Karina Avila
San Antonio,TX
Summary
Versatile and detail-oriented administrative professional with over 15 years of experience in medical and customer service environments. Proven ability to manage multi-faceted office operations, ensure documentation compliance, and support healthcare referral processes. Recognized for enhancing workflow efficiency, streamlining procedures, and delivering top-tier service in fast-paced, regulated settings.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Diabetes Processing Specialist
Medtronic Diabetes
San Antonio, TX
07.2024 - Current
- - Process patient referrals for insulin pumps and diabetes supplies
- - Confirm insurance eligibility, obtain authorizations, and verify documentation for compliance
- - Utilize systems including Athena IDX, Centricity, Brightree, and payer portals (UMR, Cigna, Navinet, etc.)
Supporting Documentation Specialist
Pediatric Home Service
San Antonio, TX
06.2023 - 05.2024
- - Implemented and trained staff on new online documentation tools
- - Tracked web-based client activity to generate reports and support data analysis
- - Ensured all patient documentation met regulatory and payer guidelines
- - Partnered with referral sources to resolve gaps and streamline intake
Fraud Operations Specialist
Wells Fargo
San Antonio, TX
12.2019 - 04.2023
- - Delivered exceptional customer service while managing and investigating fraud claims
- - Conducted in-depth research on suspicious activity to determine legitimacy
- - Documented findings and outcomes while guiding less experienced team members on procedures
Secretary / Bookkeeper
Thornton Elementary (NISD)
San Antonio, TX
07.2021 - 10.2022
- - Oversaw daily administrative functions and optimized workflows for office efficiency
- - Managed financial records, including accounts payable/receivable and reporting
- - Scheduled events, trainings, and meetings for faculty and staff
Education
Medical Billing & Coding Certificate - undefined
Kaplan College
Vista, CA01.2010
High School Diploma - undefined
Valley High School
Escondido, CA01.2008
Skills
- Medical Billing & Documentation Referral Intake Insurance Verification
- Systems: Athena IDX, Centricity, Brightree, UMR, Availity, PromptPA, NaviNet
- Microsoft Office (Word, Excel, Outlook, PowerPoint, SharePoint)
- QuickBooks Data Entry Calendar Management HIPAA Compliance
Certification
Medical Billing & Coding
Languages
Spanish
Native or Bilingual
Timeline
Diabetes Processing Specialist
Medtronic Diabetes
07.2024 - Current
Supporting Documentation Specialist
Pediatric Home Service
06.2023 - 05.2024
Secretary / Bookkeeper
Thornton Elementary (NISD)
07.2021 - 10.2022
Fraud Operations Specialist
Wells Fargo
12.2019 - 04.2023
Medical Billing & Coding Certificate - undefined
Kaplan College
High School Diploma - undefined
Valley High School