Vilila Flores

• Developed and implemented lesson plans based on curriculum objectives.
• Assessed student performance through tests, quizzes, and other assessments.
• Provided individualized instruction to meet the needs of all students.
• Encouraged critical thinking skills and problem-solving strategies among students.
• Maintained a safe and orderly learning environment for all students.
• Utilized technology-based learning tools to enhance classroom instruction.
• Incorporated instructional best practices such as differentiated instruction into lesson plans.
• Created meaningful projects that allowed students to apply their knowledge in real world situations.
• Built and strengthened positive relationships with students and staff.
• Encouraged student critical thinking and discussion using variety of teaching techniques.
• Created lesson plans and chose supporting materials to promote positive learning experiences.
• Engaged students through lecture and discussion, increasing classroom interaction to build inclusive learning environment.

• Credentialing ( 8 Doctors + 3 Physician Assistants),
• Evaluate New insurance applications and follow through to meet deadlines.
• Interview new Candidates ( for all departments).
• Develop Independent work Contract after write up.
• Supervising Central Scheduling/Surgery Dept./Medical Records (15+ employees).
• Create Doctor's Call Schedule ( Office and Hospitals, Trauma).
• Translating for Doctors and PA's (Spanish), Assist with Training new associates, Problem Solving (patients and employees).
• Scheduling Template adjustments for all schedules.
• Arrange Doctor's meetings with outside representatives.
• Assist With Billing (HMO, PPO, MC, WC).
• Back up Medical Assistant as needed, Back up for Receptionist as needed
• Collaborated with other departments to coordinate activities related to operations management.
• Addressed customer inquiries promptly and effectively resolved any complaints or disputes.
• Developed and implemented operational procedures to ensure efficient workflow.
• Assisted in the recruitment, training, and evaluation of personnel.
• Monitored daily operations for compliance with quality standards and safety regulations.

• Submit and follow through on insurance authorizations/ RFA to ensure timely approval.
• Eligibility Verification for all Insurances ( PPO, HMO, MCAL, MC).
• Schedule New and establish patients.
• Process new referrals with private and WC insurances.
• Answer High volume of calls over 100+.
• Supervise 6+ employees.
• Speak to Nurse Case Managers/ Adjusters/ insurances.
• Schedule for eight Doctors and 3 Physician Assistants.
• Problem Solving (Employees, patients and outside vendors).
• Create on call Schedule ( Hospital and office ).
• Assist with Interviews for new Candidates.
• Develop Independent work Contract after a write up.
• Answer and transfer calls to appropriate department.
• Assist with Billing for all insurances ( HMO, PPO, WC, MC).
• Assist with Translation
• Created reports to analyze trends in patient volume, wait times, and other metrics.
• Performed data entry into multiple systems to ensure accuracy of information.
• Conducted regular meetings with staff to discuss processes, updates, and improvements.
• Resolved conflicts between providers regarding patient scheduling needs.
• Provided training to new employees on proper use of scheduling software systems.
• Analyzed existing workflows for potential automation opportunities.
• Maintained accurate records of all scheduled appointments and changes.
• Developed and implemented departmental policies and procedures to ensure effective scheduling of resources.

• Pay roll ( For 60 employees + 8 Doctors and 3 Physician Assistants).
• Process AP (SDGE, Rent, etc.).
• Review Invoices and Enter into QuickBooks/Excel.
• Overseeing and tracking income and expenses.
• Enter purchase requisitions for all charges.
• Credentialing ( 8 Doctors + 3 Physician Assistants).
• On Call Schedule for 8 Doctors ( office, ER, Other Hospitals).
• Problem solving ( patients, employees, Outside Vendors).
• Assist other departments ( Billing, back office, Receptionist, Surgery Scheduling, Medical Records and Disability ).
• On Boarding process for new employees.
• Assist with Training new employees.
• Reconcile receipts for Month End Process.
• Create month end excel worksheets for Office Administrator.
• Assist with Billing for all insurances ( HMO, PPO, WC, MC).
• Update Scheduling Template ( for 8 Doctors and 3 physician Assistant)
• Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
• Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
• Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
• Provided administrative support to the executive team, including scheduling meetings and managing calendars.
• Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.

• Request and follow through with surgery clearance.
• Demonstrate strong organization and attention to accurately schedule on multiple calendars and at multiple surgical facilities.
• Assisted with pre-operative preparation such as obtaining insurance authorizations, lab work, radiology tests.
• Ensured that all required documents were obtained prior to scheduled procedures.
• Conducted follow up calls with patients after their procedure was completed.
• Managed appointment reminders for upcoming surgeries via phone or mailers.
• Processed payments from patients for surgical services rendered.
• Insurance Eligibility ( HMO, PPO, MCAL, MC ).
• Answer High Volume of calls over 80+.
• Accurately Prepare charts for pre-op appointments.
• Submitted and Follow Through on Insurance Authorizations.
• Provided patient education and answered questions regarding the surgery process.
• Arrange Home health/ outpatient Physical Therapy for post op patients.
• Arrange post op care with NCM, Adjuster, skilled nursing Facilities.
• Monitored and updated patient records in the electronic medical record system.
• Coordinated with patients, staff, and physicians to ensure accurate scheduling of surgeries.
• Created and managed surgical schedules for multiple surgeons.

• Submitted and followed through on insurance authorizations to ensure timely approval.
• Verified insurance authorizations with payers via telephone or web-based systems.
• Coordinated communication between providers, patients, payers, and other departments as needed.
• Analyzed denials received from third party payers to identify trends in denials and develop proactive measures for resolution.
• Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
• Explained eligibility details and affordability options to patients with kindness and respect.
• Front Office check in/ check out (approximately 100+ patients).
• Answer and transfer incoming calls to appropriate associate.
• Schedule future appointments ( testing, follow ups).
• Accurately refer patients out to other offices, and follow through to make sure referral was received and patient was scheduled.
• Assist With Billing.
• Accurately attach authorization to every visit prior to patients appointment.
• Assist with Interpretation (Spanish).
• Covered Back office (MA) as needed
• Researched patient eligibility, coverage information, and benefit levels

( PPO, HMO, MCAL, MC).

• Scheduled up to 100 surgeries a month for 3 surgical providers.
• Submitted and followed through on insurance authorizations to ensure timely approval.
• Demonstrated strong organization and attention to detail to accurately schedule on multiple calendars and at multiple surgical facilities.
• Developed processes to ensure maximum use of surgical block time, increasing provider productivity.
• Covered both front and back-office as needed.
• Certified as a Scripps Friendly Voices Spanish interpreter and provide translation services for physicians
• Coordinated with other departments to ensure efficient workflow processes.
• Coordinated and managed various programs or projects to achieve established objectives.
• Displayed strong telephone etiquette, effectively handling difficult calls.
• Maintained positive working relationship with fellow staff and management.
• Identified needs of customers promptly and efficiently.

• Schedule appointments
• Provided translation to patients and physicians.
• Covered both front and back office as needed.
• Assisted Manager with tracking and processing office billing, Accurately refer patients out to other physician offices, and follow through to make sure referral was received and patient was scheduled.
• Perform Vitals sign ( BP, Pulse, HR, EKG).
• Organized patient charts before each day's clinic sessions began.
• Assist with Cardiac Stress test.
• Managed Billing using Excel work sheets
• Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
• Coordinated with other departments to ensure efficient workflow processes.
• Provided technical support for customers in resolving complex issues.
• Created training materials for new hires on the company's procedures and policies.
• Assisted in developing strategies to increase customer satisfaction levels.
• Maintained positive working relationship with fellow staff and management.