Summary
Overview
Work History
Education
Skills
Timeline
Generic

Coral Ureno

Bakersfield

Summary

Dedicated and results-driven supervisor with a proven track record of process improvement, managing, and developing teams. Strong communication and interpersonal skills to collaborate with cross-functional teams and deliver outstanding service. Passionate about continuous learning and professional development while contributing to the success of an organization.

Overview

9
9
years of professional experience

Work History

Insurance Services Supervisor

Embark Behavioral Health
01.2024 - Current
  • Supervise a team of Insurance Services Specialists to ensure insurance billing goals are met as defined by department KPI's.
  • Ensure workload assignments are managed and balanced effectively.
  • Ensure timely and accurate weekly submission of insurance claims for all programs to protect revenue steam.
  • Responsible for oversight of timely responses to insurance denials, monitoring for trends, and providing feedback on operational processes.
  • Review and approve Specialist recommendations on adjustments and refunds within the required timelines.
  • Monitor accounts to identify complex billing issues and assist team with follow-up efforts in Avea Office for resolution.
  • Oversee and run aging reports, open claims with payments reports, and daily queues reporting ensuring timely and accurate management.
  • Ensure timely and accurate responses on family and operational inquires routed to the Insurance Services team.
  • Coordinate regular team meetings to discuss challenges and provide feedback for problem solving with insurance billing and A/R issues.
  • Demonstrate commitment to the organization's core values, leading by example and fostering a culture of excellence.

Clinical Manager

Priority Urgent Care
01.2016 - 01.2024
  • Oversaw daily clinical operations, including staffing, scheduling, and patient flow management.
  • Provided leadership, direction, and administration to ensure the accomplishment of company's clinic objectives and goals.
  • Collaborated with the administrative team to optimize operational efficiency, streamline processes, and improve patient satisfaction.
  • Allocated resources effectively to ensure sufficient staffing levels and the availability of necessary equipment and supplies.
  • Conducted interviews and completed the onboarding process.
  • Trained and mentored staff, conducting performance evaluations and providing ongoing feedback.
  • Fostered a positive work culture by recognizing employee achievements and addressing any concerns proactively.
  • Developed and implement quality control measures to ensure compliance with healthcare regulations and standards.

Medical Assistant

Priority Urgent Care
01.2016 - 06.2017
  • Administered patient care by performing routine clinical tasks and assisting in examinations.
  • Coordinated patient flow, scheduling appointments, and managing medical records efficiently.
  • Patient data entry into EMR system, insurance collection and verification of benefits.
  • Processed referrals, submitted authorizations to insurance, and submitted medical records to insurance companies and facilities.

Education

Certificate - Medical Assistant -

UEI College
Bakersfield, CA
09-2015

Skills

  • Goal oriented
  • Effective communication
  • Attention to detail
  • Self-Motivated and Disciplined
  • Problem-Solving
  • Teamwork and collaboration
  • Time management
  • Adaptability
  • Conflict resolution
  • Customer Service
  • Staff Development
  • Policy Development
  • Bilingual English/ Spanish

Timeline

Insurance Services Supervisor

Embark Behavioral Health
01.2024 - Current

Clinical Manager

Priority Urgent Care
01.2016 - 01.2024

Medical Assistant

Priority Urgent Care
01.2016 - 06.2017

Certificate - Medical Assistant -

UEI College

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Coral Ureno