Karen Marcos
Los Angeles,CA
Summary
Organized Coordinator focused on boosting customer satisfaction and service quality. Familiar with documentation, reporting and compliance requirements. Skilled in managing employee documentation and maintaining files and records.
Overview
8
8
years of professional experience
Work History
Access Center Coordinator
Children's Hospital of Los Angeles
Los Angeles, CA
09.2021 - Current
- Supports Access Center staff in ensuring a timely response to inbound calls. Responsible for assisting staff in answering calls, identifying caller’s needs, providing caller with information and directing calls to the appropriate personnel and/or established intake conference.
- Verifies patient insurance eligibility prior to admissions, for lateral transfers ensures appropriate authorization is initiated; or when possible is obtained before patient is accepted. Responsible for accurately entering all patient demographic and insurance information into STAR when creating patient encounter, including authorization information.
- Responsible for managing cancellation data (OR, cath lab, etc.) and changes to scheduled admissions in Teletracking. Updates cancellation/admission schedule changes in STAR, resulting in automatic updates to Teletracking information. Validates that changes made in STAR interface appropriate into Teletracking.
Insurance Verifier Rep
Children's Hospital Los Angeles
Los Angeles, CA
12.2020 - 08.2021
- Completes all notification, verification, and authorization activities for non-scheduled accounts
- Initaties referral to CCS and coordinates authorization between CCS, MediCal, doctor’s offices, and clinics
- Notifies attending physicians or clinics of new referrals and authorization, financial eligibility problems or changes and all authorization denials
- Work as a gatekeeper to make sure Medi-cal, Managed Care, third party payers, and CCS accounts to have up to date authorizations.
Admitting Patient Representative
Children’s Hospital Los Angeles
Los Angeles, CA
01.2019 - 12.2020
- Initiates admission process by obtaining demographic data, insurance information, and necessary documents for admission for all direct and urgent admissions
- Took copayments and complied daily financial records
- Verify authorizations from patient’s insurances for Outpatient procedures
- Updates face sheets from transfer patients from outside hospitals and verify correct insurance information and obtain signatures for admission paperwork.
Shift Manager
Mcdonald’s
Los Angeles, CA
05.2016 - 12.2018
- Overseeing all operations from greeting customers to the quality and speed of service in the restaurant
- Responsible for overseeing the maintenance of equipment, keep track of inventory, and monitor the quality of products supplied
- Mangage a team of 15 to 20 people per shift
- Trained and mentored new employees to maximize team performances.
Education
Master of Science - Healthcare Management
California University of Los Angeles
Los Angeles12-2024
Bachelors Degree - Political Science
University of California, Merced
05.2018
Bachelor of Arts - Study Abroad
Accent International
08.2017
Skills
- Medical insurance
- Payment collection
- Data Analysis
- Coordinating paperwork
- Eligibility Analysis
- Customer Service
Languages
Spanish
Professional
Timeline
Access Center Coordinator
Children's Hospital of Los Angeles
09.2021 - Current
Insurance Verifier Rep
Children's Hospital Los Angeles
12.2020 - 08.2021
Admitting Patient Representative
Children’s Hospital Los Angeles
01.2019 - 12.2020
Shift Manager
Mcdonald’s
05.2016 - 12.2018
Master of Science - Healthcare Management
California University of Los Angeles
Bachelors Degree - Political Science
University of California, Merced
Bachelor of Arts - Study Abroad
Accent International
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