Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Personal Information
Languages
Timeline
Generic

Karla Doire

Dade City,FL

Summary

Over 12 years of practical experience in Rehabilitation/ customer/ administration. Highly skilled in organizing patient care schedules, tracking and cleaning. Skill nurse facilities HEDIS Care Coordinator. Able to ensure that patients and families receive the highest quality of service in a caring and compassionate environment. Comprehensive knowledge of human anatomy and physiology and health. Hands-on experience in placing and tracking tools maintenance orders. In-depth knowledge of different rehab treatment plans. Proven record of coping with varying and unpredictable situations diplomatically. Able to relate to deal with emotionally distressed patients of different ages. Computer skills (windows and excel). Office/ front desk/customer service experience.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Care Management Coordinator

Florida Medical Clinic-Zephyrhills, FL
03.2023 - Current
  • Responsible for acting as Case Manager, reviewing Hospital census daily and distributing information to supervisor, coordinating admission with providers and facilities, reviewing and completing managed care reports, coordinating meetings between providers/Medical directors, communicating between staff, patients, and family, handling patient case management and education, recruiting and training staff, creating schedule, maintaining MRA data as required by Managed Care Carries

Patient Service Coordinator

CORA Physical Therapy-Tampa, FL
03.2021 - Current
  • Facilitating check-in, referral verification, processing insurance, copayment, and preparing patient charts, maintaining compliance to HIPAA, scheduling patients visits and answering pre-visit questions, including about billing, answering patient calls and emails questions, including insurance estimates, obtaining prior authorization if needed, offering translation services to Hispanic population if needed or required by the therapist, scanning and verifying all credit card payments and receipts

Customer Service Representative

New York Life-Tampa, FL
01.2020 - Current
  • Inbound call center, processing payments, reviewing policies and updating information for clients, sending forms, following up client requests, explaining detailed policy coverage, answering complex questions and providing first point resolution, processing routine and complex financial and non-financial activity on clients' accounts within regulatory guidelines, advising brokers, bank representatives, beneficiaries, and their representatives on contract provisions and related laws, regulatory requirements, and company procedures

Bank Teller II

Wells Fargo-Robertsdale, AL
05.2018 - 01.2020
  • Assisting clients with their banking transactions like deposit or withdraw money, processing payments, verifying all incoming checks, balancing drawer and vault, attending ATM load money balance, performing closing procedures, advising clients of new promotional rates or new credit cards

Rehabilitation Technician

REHAB IN MOTION-Robertsdale, AL
12.2012 - 01.2020
  • Helping in scheduling, insurance verification, benefits review, preparation of patients for rehabilitation services, assisting with treatments including ambulation, hot packs, and range of motion exercises, observing clients for any change in status and reporting to therapists, ensuring the safety and comfort of patients, performing secretarial duties within the department, keeping track of supplies and ordering them as needed, maintaining client files and records, updating them, and making any changes necessary to patient charts with updated plan of treatment, reviewing exercise plans and treatment modalities with PT to make the appropriate transition to more complex exercises, creating a package for patients when they are being discharged with at-home plan of care

Rehabilitation Technician

The Hand Institute-Miami, FL
01.2015 - 02.2016
  • In charge of refill and ordering supplies, scanning, filing, and organizing patients' documentation, helping in scheduling, transporting, and preparation of patients for rehabilitation services, assisting with treatments including ambulation, hot packs, and range of motion exercises, observing clients for any change in status and reporting to therapists, ensuring the safety of patients, performing secretarial duties within the department, maintaining client files and records

Front Desk Manager

Hampton Inn-Daphne, AL
09.2007 - 05.2013
  • Supervising employees on their duty performance, answering inbound calls in support of customer needs, performing queries in multiple databases, assisting in the creation and development of the hotel customer relationship management system, resolving guests' needs, controlling reservation input utilizing DECO computer system, handling incoming calls, maintaining daily reports involving return guests, corporate accounts, and suite rentals, inspecting rooms

Education

Bachelor's - Physical Therapy

Universidad Mayor de San Andres
12.2003

Skills

  • Bilingual (10 years)
  • Medical Terminology
  • Interpretation
  • Physiology Knowledge
  • Anatomy Knowledge
  • Dialysis Experience
  • Translation
  • Medical Records
  • Order Entry
  • Medical Scheduling
  • Relationship Management
  • Nursing
  • Medical Office Experience
  • Supervising Experience
  • Problem-solving
  • Flexibility
  • Team Work
  • Reliability
  • HIPAA
  • Vital Signs
  • Computer Skills
  • Customer service
  • Insurance Verification
  • Spanish
  • Medical Coding
  • Customer support
  • Team management
  • Order entry
  • ICU experience
  • Human resources
  • Clerical experience
  • Typing
  • Front desk
  • EMR systems
  • ICD-10
  • Interviewing
  • Hospital experience
  • Documentation review
  • Research
  • Customer relationship management
  • Cash register
  • Computer networking
  • Banking
  • Cash handling
  • Healthcare management
  • Workday
  • Sales
  • Administrative experience
  • Organizational skills
  • Patient care
  • Communication skills
  • Mobile applications
  • ADLs
  • Working with people with developmental disabilities
  • Medication administration
  • Working with people with disabilities
  • Senior care
  • Home health
  • Quality Improvement
  • Family engagement
  • Progress Monitoring
  • Clinical Collaboration
  • Insurance understanding
  • Referral management
  • Teamwork and Collaboration
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Team Collaboration
  • Active Listening
  • Effective Communication
  • Patient Safety
  • Adaptability and Flexibility
  • Patient Care Assessment
  • Patient Education
  • Certified in CPR/AED
  • Relationship Building
  • Patient education and counseling
  • Team building
  • Medication Dispensing
  • HIPAA Guidelines
  • Task Prioritization
  • Self Motivation
  • Interpersonal Skills
  • Analytical Thinking
  • Goal Setting
  • Patient Advocacy
  • Schedule Management
  • Adaptability
  • Medical clinical procedures
  • Patient Relations
  • Epic Systems
  • Health Information Systems
  • Records Maintenance
  • Medicare Compliance
  • Inventory and restocking

Certification

  • BLS for Healthcare Providers, 07/01/2019
  • CPR Certification
  • Telemarketing, Billing, 03/01/2020

Additional Information

ADDITIONAL SKILLS: 5 years of customer service good written and verbal communication skills, both Spanish and English extremely productive in a high volume, high stress, and environment proficient in Windows 2010 Self-starter with a can do attitude. Knowledge in Medical environment as well as Office environment. Developed interpersonal skills. Dealt with a diversity of clients, professionals, and staff members. Bilingual. Spanish/English

Personal Information

Title: Front office/ Rehab Technician

Languages

Spanish
Native or Bilingual

Timeline

Care Management Coordinator

Florida Medical Clinic-Zephyrhills, FL
03.2023 - Current

Patient Service Coordinator

CORA Physical Therapy-Tampa, FL
03.2021 - Current

Customer Service Representative

New York Life-Tampa, FL
01.2020 - Current

Bank Teller II

Wells Fargo-Robertsdale, AL
05.2018 - 01.2020

Rehabilitation Technician

The Hand Institute-Miami, FL
01.2015 - 02.2016

Rehabilitation Technician

REHAB IN MOTION-Robertsdale, AL
12.2012 - 01.2020

Front Desk Manager

Hampton Inn-Daphne, AL
09.2007 - 05.2013

Bachelor's - Physical Therapy

Universidad Mayor de San Andres
  • BLS for Healthcare Providers, 07/01/2019
  • CPR Certification
  • Telemarketing, Billing, 03/01/2020
Karla Doire