Suzanna Urbina
Eastvale
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Outside Referral Coordinator
Kaiser Permanente
Riverside
09.2023 - Current
- Coordinate and distribute referral authorization documents for external providers.
- Confirm and track authorization status to ensure timely patient care.
- Serve as liaison between contracted providers and Kaiser Permanente physicians to streamline communication and referral processes.
- Answer calls from providers and patients regarding referrals, ensuring clear communication and resolution of issues.
- Process and manage referrals within Epic, maintaining accurate and compliant records.
- Message providers regarding patient care plans to support continuity of care.
- Review medical records and surgical photos to ensure appropriate documentation and authorization.
- Updated and maintained referral tracking systems for accurate record-keeping.
- Assisted in resolving patient inquiries related to referrals and healthcare services.
Claims Benefit Specialist
CVS Aetna
03.2022 - 08.2024
- Processed claims submissions, ensuring correct coding and pricing in compliance with contracts.
- Reviewed Plan of Healthcare documentation to verify claims accuracy and patient benefit alignment.
- Interpreted and applied contract terms, policy updates, and regulatory requirements in claim adjudication.
- Coded and adjusted claims per payer guidelines and healthcare policies.
- Maintained up-to-date knowledge of health insurance claim procedures to support accurate and timely processing.
- Evaluated claims for accuracy and compliance with policy guidelines.
Admissions Coordinator
Foothill Dermatology
Glendora & Rancho Cucamonga
02.2021 - 07.2021
- Verified patient insurance coverage and scheduled appointments.
- Delivered exceptional front-desk service while supporting daily clinic operations.
- Communicated effectively with patients in person and over the phone.
- Managed electronic health records and maintained patient confidentiality.
- Developed communication materials for new patient orientation processes.
- Streamlined appointment confirmation procedures to enhance patient experience.
- Collaborated with clinical staff to optimize workflow efficiency in admissions.
Admissions Coordinator
Casa Colina Healthcare
Pomona
07.2019 - 02.2021
- Guided patients through pre-admission, admission, and evaluation scheduling processes.
- Ensured timely insurance verification and authorization processing.
- Delivered excellent patient service in a high-volume healthcare setting.
- Assisted patients with insurance verification and financial inquiries.
- Developed communication materials for new patient orientation processes.
- Resolved patient concerns promptly to ensure a positive service experience.
Stylist/Cashier
Dress Barn
Mira Loma
09.2018 - 07.2019
- Delivered high-quality customer service and supported sales campaigns.
- Promoted store memberships and credit card sign-ups.
- Recognized as Employee of the Month for outstanding performance.
Healthcare Administration Intern
Community Translational Research Institute (CTRI)
Pomona
05.2018 - 08.2018
- Conducted research and presentations on diabetes-related topics.
- Recruited participants for community health studies.
- Supported planning and administration of public health initiatives.
- Participated in team meetings to discuss project progress and share insights.
- Researched healthcare policies and best practices to inform administrative decisions.
- Communicated effectively with patients regarding their inquiries and appointment details.
- Analyzed financial documents such as invoices, bills, and reimbursement forms.
- Developed informational materials to enhance understanding of research initiatives among staff.
Ministry Leader
Juventud Renovada
12.2016 - 01.2017
- Mentored youth and coordinated outreach programs and mission trips.
- Led goal-setting sessions and collaborated with international volunteers to support underserved communities.
- Developed training materials for volunteer staff and program participants.
- Managed communication between church leaders and community members effectively.
- Facilitated workshops addressing personal development and leadership skills.
Cashier/Customer Service
New York & Company
Riverside
07.2015 - 12.2016
- Delivered high-quality customer service and supported sales campaigns.
- Promoted store memberships and credit card sign-ups.
- Handled cash, credit, and gift card transactions accurately.
- Maintained clean and organized checkout area for optimal service.
Education
Doctor of Philosophy (PhD) - Healthcare Ethics
Duquesne University
Pittsburgh, PA10.2025
Master of Bioethics and Health Policy -
Loyola University Chicago
California-based12.2024
Master of Public Health - Concentration in Health Policy and Administration
California Baptist University
Riverside, CA08.2022
Bachelor of Science - Healthcare Administration
California Baptist University
Riverside, CA12.2018
Skills
- Bilingual – Fluent in English and Spanish
- Microsoft Office (Word, Excel, PowerPoint)
- Epic
- Claims processing
- Caseload management
- Claims & EMR systems
- Data entry proficiency
- Insurance Verification
- Claims Review
- Policy Analysis
- Team Leadership
- Customer Service
Certification
- Introduction to the Incident Command System (ICS 100-C), FEMA – Emergency Management Institute, 05/01/22
- Basic Incident Command System for Initial Response (IS 200-C), FEMA – Emergency Management Institute, 05/01/22
- Introduction to Exercises (IS 120-C), FEMA – Emergency Management Institute, 05/01/22
- Emergency Management Basics, FEMA – Emergency Management Institute, 05/01/21
Volunteer Experience
Juventud Renovada / Outreach Work, Panama, Ministry Leader, 12/01/16, 01/01/17, Mentored youth and coordinated outreach programs and mission trips., Led goal-setting sessions and collaborated with international volunteers to support underserved communities.
Timeline
Outside Referral Coordinator
Kaiser Permanente
09.2023 - Current
Claims Benefit Specialist
CVS Aetna
03.2022 - 08.2024
Admissions Coordinator
Foothill Dermatology
02.2021 - 07.2021
Admissions Coordinator
Casa Colina Healthcare
07.2019 - 02.2021
Stylist/Cashier
Dress Barn
09.2018 - 07.2019
Healthcare Administration Intern
Community Translational Research Institute (CTRI)
05.2018 - 08.2018
Ministry Leader
Juventud Renovada
12.2016 - 01.2017
Cashier/Customer Service
New York & Company
07.2015 - 12.2016
Doctor of Philosophy (PhD) - Healthcare Ethics
Duquesne University
Master of Bioethics and Health Policy -
Loyola University Chicago
Master of Public Health - Concentration in Health Policy and Administration
California Baptist University
Bachelor of Science - Healthcare Administration
California Baptist University