Lena Abasta
Downey,CA
Summary
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities.
Overview
24
24
years of professional experience
Work History
Eligibility Specialist-Rehab Services
PIH Health Hospital-Whittier, CA
08.2023 - Current
- Responsible for verifying BHP Group/IPA HMO members eligibility including coordination of benefits, linking employers groups with benefit products, auditing data in Data Wing Eligibility Manager for auto-load of members into the system, reviewing eligibility for Priority UM Referrals/Claims which may require manual data entry of members current enrollment into the system, working on various eligibility reports to eliminate duplicate members, correct bad addresses, contact unassigned members to assist with a PCP change; assist with PCP capitation audits/process, support Supervisor with P4P reports and provide support to IPA PCPs/others as necessary; with an emphasis on front-line eligibility problem solving.
Enterprise Scheduling Registrar-Rehab Services
PIH Health Hospital- Whittier, CA
11.2013 - 08.2023
- Performs all tasks related to patient scheduling and pre-registration of outpatients in an efficient, accurate and hospitable manner to ensure that patient, physician and hospital needs are met
- Obtains insurance authorization, chart preparation, faxing, filing, and managing the phones
- Engaging in performance improvement activities as needed and serves as a communication facilitator for area of responsibility
Admissions Coordinator
Casa Colina Centers for Rehabilitation - Pomona, CA
10.2012 - 11.2013
- Duties involved screening of individuals in admissions for outpatient services
- Worked with staff members to ensure the admissions processes and documentation are efficient and complete
- Maintain admission guidelines
- Handled inquires and concerns from clients
- Effective verbal and written communication.
Home Services Aide
Haro Family - Montebello, CA
02.2011 - 10.2012
- Companionship and home services to an elderly couple, one of which has been diagnosed with Alzheimer’s Disease
- House cleaning such as vacuuming, dusting, dishes, windows, and bathrooms
- Change bedroom linen as well as wash if necessary
- Cook and prepare meals, errands, and transportation to doctor’s appointments
- Dispense and keep track of medications.
Operations Supervisor
Lee C Woods M.D., P.C. - Whittier, CA
11.2007 - 10.2010
- Supervised operations of an Orthopedic practice
- Experience in Workers Compensation procedures
- Scheduled and coordinated surgeries
- Maintained effective communication with patient, adjuster, utilization review, employer and attorney
- Responsible in proofreading medical legal reports
- Oversee scheduling and care of patients
- Obtained medical histories
- Maintain and coordinate physician calendar
- Prepared correspondence and memos
- Train and delegate duties to employees.
Medical Receptionist
Lee C. Woods M.D., P.C. - Whittier, CA
09.2005 - 11.2007
- Secretarial and Administrative duties include answer, screen and direct multiline phone calls
- Faxing
- Filing of charts, medical correspondence and reports
- Responsible for obtaining authorization for diagnostic testing and patient treatment
- Scheduling patient for medical appointments
- Chart preparation and maintenance
- Greet and direct patients upon arrival
- Utilize knowledge of medical terminology in an Orthopedic office setting.
Receptionist/Photographer
Sanford Studios - Whittier, CA
10.2000 - 05.2007
- Took professional photographs for school dances,
- ID’s and senior portraits
- Responsible for cash payments and sales
- Data entry and utilized 10-key.
Education
Student, Bachelor of Science Healthcare Management -
California State University Dominguez Hills
Carson, CA05.2024
Graduate, Associates Degree General Studies with An Emphasis on Self Development and Social Behavior -
Rio Hondo College
Whittier, CA01.2022
Graduate -
Santa Fe High School
Santa Fe Springs, CA06.2001
St Paul High School
Santa Fe springs, CA01.2000
Skills
- Spanish speaking
- Skilled collaborator
- Committed high achiever
- Effective cross functional communicator
- Proactive mentality
- Ability to work well under pressure
- Able to prioritize heavy workload
- Rapid and adaptive
- Solution oriented professional
- Ability to use critical thinking skills
References
available upon request
Timeline
Eligibility Specialist-Rehab Services
PIH Health Hospital-Whittier, CA
08.2023 - Current
Enterprise Scheduling Registrar-Rehab Services
PIH Health Hospital- Whittier, CA
11.2013 - 08.2023
Admissions Coordinator
Casa Colina Centers for Rehabilitation - Pomona, CA
10.2012 - 11.2013
Home Services Aide
Haro Family - Montebello, CA
02.2011 - 10.2012
Operations Supervisor
Lee C Woods M.D., P.C. - Whittier, CA
11.2007 - 10.2010
Medical Receptionist
Lee C. Woods M.D., P.C. - Whittier, CA
09.2005 - 11.2007
Receptionist/Photographer
Sanford Studios - Whittier, CA
10.2000 - 05.2007
Student, Bachelor of Science Healthcare Management -
California State University Dominguez Hills
Graduate, Associates Degree General Studies with An Emphasis on Self Development and Social Behavior -
Rio Hondo College
Graduate -
Santa Fe High School
St Paul High School
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