Summary
Overview
Work History
Education
Skills
Professional References
Timeline
Generic

MIKAYLA VALENCIA

Rio Rancho,NM

Summary

Versatile administrative and scheduling professional with nearly 4 years of combined experience in healthcare operations, patient coordination, and records management. Skilled in high-volume scheduling, prior authorizations, with proficiency in Epic EMR, Microsoft Office Suite, and multi-department communication. Experienced in policy compliance, accurate data entry, and generating detailed work/reports. Recognized for training new administrative staff, problem-solving patient/provider concerns, and supporting clinical teams to ensure seamless healthcare delivery.

Overview

3
3
years of professional experience

Work History

Patient Visit Specialist

Presbyterian Healthcare Services
NM
08.2024 - Current
  • Maintain accurate, confidential patient, and administrative records in EPIC EMR.
  • Scheduling and coordination of PT, OT, and ST appointments for a high-volume outpatient clinic.
  • Communicate daily with insurance authorization teams to verify benefits, process prior authorizations, and resolve referral issues.
  • Review and update patient referrals as needed to ensure accuracy and alignment with insurance requirements.
  • Serve as the primary point of contact for patients, providers, and patient access teams, ensuring accurate information and resolving scheduling or coverage concerns.
  • Assist in onboarding and training new administrative staff, providing guidance on systems, workflows, and policy adherence.
  • Manage a high volume of inbound and outbound calls, emails, and internal communications with professionalism and efficiency.
  • Prioritized urgent referrals, and managed cancellations, reschedules, and provider availability with efficiency and professionalism.
  • Collaborate with multidisciplinary teams to support seamless patient care and a streamlined administrative process.
  • Provided professional and compassionate customer service, assisting patients with scheduling concerns, insurance questions, and general therapy related questions.
  • Accurately entering and coordinating provider orders for patients.

MRI Technologist Assistant

Radiology Associates of Albuquerque
Albuquerque, NM
10.2022 - 08.2024
  • Supported MRI technologists in preparing patients for imaging procedures, ensuring comfort and safety, while following protocol.
  • Verified prior authorizations, CPT codes, and insurance requirements for imaging procedures, ensuring all documentation was accurate before patient exams.
  • Ensured compliance with medical terminology, notes, diagnosis codes, lab values, and authorization requirements before imaging.
  • Managed patient flow by coordinating appointment timing, prepping exam rooms, and facilitating communication between staff and patients.
  • Help patients into position on the MRI table, ensuring they are comfortable, and properly aligned with all necessary equipment for accurate imaging.
  • Record patient information, medical notes for radiologists, scan parameters, and any observations accurately into the medical records system and databases.
  • Use of CHANGE PACS, MedInformatix, PENRAD, EPIC, TRICORE LABS, etc. Ensuring that all medical terminology, notes, diagnosis codes, CPT codes, lab values, and prior authorizations are accurate.
  • Scheduling, rescheduling, and calling patients on a needed basis within the MedInformatix system.

Pre-Screener

Radiology Associates of Albuquerque
Albuquerque, NM
04.2022 - 10.2022
  • Communicate effectively with patients, visitors, and staff regarding screening procedures, requirements, and any changes in protocols.
  • Perform temperature checks using non-contact thermometers on individuals entering the facility, following established protocols for accuracy and safety.
  • Record temperature readings, symptom assessments, and other relevant information accurately in designated logs and electronic systems.
  • Advocate for patient and visitor safety by enforcing screening procedures with empathy and professionalism.

Education

Certificate - Health, Wellness, and Public Safety

Central New Mexico Community College
Albuquerque, NM
12.2023

Diploma -

Rio Rancho High School
05.2021

Skills

  • Medical records coordination & accurate data entry
  • Referral entry/order transcription
  • EPIC EMR & Microsoft Office Suite proficiency
  • ICD-10/CPT code knowledge
  • Confidential recordkeeping
  • Policy and procedure interpretation
  • Extensive knowledge of medical and administrative terminology
  • Patient interaction and provider interaction
  • Multi-department interaction
  • High volume call handling & professional phone etiquette
  • Exposure to prior authorization and referral coordination workflows
  • Fast-paced multitasking
  • Time management
  • Customer service excellence & conflict resolution
  • Managing inbound and outbound communications

Professional References

References available upon request.

Timeline

Patient Visit Specialist

Presbyterian Healthcare Services
08.2024 - Current

MRI Technologist Assistant

Radiology Associates of Albuquerque
10.2022 - 08.2024

Pre-Screener

Radiology Associates of Albuquerque
04.2022 - 10.2022

Certificate - Health, Wellness, and Public Safety

Central New Mexico Community College

Diploma -

Rio Rancho High School
MIKAYLA VALENCIA