Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
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VICTORIA AYALA

San Antonio

Summary

Dedicated and compassionate healthcare professional with over 8 years of experience in care coordination, office management, and patient-centered healthcare operations. Passionate about supporting both patients and providers through organized, efficient, and empathetic service.

Overview

10
10
years of professional experience

Work History

Care Coordinator - Primary & Chronic Care Management

Quality of Life Holistic Care
San Antonio
06.2025 - Current
  • Coordinate chronic care services for a panel of 200+ Medicare patients, ensuring full compliance with CMS Chronic Care Management guidelines.
  • Conduct comprehensive health assessments and develop individualized care plans in collaboration with primary care providers and specialists.
  • Monitor patient progress, proactively preventing hospital readmissions through frequent outreach and education.
  • Educate patients and families on disease management for chronic conditions such as diabetes, hypertension, COPD, and heart failure.
  • Maintain accurate EHR documentation of care plans, communications, and coordination activities.
  • Facilitate referrals to community, behavioral health, and home health resources for patient-centered care.
  • Utilize population health tools to track outcomes, close care gaps, and support clinic-wide quality initiatives.
  • Collaborate in interdisciplinary team meetings to ensure seamless continuity of care across services.

Office Manager

Pathfinders Psychological & Psychiatric Services
Brownsville
03.2021 - 04.2025
  • Oversaw daily office operations, ensuring smooth workflow and compliance with clinic policies.
  • Managed staff schedules, provider calendars, and resolved scheduling conflicts efficiently.
  • Supported billing processes by tracking revenue, collecting balances, and managing insurance claims and authorizations.
  • Improved patient and staff communication by implementing a streamlined escalation process.
  • Collaborated closely with the Clinic Director to maintain a positive and efficient work environment.
  • Organized clinic events, meetings, and trainings to foster team collaboration and morale.
  • Supervised front desk operations to ensure exceptional service and patient satisfaction.

Receptionist

Brownsville Kiddie Health Center (Dr. Carmen Rocco)
Brownsville
08.2017 - 10.2019
  • Welcomed and checked in patients while managing insurance verification, co-pays, and balances.
  • Assisted patients with scheduling, referrals, and medical record updates.
  • Maintained patient data accuracy and ensured compliance with confidentiality standards.
  • Managed phone and front-desk communications, efficiently handling patient inquiries and paperwork.

Front Desk & Check-Out Clerk / Call Center Representative

Valley Day and Night Clinic
Brownsville
01.2016 - 07.2017
  • Provided patient registration, insurance verification, and payment collection for multiple departments.
  • Balanced cash drawers and prepared daily deposits with precision and accountability.
  • Monitored patient flow and ensured timely service delivery in a fast-paced clinical setting.
  • Answered and directed calls professionally, supporting multiple clinics and departments.

Education

Master of Science - Health Science

University of Texas Rio Grande Valley
Edinburg, TX

Bachelor of Applied Technology - Health Services Technology

University of Texas Rio Grande Valley
Edinburg, TX

Associate of Applied Science - Medical Practice Management

Kaplan College
Brownsville, TX

High School Diploma -

Simon Rivera High School
Brownsville, TX

Skills

  • Chronic Care Management (CCM)
  • Preventive Health Coordination
  • Patient Education
  • Insurance Verification
  • Billing Processes
  • EHR Systems
  • Interdisciplinary Team Collaboration
  • Microsoft Office
  • Google Workspace
  • Adobe Suite
  • Strong Interpersonal Skills
  • Office administration
  • Customer service
  • Medical terminology understanding
  • Active listening
  • Problem-solving
  • Claims processing
  • Time management
  • Conflict resolution
  • Community outreach
  • Documentation
  • Verbal and written communication
  • Cultural sensitivity
  • Multitasking and organization
  • Empathy and compassion
  • Scheduling
  • Patient advocacy
  • HIPAA compliance

References

  • Crystal Cantu, 956-466-7070
  • Marie Armendariz, 956-640-2934

Languages

  • English
  • Spanish

Timeline

Care Coordinator - Primary & Chronic Care Management

Quality of Life Holistic Care
06.2025 - Current

Office Manager

Pathfinders Psychological & Psychiatric Services
03.2021 - 04.2025

Receptionist

Brownsville Kiddie Health Center (Dr. Carmen Rocco)
08.2017 - 10.2019

Front Desk & Check-Out Clerk / Call Center Representative

Valley Day and Night Clinic
01.2016 - 07.2017

Master of Science - Health Science

University of Texas Rio Grande Valley

Bachelor of Applied Technology - Health Services Technology

University of Texas Rio Grande Valley

Associate of Applied Science - Medical Practice Management

Kaplan College

High School Diploma -

Simon Rivera High School
VICTORIA AYALA