Summary
Overview
Work History
Education
Skills
Certification
References
Languages
Timeline
Generic

MAYRA FLORES

Palmdale

Summary

Highly organized individual with experience providing support to a management team. Adept at streamlining office operations, managing calendars and providing administrative support. Experienced in coordinating projects, preparing reports, and maintaining filing systems. Committed to delivering high-quality results in a timely and efficient manner.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Administrator Coordinator III

Kaiser Permanente
Lancaster
12.2024 - Current
  • Cultivate effective collaborations with peers within and across teams to gather and share essential resources, and information.
  • Assist with coordinating events.
  • Maintain calendar for Administrators and Doctors to optimize scheduling efficiency.

Administrative Coordinator II

Kaiser Permanente
City Of Industry
07.2024 - 12.2024
  • Manage incoming and outgoing mail distribution, including scanning, sorting and delivering items promptly.
  • Demonstrate strong proficiency in Microsoft Office Systems.
  • Maintain calendar for Management Team, including scheduling appointments and meetings.
  • Assist with onboarding new employees by coordinating orientation activities.
  • Compile information into spreadsheets for analysis purposes.
  • Maintain and update employee records and personnel files.
  • Maintain an organized work environment by keeping common areas tidy.
  • Monitor employee time cards for accuracy prior to submitting payroll records.

Member Service Representative

Kaiser Permanente
Lancaster
08.2022 - 08.2024
  • Monitoring In-Basket of all Service Representatives personnel and coordinating coverage for call outs and vacations.
  • Project Management Collaborated with upper management and Therapists to improve workflow between Clerical Staff and Therapists, reducing the turnaround time from 48 business hours to 24 hours.
  • Suggested Clerical workflow improvement in staff meetings to reduce workloads while increasing productivity.
  • Collaborated with the Department Administrator and other KP vendors to identify building possibilities and monitor costs.
  • Manage 150+ appointment request messages per week for 7 associate Therapists, maintaining a 24 hour response time.
  • Handle patient complaints.
  • Coached Associate Therapists with departmental workflow of Service Representatives and Call Center Agents.
  • Type 40 WPM
  • Microsoft Office
  • Excel
  • Project Management
  • File/records maintenance
  • Authorized to work in the US for any employer
  • Bilingual English/Spanish
  • QBS II Certified

Medical Appointment Clerk

Kaiser Permanente
Lancaster
02.2021 - 08.2022
  • Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.
  • Operates in a high volume, highly structured call center environment by responding to incoming calls.
  • Determines the type of appointment requested or needed, reviews scheduling a mix of various physicians/providers, and then makes appointments utilizing appropriate guidelines.
  • Prioritizes member needs and offers alternatives to members when appropriate.
  • Utilizes superior customer service skills to provide service to members when diffusing difficult member encounters.
  • Uses tact and diplomacy in handling difficult interactions with members.
  • Determines if calls are urgent or emergent by listening to the member, following established guidelines, and then transferring the call to a Registered Nurse when appropriate.
  • Composes messages for physicians/providers, Registered Nurses, or other medical staff based on member requests.
  • Responds in a courteous and professional manner to general questions, using online databases to provide information to any member or other personnel calling the center.
  • Identifies ways to improve quality of service to members and recommends steps used to accomplish these changes.
  • Must perform all of the above duties while meeting established standard of performance for quality and productivity.
  • Performs clerical duties which may include assigning new members a primary care physician, processing self-referral requests, calling patients and booking appointments for specialty appointments, and calling members to cancel and reschedule appointments.

Call Center Agent

Phoenix Medcom
Cortland
03.2020 - 02.2021
  • Handled high volumes of incoming calls from customers while maintaining quality standards for call duration time.
  • Employed active listening skills to accurately assess patient needs and provide appropriate solutions.
  • Utilized computer systems, databases, and other resources to research patient inquiries and respond appropriately.
  • Transferred phone calls to the proper department or individual as necessary.
  • Demonstrated excellent customer service skills and problem-solving abilities to address customer inquiries and complaints in a timely manner.
  • Responsible for directing calls appropriately and sending messages to doctors or their offices to follow up with patient needs.

Referral Clerk Coordinator Lead

U.S. HealthWorks
Valencia
05.2016 - 08.2018
  • Responsible for processing patient authorizations for treatment, obtaining pending claim numbers, sending out proper documentation to adjusters, and following up on the status of referrals.
  • Provided assistance with resolving any issues that arose during the referral process in a timely manner.
  • Trained new staff members on proper procedures related to referring individuals within the organization's network.
  • Maintained accurate records of referral requests, tracking outcomes and follow up activities.
  • Collaborated with other departments to ensure the successful completion of referral requests.
  • Utilized organizational skills to prioritize tasks and manage multiple referral cases simultaneously.
  • Identified any potential challenges or risks associated with each referral request before submitting them for approval.
  • Communicated effectively with external agencies to coordinate timely referrals according to policy guidelines.
  • Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations.

Crew Member

Trader Joe's
Palmdale
11.2015 - 09.2016
  • Worked as a team member performing various duties including cashier duties, product assistance, and cleaning.

Education

Master's - Healthcare Administration

California State University East Bay
Hayward, CA
05.2024

Bachelor's - Healthcare Administration

Southern New Hampshire University
06.2022

Associates Degree - Liberal Arts

Antelope Valley College
01.2015

Certificate -

Charter College
01.2013

High school diploma or GED -

Wiliam J Pete Knight High School
05.2009

Skills

  • Calendar Management
  • Prior Authorization
  • EMR Systems
  • Medical Records
  • Medical Scheduling
  • Medical Terminology
  • Patient Care
  • Medical Office Experience
  • Front Desk
  • Insurance Verification
  • Epic
  • Strong organizational skills
  • Quick learner
  • Active listening skills
  • Critical thinking
  • Courteous demeanor
  • Energetic work attitude
  • Reliable transportation
  • Prioritize
  • Punctual
  • Computer proficient

Certification

Lean Six Sigma Green Belt, 2024

References

References available upon request

Languages

Spanish
Native/ Bilingual

Timeline

Administrator Coordinator III

Kaiser Permanente
12.2024 - Current

Administrative Coordinator II

Kaiser Permanente
07.2024 - 12.2024

Member Service Representative

Kaiser Permanente
08.2022 - 08.2024

Medical Appointment Clerk

Kaiser Permanente
02.2021 - 08.2022

Call Center Agent

Phoenix Medcom
03.2020 - 02.2021

Referral Clerk Coordinator Lead

U.S. HealthWorks
05.2016 - 08.2018

Crew Member

Trader Joe's
11.2015 - 09.2016

Master's - Healthcare Administration

California State University East Bay

Bachelor's - Healthcare Administration

Southern New Hampshire University

Associates Degree - Liberal Arts

Antelope Valley College

Certificate -

Charter College

High school diploma or GED -

Wiliam J Pete Knight High School