Regina Padilla
Visalia,CA
Summary
Driven professional with extensive experience in healthcare, notably at Cigna, where I excelled in claims processing and quality improvement. Skilled in both clinical and administrative roles, including dermatology assistance and patient care coordination. Demonstrated ability to enhance patient outcomes and satisfaction through effective communication and leadership, embodying a results-oriented approach with a blend of hard and soft skills.
Overview
15
15
years of professional experience
Work History
Claims Representative
Cigna
03.2022 - Current
- Analyzed and processed medical claims claims by investigating and gathering information to determine exposure
- Processed a high volume of claims efficiently while maintaining quality standards
- Knowledge in PMHS, Itrack, One View, Inspro, Majesco, Knowledge Exchange and Content Navigator
- Support other departments within the company if needed
Medical Assistant/Medical Receptionist/Referral Specialist
Riverway Medical Care
11.2020 - 03.2022
- Cleaned, prepared and maintained examination rooms and treatment areas
- Assisted physicians and clinicians with examinations, procedures, and vital signs monitoring
- Measured vital signs, including pulse rate, temperature, blood pressure, weight and height
- Answered phone calls and scheduled or followed-up on appointments
- Greeted patients warmly and assisted physician in preparing patients for exams and procedures by assessing vital signs and recording medical histories
- Supported front office billing, scheduling and patient check-ins
- Guided patients, changed schedules and managed claims to keep office operating efficiently
- Worked with pharmacy staff to authorize drug refills and relay prescription information
- Coordinated patient care with physicians, ensuring smooth examinations and procedures while maintaining detailed medical records and vital sign logs
Patient Care Coordinator
Lags Medical Center
08.2018 - 10.2020
- Interacted with patients and families to orientate and educate about treatment programs
- Identified problems, documented resolutions and communicated to applicable parties to facilitate care progression
- Secured healthcare data to respect rights of patients and maintain confidentiality
- Collaborated with other departments to expedite and schedule tests, procedures and consultations
- Built trusting rapport with patients and caregivers
- Connected patients with support resources to seek financial assistance
- Helped patients obtain necessary services to meet healthcare needs
- Obtained pre-authorizations to remove patient barriers to healthcare
- Stayed up-to-date on available community services and program resources
- Served as patient advocate, liaising with providers and insurance companies to meet patient needs
- Coordinated patient care across departments, facilitating seamless treatment progression and improving overall healthcare outcomes
Dermatology Medical Assistant
Paz Dermatology
04.2018 - 08.2018
- Assisted physicians and clinicians with examinations, procedures, and vital signs monitoring
- Administered injections and medications, dressed wounds and collected lab specimens for tests
- Escribe on EMA
- Prep patient for Mohs surgery
- Assist provider with biopsy's
Lead Patient Care Coordinator
Altura Centers For Health
02.2010 - 04.2018
- Coordinated 7 patient care coordinators daily duties for each site
- Quality improvement
- Attended Leadership conferences
- Family planning certification
- I2I knowledge
- Initiated plans for treatments, procedures and medications to foster continuing care requirements
- Referred patients and coordinated paperwork to obtain healthcare support services
- Served as patient advocate, liaising with providers and insurance companies to meet patient needs
- Provide coordinated care for chronic care patients
- Led patient care coordination team, driving quality improvements and enhancing chronic care management, resulting in improved patient outcomes and satisfaction
Education
Medical Assistant Certificate -
Visalia Adult School
Visalia12.2018
Dermatology Tech Certification -
Paz Dermatology
08.2018
Family planning certification -
Altura Centers For Health
04.2018
High School Diploma -
Redwood High School
06.2006
Skills
- Claims processing
- Claims documentation
- Quality Improvement
- Dermatology Assistant
- Medical Assistant
- Family Planning
- CPR
- Proficiency in Excel
Timeline
Claims Representative
Cigna
03.2022 - Current
Medical Assistant/Medical Receptionist/Referral Specialist
Riverway Medical Care
11.2020 - 03.2022
Patient Care Coordinator
Lags Medical Center
08.2018 - 10.2020
Dermatology Medical Assistant
Paz Dermatology
04.2018 - 08.2018
Lead Patient Care Coordinator
Altura Centers For Health
02.2010 - 04.2018
Medical Assistant Certificate -
Visalia Adult School
Dermatology Tech Certification -
Paz Dermatology
Family planning certification -
Altura Centers For Health
High School Diploma -
Redwood High School
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