LESLIE PINEDA
San Pedro,CA
Summary
Dedicated Specialist with excellent planning and problem solving abilities. Offering 8 years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments. Organized conveys information effectively. Excellent recordkeeping, Exceptional telephone etiquette track record of success managing claims and inquiries. Familiar with computerized insurance records systems. Also has 6+ years Medical Assistance experience with family practice and pediatrics.
Overview
20
20
years of professional experience
Work History
Medical Assistant/Phlebotomy
Comfort Family Clinic
Wilmington, CA
- 11.2024
- Performed preliminary physical test to accurately record results in patient history summary. Scheduled appointments via phone and in person. Obtained medical history, chief complaints and vital signs. Prepared treatment rooms for patients by cleaning surfaces and restocking supplies. Assisted diagnostic testing by collecting and packing specimens for internal and laboratory analysis. Led patients to the exam rooms, answered general questions and prepared patients for the physician by explaining the process. Assessed, documented and monitored vital signs for patients within outpatient setting.
Claims Specialist
Optum, UnitedHealth Group
El Segundo, CA
11.2013 - 06.2024
- Asked probing questions and offered solutions to resolve customer issues. Answered insurance-related questions and discussed product offerings with prospective customers to meet unique needs. Responsible Claims Representative That works and attends to Provider claim needs. Proven history of delivering excellent high levels of customer service, being able to work in a call center or at a claims desk and verifying every fact before moving a claim to the next level. Attends to each claim detail before moving the claim on to the next stage, or closing that claim out.
Medical Assistant
HealthCare Partners Medical Group
Bellflower, CA
11.2013 - 09.2014
- Performed preliminary physical tests to accurately record results in patient history summary. Interviewed and engaged patients to obtain medical history, chief complaints and vital signs. Prepared treatment rooms for patients by cleaning surfaces and restocking supplies. Educated patients about medications, procedures and physician's instructions. Organized charts, documents and supplies to maintain team productivity. Efficiently performed insurance verification and pre-certification and pre-authorization functions. Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis. Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process. Followed principles of asepsis and infection control to meet patient safety guidelines.
Medical Assistant
Office Works Unlimited
Torrance, CA
01.2005 - 06.2013
- Performed preliminary physical tests to accurately record results in patient history summary. Scheduled appointments for patients via phone and in person. Prepared treatment rooms for patients by cleaning surfaces and restocking supplies. Educated patients about medications, procedures and physician's instructions. Contacted pharmacies to submit and refill patients' prescriptions. Assessed, documented and monitored vital signs for patients within outpatient setting. Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process. Organized charts, documents and supplies to maintain team productivity. Interviewed and engaged patients to obtain medical history, chief complaints and vital signs. Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
Medical Assistant
EL Puerto Medical Group
Wilmington, CA
07.2004 - 02.2010
- Performed preliminary physical tests to accurately record results in patient history summary. Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment. Scheduled appointments for patients via phone and in person. Interviewed and engaged patients to obtain medical history, chief complaints and vital signs. Prepared treatment rooms for patients by cleaning surfaces and restocking supplies. Secured patient information and maintained patient confidence by completing and safeguarding medical records. Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis. Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process. Assessed, documented and monitored vital signs for patients within outpatient setting. Educated patients about medications, procedures and physician's instructions.
Education
Phlebotomy Cpt1 -
Universal Healthcare College
Los Angeles, CA12-2024
Medical Assistant - undefined
American College
Gardena11-2003
High School - undefined
City of Angels
Lomita06-2000
Skills
- Coverage Determination Decision Making, Bilingual English/Spanish Organizing and Prioritizing Work, Problem-Solving Critical Thinking, Insurance Claim Forms Review Active Listening, Verbal and Written Communication 10-Key Touch, Customer Service Data Entry Software, Information Verification Service Referrals
- HIPAA compliance
- Patient scheduling
- Medical terminology knowledge
- Vital sign monitoring
- EMR / EHR
- Direct patient care
- Clinical documentation
- Data entry
- Phlebotomy
- Reliable team player
- CPR
- Immunization administration
- Phlebotomy techniques
- Specimens collection and processing
- Maintaining confidentiality
- Insurance verification
- Appointment setting
- Fluent in [languages]
- Reliable transportation
- Customer service
- Patient-focused care
- Trustworthy companion
Languages
Spanish
Full Professional
Timeline
Claims Specialist
Optum, UnitedHealth Group
11.2013 - 06.2024
Medical Assistant
HealthCare Partners Medical Group
11.2013 - 09.2014
Medical Assistant
Office Works Unlimited
01.2005 - 06.2013
Medical Assistant
EL Puerto Medical Group
07.2004 - 02.2010
Medical Assistant/Phlebotomy
Comfort Family Clinic
- 11.2024
Medical Assistant - undefined
American College
High School - undefined
City of Angels
Phlebotomy Cpt1 -
Universal Healthcare College