Karolyn Pimentel

Referral Coordinator

• Coordinated patient appointment scheduling to specialty care appointments and assessed referrals by working closely with providers, patients, and healthcare facilities to ensure seamless continuity of care.
• Verified insurance benefits and obtained prior authorizations for specialty consultations, procedures, and high-tech radiology services (MRI, CT, PET, and other advanced imaging), minimizing delays in patient treatment.

Durable Medical Equipment Specialist (DME)

• Prepared all required clinical documentation and pended Durable Medical Equipment (DME) orders for physicianto review and signature, ensuring accurate and precise documentation, insurance compliance, and timely processing of medically necessary DME.
• Conducted extensive chart research to assess clinical medical necessity,eligibility, facilitated DME order processing, and collaborated with providers, insurance carriers, and vendors to secure coverage for medically appropriate equipment.

Medical Administrator

• Managed FMLA, disability, and medical leave paperwork, ensuring all forms were completed accurately, supported by required clinical documentation, and submitted within established deadlines.
• Coordinated with physicians, patients, and employers to facilitate timely completion of medical documentation while maintaining HIPAA compliance and confidentiality.

Leadership and Training Development

• Developed a comprehensive training manual and customized onboarding program for the Practice Assistant department, creating standardized workflows and educational materials to improve staff knowledge and operational consistency.
• Selected by leadership to train Practice Assistants outside of my primary job responsibilities, providing one-on-one and group instruction that improved workflow efficiency, accuracy, and cross-department collaboration.

• Prepared packaging and labels for prescriptions, verifying accuracy of dosage, side effects, interactions, and refill instructions.
• Precisely measured and combined ingredients to deliver scrupulous formulation on customer compound prescription orders.
• Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
• Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
• Monitored ordering of pharmacy medication stock to maintain streamlined inventory and low overhead.

• Developed and maintained up-to-date knowledge of menu items and daily specials to accurately respond to customer queries.
• Resolved guest and employee complaints to maintain complete customer satisfaction and workforce effectiveness.
• Organized, stocked and cleaned establishment's front lobby during shifts to maintain welcoming appearance.
• Accommodated special seating requests for guests to enhance satisfaction.
• Managed seating chart and monitored activity in restaurant to keep constant and efficient dining flow.

• Input orders accurately into POS terminal, split bills and accepted payments.

• Overcame objections using friendly, persuasive strategies.
• Generated leads and established relationships with potential customers through outbound telephone calls.
• Handled high-volume telemarketing operations with expert use of client management software and computer dialing.

• Supported servers, food runners, and bussers with keeping dining area ready for every guest.
• Input orders accurately into POS terminal, split bills and accepted payments.
• Took reservations and to-go orders by phone, answered customer questions, and informed of accurate wait times.