OLEG ORTEGA
Ontario,CA
Summary
Medical Prior Authorization/Referral Coordinator seeking a new opportunity for career advancement.
Overview
15
15
years of professional experience
Work History
Medical Records Specialist
Centrelake Imaging & Oncology
Ontario, California
09.2025 - Current
- Managed patient records using electronic health record systems.
- Ensured accuracy of medical documentation and compliance with regulations.
- Processed requests for medical records from patients and authorized personnel.
- Collected, filed, scanned, and retrieved confidential patient information.
- Answered inquiries regarding the status of patient records or their availability.
Lead Insurance /Patient Referral Coordinator
Air Methods Inc
San Bernardino, California
10.2017 - 07.2025
- Responsible for obtaining prior authorization for prescribed medications and services, ensuring with payor requirements and maintaining accurate and timely actions.
- Responsible for entering data in an accurate manner, update patient benefit information is accurate.
- Responsible for obtaining and gathering Patient Medical Records and uploading.
- Respond to outstanding prior authorization request.
- Updata and manage prior authorization tracking systems, including date entry and reporting.
- Proactively manage and process renewals for expiring authorizations.
- Distributing workflows to the team.
Lead Referral Coordinator
Synovation Medical Group
Rancho Cucamonga, California
04.2015 - 09.2016
- Call Center/Submitting Authorizations/Referrals for Insurance's. Humana, Anthe BC, IEHP, and access to portals.
- Front Office/Back office at Azusa Pain Management.
- Make appointments for patients after doctor's visit, and submitting for auth's and procedures
- Also handling company inquiries, and sorting and distributing mail.
- Update and manage prior authorization tracking systems, including date entry and reporting. Proactively manage and process renewals for expiring authorizations.
Prior Authorization Member Services
L.A. Care Health Plan
Los Angeles, California
02.2011 - 03.2013
- Call center/ Submitting Authorization/Referrals for Insurance's. Humana, Anthem, Iehp, and Portals.
- Executed daily tasks with precision, ensuring adherence to authorization protocols.
- Proposed and implemented ideas that improved team collaboration and service delivery.
- Collaborated with diverse coworkers to achieve team objectives and resolve product-related challenges.
Medical Billing and Coding Coordinator
Assertive A/R Solutions
01.2012 - 02.2013
- Collected, posted, and managed account payments.
- Responsible for submitting claims and following up with insurance companies.
- Prepares and submits clean claims to various insurance companies either electronically or by paper.
- Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations.
Education
Medical Insurance Billing & Coding Diploma -
Everest College
Alhambra, CA12.2012
High School Diploma -
Ulysses S Grant High School
Valley Glen, CA12.2003
Skills
Type 40 WPM
- Ten Key by Touch
- Lead Referral Coordinator
- Bilingual English/Spanish
- Electronic health records
- Patient management
- Insurance verification
- Records maintenance
- Insurance Information verification
- Referrals Processing
- Information release
- Authorization processing
Languages
Spanish
Professional
Timeline
Medical Records Specialist
Centrelake Imaging & Oncology
09.2025 - Current
Lead Insurance /Patient Referral Coordinator
Air Methods Inc
10.2017 - 07.2025
Lead Referral Coordinator
Synovation Medical Group
04.2015 - 09.2016
Medical Billing and Coding Coordinator
Assertive A/R Solutions
01.2012 - 02.2013
Prior Authorization Member Services
L.A. Care Health Plan
02.2011 - 03.2013
Medical Insurance Billing & Coding Diploma -
Everest College
High School Diploma -
Ulysses S Grant High School