Karina Avila
Portola
Summary
Business Services Supervisor/Manager with extensive expertise in healthcare operations, enhancing efficiency and patient satisfaction through innovative process improvements. Demonstrated success in streamlining billing procedures and leading EMR system transitions, resulting in increased cash flow and operational productivity. Committed to fostering a collaborative team environment and maintaining compliance, with a focus on future advancements in healthcare service delivery.
Overview
27
27
years of professional experience
Work History
Business Services Supervisor/Manager
Eastern Plumas Healthcare
Portola, CA
06.2018 - 01.2025
- Supervised patient registrations, boosting service efficiency and patient satisfaction.
- Streamline billing and collections procedures, significantly reducing service turnaround times and optimizing cash flow management.
- Implemented new operational protocols, improving efficiency metrics and decreasing accounts receivable days.
- Maintained billing records ensuring compliance and audit readiness.
- Lead team meetings, enhancing open communication, boosting team morale and collaboration.
- Coordinated team training sessions, enhancing collaborations and enhancing overall patient care quality.
- Interview and hire staff, improving organizational culture and team dynamics.
- Spearheaded the transition to a new EMR system, improving operational efficiency and noticeable team productivity through the facility while minimizing downtime.
- Maintained Health Plans websites access, allowing staff easy access while minimizing downtime.
- Ensured accuracy of revenue cycle month end process, enhancing overall revenue cycle procedure.
- Conducted investigations on patient disputes, significantly improving patient care experience.
Business Services Accountant/Senior Billing Lead
Eastern Plumas Healthcare
Portola, CA
06.2016 - 06.2018
- Maintained comprehensive records of financial transactions, facilitating smooth audits and ensuring regulatory compliance.
- Collaborated with cross-functional teams to develop financial forecasts, strengthening alignment with organizational goals and enhancing resource allocation.
- Provided training and mentorship to junior accountants and billers, fostering a culture of continuous learning and teamwork within the finance/billing department.
- Assisted junior accountants with cash posting/balancing remits and billers with initial billing and follow ups, leading to improved staff performance and moral.
- Executed accurate financial reconciliations, significantly reducing errors and ensuring compliance with regulatory standards.
- Streamlined billing processes to enhance cash flow, leading to noticeable gains in revenue collection and efficiency.
- Fostered teamwork among finance staff, enhancing collaborative efforts to achieve departmental goals and improve overall performance.
- Spearheaded the implementation of an advanced electronic billing system, leading to quicker revenue collection and improved cash flow.
- Teamed with IT to ensure accurate implementation of financial software, enhancing workflow efficiency and ensuring compliance with regulatory standards.
- Assisted with annual staff evaluations, providing guidance that strengthened overall team performance and morale.
Patient Account Representative Lead
Eastern Plumas Healthcare
Portola, CA
01.2012 - 06.2016
- Managed patient billing inquiries, ensuring timely resolutions that enhanced patient satisfaction and streamlined account reconciliation processes.
- Facilitated communication between departments to resolve patient issues efficiently, fostering teamwork and enhancing service delivery.
- Mentored new team members, cultivating a supportive environment that improved team dynamics and service quality.
- Identified and rectified patient account discrepancies, significantly improving financial accuracy and reducing operational errors.
- Streamlined daily bill run processes to enhance resolution times, leading to noticeable improvements in patient satisfaction and operational efficiency.
- Processed daily bill run to ensure errors were corrected in a timely manner and ensure a higher clean claim submission.
- Analyzed patient account data to identify trends, implementing corrective actions that significantly improved financial accuracy and reduced discrepancies.
- Partnered with clinical staff to ensure accurate patient data collection, streamlining processes and improving overall operational efficiency.
- Mentored the team on all health care updates to ensure compliance in the health care industry.
Patient Account Representative
Eastern Plumas Healthcare
Portola, CA
01.2004 - 06.2016
- Ensure to submit clean and timely billing records to all commercial health plans, boosting operational integrity.
- Collaborated with registration staff for accurate data, enhancing collection efficiency.
- Improved patient account processes, reducing billing discrepancies and increasing cash flow.
- Collaborated with insurance providers to resolve claims, resulting in expedited payments and elevated customer satisfaction.
- Provided exceptional customer service by addressing patient inquiries, fostering trust and loyalty within the community.
Hospital Registration Clerk
Eastern Plumas Healthcare
Portola, CA
11.1999 - 01.2004
- Provided compassionate assistance to patients during registration, fostering a welcoming atmosphere that enhanced overall patient experience.
- Developed a call management system, reducing missed calls improving patient satisfaction through efficient communication.
- Streamlined the patient check-in process, reducing average wait times and improving patient flow throughout the hospital.
- Coordinated with medical staff to ensure timely patient admissions, fostering teamwork and enhancing the overall patient care experience.
- Worked closely with health plans, ensuring the services provided to the patients were covered and authorized.
Medical Records Clerk
Eastern Plumas Healthcare
Portola, CA
08.1999 - 11.1999
- Organized and maintained hard copy filing systems, leading to noticeable workflow efficiency and reduced retrieval times.
- Streamline process, improving team productivity and collaboration.
- Implemented structured filling, improving medical record management.
- Assisted staff in locating hard copy files, fostering teamwork and enhancing overall department productivity.
- Handled provider messages and coordinated prescriptions, ensuring precision and accuracy.
Housekeeper
Graeagle Lodge
Graeagle, CA
07.1998 - 08.1999
- Maintained cleanliness and organization in guest rooms and common areas.
- Managed laundry services, ensuring timely processing of linens and towels.
- Implemented efficient cleaning procedures to enhance guest satisfaction.
- Trained new staff on cleaning protocols and safety standards.
Education
High School Diploma -
Portola High School
Portola, CASkills
- Training coordination
- Staff development
- Marketing
- Budgeting expertise
LANGUAGES
English (Proficient)
Spanish (Proficient)
Timeline
Business Services Supervisor/Manager
Eastern Plumas Healthcare
06.2018 - 01.2025
Business Services Accountant/Senior Billing Lead
Eastern Plumas Healthcare
06.2016 - 06.2018
Patient Account Representative Lead
Eastern Plumas Healthcare
01.2012 - 06.2016
Patient Account Representative
Eastern Plumas Healthcare
01.2004 - 06.2016
Hospital Registration Clerk
Eastern Plumas Healthcare
11.1999 - 01.2004
Medical Records Clerk
Eastern Plumas Healthcare
08.1999 - 11.1999
Housekeeper
Graeagle Lodge
07.1998 - 08.1999
High School Diploma -
Portola High School