Kenya Tellez
San Diego,CA
Summary
Dedicated administrative professional with successful experience as a lead scheduler and referral coordinator in fast-paced medical office settings . Hardworking team player offering organizational and multitasking abilities. Hoping to expand and utilize my knowledge as a Referral Supervisor within the team of Rady children's physician management services.
Overview
7
7
years of professional experience
Work History
Referral Specialist
Southbay Cancer Center
07.2018 - 06.2023
- Reviewed all specialty referrals for correct / needed information , coordinated with doctor directly if changes - updates were required for completion of referral.
- Obtained authorizations on insurance portals for IR procedures, radiology and specialty referrals .
- Handled appeal submissions and denials . As well to setting up a peer to peer for providers.
- Scheduled all outgoing referrals in a timely manner .
- Maintained often communication with outside departments & referral coordinators from other Pcp offices.
- Updated Provider directory in EMR system.
Patient Financial Advocate
Kousay Al-Kourainy Oncology / Hematology , MD
06.2016 - 07.2018
- Consulted with patients and families in regards to their chemotherapy treatment plan copay.
- Enrollment of patients into Copay Assistance programs / Patient Advocate foundations.
- Verified patient insurance eligibility & income and other diagnosis information needed with provider.
- Foundation claim submission, claim status, appeal submissions status and payment reconciliation.
- Provided excellent customer service and compassion to our patients.
- Scheduled all breast related diagnostic imaging. .
Front Desk Assistant Intern
Mid City Pediatrics
01.2016 - 04.2016
- Answered customer telephone calls promptly and appropriately handled needs.
- Maintained clean and organized front desk areas to uphold polished company image.
- Greeted patients and families upon arrival, offered assistance.
- Answered multi-line phone system and confirmed appointments.
- Assisted the psychologist and parents with translating for one another English - Spanish during the consultation.
Education
Certification - Health Information Technology
Comprehensive Training System
San Diego, CA2016
Certificate - Medical Terminology
Occupational Regional Program
Chula Vista, CA2015
Certificate - Microsoft Office Specialist , 2010
Occupational Regional Program
Chula Vista, CA2013
High School Diploma -
San Diego County Office of Education
San Diego, CA2009
Skills
- Knowledge of Medical terminology
- Insurance Verification
- Experience with EMR systems
- Pre-Authorizations
- Familiar with Epic
- Data Entry
- Comfortable handling a high volume of telephone calls
- Hipaa compliance
- CPR card
- Relationship Building
- Staff Leadership
- Scheduling Tests and Procedures
Timeline
Referral Specialist
Southbay Cancer Center
07.2018 - 06.2023
Patient Financial Advocate
Kousay Al-Kourainy Oncology / Hematology , MD
06.2016 - 07.2018
Front Desk Assistant Intern
Mid City Pediatrics
01.2016 - 04.2016
Certification - Health Information Technology
Comprehensive Training System
Certificate - Medical Terminology
Occupational Regional Program
Certificate - Microsoft Office Specialist , 2010
Occupational Regional Program
High School Diploma -
San Diego County Office of Education
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