customer service
- Regulatory compliance knowledge
- Workflow planning strategies
- Critical thinking skills
- Office correspondence
Certification
Certified Billing and Coding Specialist (CBCS) certification
Languages
Spanish
Professional
References
References available upon request.
Timeline
Secretary / Outpatient Infusion Center
Sharp Health Care
11.2022 - Current
Human Resources Administrative Assistant
Sharp Health Care
08.2019 - 11.2022
Emergency Department Unit Clerk
Sharp Health Care
01.2013 - 08.2019
Medical Billing/Coding -
Purdue University Global
Certification
National Healthcareer Association
Bachelor of Science - Healthcare Administration
University of Phoenix
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