Summary
Overview
Work History
Education
Skills
Timeline
Generic

Karina Santos-Porras

Fort Morgan,CO

Summary

Current PRN St Elizabeth Medical Laboratory Assistant. Dynamic Healthcare &Patient quality care driven with skills and experience on the floor and both on the computer. Committed to job well done and offering exceptional drive. Highly effective and knowledgeable in EpicSoftware.

Specializing in Prior Authorization Insurance Claims with a strong Directors background in Admissions &Health Information Managements with more than 5 years of experience. Proven track record at Valley View Villa, &Sterling Nursing and Rehab, enhancing patient record accuracy and reducing claim denials. Bilingual in Spanish and English, I excel in effective communication and medical coding, driving compliance and operational efficiency while fostering strong team collaboration. Committed to delivering exceptional patient care and service.

Overview

2026
2026
years of professional experience

Work History

Medical Laboratory Assistant

St Elizabeth, Common Spirit
03.2025 - Current
  • Utilized expertise in microbiology, chemistry, and hematology to help with diagnosis of medical issues.
  • Keeping tracks of all clinics in the Hospital for any Labs needing picked up.
  • Ensured compliance with safety standards to uphold laboratory security.
  • Recorded and maintained accurate data to facilitate tracking of results.
  • Prepared laboratory samples for analysis and performed data entry for accurate reporting.
  • Conducted wide range of laboratory tests and recorded results.
  • Packaging and Creating send out specimens for reference labs and pathology.
  • Preforming Urine Analysis and Resulting.

Admissions Director & HIM

Sterling Rehab & Nursing- Cottonwood Health Care
11.2024 - 02.2025
  • 12 Week Contract that successfully helped Improve census & help new company With updated their Billing & Coding.
  • Developed strong communication and organizational skills through working on group projects.
  • Assisted in patient admission process based on federal and state laws.
  • Handled document filing, bookkeeping, and faxing responsibilities.
  • Processed Prior Authorizations & Confirmed all insurance benefits met standards of admissions as dictated by policy.
  • Managed admissions processes for incoming rehab &long term, promptly collecting and processing necessary documents.
  • Completed preliminary paperwork for incoming and outgoing patients.
  • Compiled and analyzed data to track admissions trends and make recommendations for improvements.
  • Conducted billing and coding training for physician and medical staff which included current procedural or coding updates.
  • Trained new team members to apply best coding best practices and proper use of development tools.
  • Verified prompt and accurate completion of MDS activities for billing.
  • Worked with clinical staff, coding coordinators and billing department to resolve patient inquiries, billing, and coding questions.
  • Performed coding quality reviews and tracked, trended and managed coding quality performance. Triple Check weekly.
  • Maintained historical reference by abstracting and coding clinical data such as diseases, operations procedures and therapies.
  • Assisted with medical coding and billing tasks, helped MDS &Therapy

Health Information Management Director

Valley View Villa-Life Care Center
10.2022 - 07.2024
  • Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
  • Implemented new coding and billing procedures that helped alleviate number of denied claims from insurance carriers.
  • Conducted education and training activities for physicians, nursing staff and administrative personnel.
  • Participated in committees to discuss electronic health records and methods to improve overall workflows.
  • Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
  • Managed pre-certifications and verified insurance coverage.

Human Resources Manager

Valley View Villa- Life Care Center
  • Maintained company compliance with local, state, and federal laws, in addition to established organizational standards.
  • Facilitated onboarding sessions Including Drug Testing and background checks for new hires, bolstering employee job position knowledge and skillset.
  • Employee Verification, Record keeping on all personal files, Educations, acknowledgements, and all corrective auctions.
  • Keeping track of updated Certifications and licenses for all Nursing and Doctors in good standing and verified.

Admissions Director

Valley View Villa- Life Care
  • Assisted Residents or family members with admissions packet and served as point of contact throughout admissions process.
  • Answered phones, called prospects and handled initial email contacts for applicants to our Skilled Facility program.
  • Developed and maintained business relationships with referring agencies to increase business opportunities.
  • Led tours of facility for potential clients and families to highlight features and benefits of our nursing home.
  • Managed referrals and verified with insurances about coverage.
  • Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate requests.
  • Managed phone and email correspondence and handled incoming and outgoing faxes with Hospital Case Managers regarding Referrals.
  • Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.

Clinical Business Laboratory

Banner Healthcare
06.2018 - 06.2021
  • Facilitated ongoing review of tests ordered by physicians making sure all diagnosis codes matched orders and insurance or payment type also was covered.
  • Verifying Insurances, Coding, and Tests, Results.
  • Supported operations across Hematology, Urinalysis, and Microbiology departments.
  • Minimized errors throughout pre-analytic, analytic and post-analytic processes.
  • Scanned Orders and Uploaded into charts in batches.
  • Summarized test results and activities for management via verbal updates or written reports.
  • Documented and verified patient information using laboratory information systems.

Education

Nursing Prerequisites

Aims Community College
Greeley, CO

Certified Nursing Assistant

Columbine Health Systems
Fort Collins, United States
2017

Certification - Phlebotomist Tech

Morgan Community College
Fort Morgan, CO
2016

High School Diploma -

Fort Morgan High School
Fort Morgan, CO
2015

Skills

  • Fluent in Spanish & English
  • Medical Coding
  • EPIC
  • Prior Authorization insurance claims
  • Insurance Authorizations
  • Leadership Developments
  • Health Information Systems
  • Credentialing Physicians
  • Tracking/ Verifying Credentials/Licenses
  • CISCO
  • PATIENT CARE CHART (PCC)
  • HIPAA knowledge
  • Effective Communication
  • Critical Thinking
  • Records Management
  • Analytical Skills
  • Time Management
  • Attention to Detail
  • Patient Relations
  • Reliability
  • Problem-Solving
  • Medicare Claims/ Billing/ Compliances
  • Customer Service
  • Accurate Documentation
  • Electronic Medical Record Software
  • Drug Testing Management

Timeline

Medical Laboratory Assistant

St Elizabeth, Common Spirit
03.2025 - Current

Admissions Director & HIM

Sterling Rehab & Nursing- Cottonwood Health Care
11.2024 - 02.2025

Health Information Management Director

Valley View Villa-Life Care Center
10.2022 - 07.2024

Clinical Business Laboratory

Banner Healthcare
06.2018 - 06.2021

Nursing Prerequisites

Aims Community College

Certified Nursing Assistant

Columbine Health Systems

Certification - Phlebotomist Tech

Morgan Community College

High School Diploma -

Fort Morgan High School

Human Resources Manager

Valley View Villa- Life Care Center

Admissions Director

Valley View Villa- Life Care
Karina Santos-Porras