Karla Zamora

• Prepare dockets of cases to be called by the court.
• Proofreading legal documents prior to submitting for judges signature, filing, and mailing.
• Collect court fees and fines.
• Reply to inquiries from the general public, judges, court officials, and lawyers.
• Maintain records of court appearances and proceedings.
• Ensure that information, materials, and evidences presented in the court are secured.
• Maintain good relationship with judges, court officials and other law enforcement agents.
• Ensure smooth and organized proceedings in the courtroom by making sure that all materials required for smooth court proceeding are put in place before each hearing.
• Present all exhibits related to cases during court hearing.
• Examine the authenticity of legal documents submitted to the court.

Supervision & Training

· Trains new Referrals Specialists

· Trains new Referrals Specialist for Specialty Clinics

· Stays on top of all trainings and webinars for all referrals specialists.

· Maintains extensive resource directory for PHC/RPHC and CHA referrals staff of community resources.· Knowledge of managed care requirements for referrals and primary care

· Works with Chief Medical Informatics Office to develop P2P for meaningful use.

· Works with the informatics team to optimize referral workflows in the electronic health record.

· Provides real-time support to referrals and specialty clinics during work hours by answering questions through jabber

· Assists with scheduling of the referrals team

· Participates in hiring decisions and contributes to performance evaluations.

· Attends outside forum/panels to bring information and training back to PHC staff if Manager not able to attend.

· Performs other duties as assigned by Referrals and Specialty Clinics Operations Manager

· Assumes management duties of the referrals team in the absence of the Referrals Manager.

Specialty Authorization and Referrals Processing

· Responsible for completion and processing of authorizations and referrals ordered by Providers and requested for patients for services both inside and outside of PHC/RPHC and CHA.

· Maintains updated authorizations/referrals information in patient chart through a tracking mechanism.

· Assists patients in the appeals process for denial of services through the proper appeals process with their insurance companies.

· Processes outside referrals from other PCP/specialist within expected timeframe

· Provides information on required documents for PCP’s as needed daily.

· Processes outsourced Mental Health referrals within expected timeframe

· Responsible for accurate verifications of patient insurance eligibility.

· Follow up on telephone encounters and messages left on voicemail.

· Schedules specialty clinics: Urology, GI, Endocrine, Neurology, and Rheumatology.

· Schedules Ophthalmology, Optometry, and Podiatry

· Answers phone calls regarding any referrals issues that come in through the Referrals phone queue

· Maintains relationships and assists specialists with any PHC/RPHC and CHA issues.

· Obtains prior authorization for Nebulizer machines given in-house to patient and manages stock closet.

Referral Tracking

· Tracks the completion of the referral process.

· Tracks referrals by using structured data.

Orders, tracks and processes difficult/specialty referrals.

• Adhered to organizational policies and procedures at all times.
• Responded to inquiries from patients regarding their accounts or services offered by the facility.
• Maintained accurate records of all patient interactions, registrations, financial transactions.
• Updated patient demographic information in [System] to prevent treatment and recordkeeping errors.
• Assisted with coding procedures for reimbursement purposes.
• Scanned documents into electronic health record systems as needed.
• Tracked changes in insurance plans and coverage levels over time.
• Verified patient information, including insurance coverage and obtaining necessary signatures on forms.
• Resolved billing issues with insurance companies as needed.
• Provided excellent customer service while handling all incoming calls efficiently and professionally.

• Answered telephones and directed calls to appropriate medical or administrative staff.
• Managed and obtained insurance authorizations for patient referrals from physicians.
• Educated patients on how their health plan works so they can make informed decisions about their care options.
• Coordinated referral orders for patients.
• Scheduled and confirmed patient appointments and consultations.
• Reviewed data obtained from referring physicians for completeness and accuracy.
• Scheduled tests, lab work or x-rays for patients based on physician orders.
• Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.

• Upheld donor confidentiality throughout intake and collection process.
• Mentored newly hired medical personnel in phlebotomy techniques and protocols.
• Adhered to HIPAA guidelines regarding patient privacy.
• Performed quality control tests on collected specimens.
• Provided excellent customer service while interacting with patients.
• Prepared and packaged specimens for courier transport.
• Ensured compliance with federal regulations governing laboratory procedures.
• Processed samples accurately and efficiently.
• Verified collection orders and communicated discrepancies to nurses.
• Transported specimens following established protocol for temperature and light.
• Maintained fully-stocked phlebotomy cart, carrier and station.
• Maintained a clean, safe, and organized work environment.
• Promoted blood specimen integrity for laboratory testing using accurate selection of collection tubes and correct technique.
• Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
• Scheduled patients according to availability, urgency and insurance authorization guidelines.
• Verified documents and associated records to catch and resolve discrepancies.
• Developed productive working relationships with numerous insurance company representatives.
• Transmitted medical records and other correspondence by mail, e-mail, or fax.
• Provided support to referring physicians in obtaining pre-authorization for services as necessary.

• Out-Patient lab draws and specimen collections.
• Performed quality control tests on collected specimens.
• Provided excellent customer service while interacting with patients.
• Prepared and packaged specimens for courier transport.
• Ensured compliance with federal regulations governing laboratory procedures.
• Processed samples accurately and efficiently.
• Verified collection orders and communicated discrepancies to nurses.
• Documented patient information into electronic medical records system.
• Transported specimens following established protocol for temperature and light.
• Identified best veins for intravenous lines and blood draws, avoiding unnecessary pokes.
• Identified patients using proper procedures prior to specimen collection.
• Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
• Counseled patients to ease fears, explain procedures, and enhance cooperation during blood draws.

• Performed quality control tests on collected specimens.
• Verified quality of specimens by centrifuging specimens for logistics courier to pickup.
• Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles and straight needles.
• Enforced infection control and sharps disposal procedures to protect patients, co-workers and self.
• Assisted in the preparation of laboratory specimens for analysis and testing.
• Observed patient for unusual reactions or events to take appropriate action under established guidelines.
• Maintained accurate records of collected specimens and test results.
• Used heel and finger stick methods to obtain blood from capillaries.
• Maintained a clean, safe, and organized work environment.
• Collected specimens from pediatric, adult, geriatric, and special needs patients.
• Collected specimens for drug screens, paternity tests and alcohol tests.
• Adhered to the chain of custody protocols for pre-employment drug screens.
• Performed alcohol breath tests.

• Assessed, documented and monitored vital signs for patients within outpatient setting.
• Kept facility stocked with necessary supplies, equipment and instruments.
• Performed preliminary physical tests to accurately record results in patient history summary.
• Conducted routine laboratory tests and sample analyses to monitor diseases.
• Responded to patient callbacks and phone-in prescription refill requests.
• Collaborated with local pharmacies to resolve and clarify issues with patient medication.
• Supported administrative staff by processing payments.
• Inspected equipment to ensure proper working order prior to use on patients.
• Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
• Operated electrocardiogram (EKG) to administer diagnostic tests.
• Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
• Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
• Prepared treatment rooms for patient examinations.

• Assessed, documented and monitored vital signs for patients within outpatient setting.
• Kept facility stocked with necessary supplies, equipment and instruments.
• Performed preliminary physical tests to accurately record results in patient history summary.
• Conducted routine laboratory tests and sample analyses to monitor diseases.
• Responded to patient callbacks and phone-in prescription refill requests.
• Collaborated with local pharmacies to resolve and clarify issues with patient medication.
• Supported administrative staff by processing payments.
• Inspected equipment to ensure proper working order prior to use on patients.
• Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
• Verified appointment times with patients, preparing charts, pre-admission and consent forms.
• Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
• Collected samples from patients for laboratory testing purposes.
• Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
• Scheduled appointments for patients via phone and in person.
• Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
• Organized charts, documents and supplies to maintain team productivity.
• Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
• Changed dressings on wounds to prevent infection and check for healing.