Destany Ceballos
Sherman Oaks
Summary
Detail oriented healthcare operations professional with 12 years of progressive experience across clinic operations, health services administration, and patient & physician support. Experienced in high-volume healthcare environments with proven ability to learn fast, multitask, concierge style patient centric focused and customer service background. Strong foundation in operational efficiency, patient coordination, insurance verification, billing support, and communicate effectively with patients, & providers all while maintaining to ensure regulatory compliance. Seeking to contribute my overall medical administration expertise and analytical skills.
Overview
12
12
years of professional experience
Work History
Clinic Operations Manager
Behavioral Learning Center
05.2023 - 01.2026
- Began as Clinic Operations Administrator, then promoted to Manager.
- Oversee daily clinic operations, complex scheduling, coverage coordination and appointment adjustments in high volume clinic setting.
- Serve as a primary liaison between clients, clinical staff and insurance department to resolve discrepancies.
- Handle inbound calls, referral inquiries, and client concerns with professionalism and discretion.
- Maintain client accurate data entry in EMR and scheduling systems.
- Work with Authorizations & Eligibility department to resolve insurance and authorization inquiries.
- Maintain compliance with HIPAA and insurance regulations.
- Conduct monthly audits to ensure operational and documentation accuracy.
- Monitor faxes, voicemails, office mail, and vendor coordination.
- Resolve client family complaints promptly while preserving positive relationships and implement resolution.
- Manage monthly office budget, inventory and track financial reporting metrics.
Administrative Medical Assistant
Pain Management Center
12.2021 - 05.2023
- Answer 50+ inbound calls daily triaging patient and referral inquiries.
- Provide general information to patients about services and procedures.
- Coordinate patient intake, insurance verification, and prior authorizations.
- Create new patient chart in EMR and schedule patient appointments.
- Prepare clinical exam room prior to each patient’s visit.
- Communicate referral and authorization updates to patients and insurance providers.
- Enter patient data and physician reports in electronic medical records.
- Maintain HIPAA compliance when handling medical records and documentation.
- Collect and process copays prior to appointment.
- Liaise between patients, physician and pharmacies to maintain seamless care coordination.
- Create super-bills and assigned ICD-10 and CPT codes for insurance billing.
- Respond to incoming faxes and emails in a timely manner.
- Assist with other assigned duties such as filing, making copies and distribute mail.
Front Desk Receptionist
Next Health
05.2019 - 12.2021
- Greet patients & visitors and deliver exemplary concierge style service.
- Handle incoming calls, schedule and confirm patient appointments and consultations.
- Proactively communicate with patients and provider to tailor healthcare needs to each individual for long term optimized health.
- Verify patient demographics and payment information.
- Make adjustments to clinic schedule due to late arrivals and no-shows.
- Act as a liaison between patients and clinical team.
- Address billing inquiries, refunds, disputes, and membership account adjustments.
- Solicit patient feedback to improve and enhance operational workflows.
- Collaborate with cross-functional teams to upsell and upgrade memberships and drive monthly KPI goals.
- Maintain healthcare regulatory compliance and patient confidentiality.
Hospice Patient Coordinator
Global Management
01.2014 - 05.2019
- Handle inbound calls to facilitate hospice referrals and coordinate patient transition.
- Educate and sympathize patient families the process of hospice.
- Oversee incoming authorizations for palliative care admissions, scheduling and documentation accuracy.
- Ensure palliative care referrals are processed timely and patient medical records are up to date.
- Collaborate with medical team to provide appropriate care plan based on patient needs.
- Coordinate and communicate between referral sources & hospice team.
- Facilitate patient hospital discharge and communicate with the medical team.
- Assure palliative care visits are scheduled as authorized by all palliative care disciplines.
- Assist with nursing home placement and faxing inquiries.
- Assist the Department Manager with other assigned duties such as running reports, filing, making copies, distribute mail & faxes.
Education
No Degree - Certified Nurse Assistant
Westchester College of Nursing & Allied Health
Los Angeles, CA09-2019
No Degree - General Studies
University of Oregon
Eugene, OR12-2013
High School Diploma - undefined
San Fernando High School
06-2013
Skills
Tech savvy
Proficient in computers: Type 65-70 wpm and in 10-key by touch
Advanced in Microsoft Office: Outlook, Teams, Word, Excel, PowerPoint and Google workspace
Experienced in EMR Systems and Scheduling Software: Practice Fusion and Central Reach
Highly experienced with data entry & documentation
Highly experienced in call center environment and multi-line phone systems
Ability to multitask, time management and highly organized
Adaptable to change and a quick pace learner
Strong communication, problem solving, critical thinking
Manage monthly and quarterly clinic budget
Able to manage high-volume workflows efficiently
Great with conflict resolution and handling escalations
Staff scheduling, training-development, and delegation of tasks
Maintain compliance with privacy and HIPAA Regulations
Proficient at meeting deadlines and completing multiple monthly audits
Knowledge in processing financial transactions
Languages
Fluent in English
Intermediate Spanish
Timeline
Clinic Operations Manager
Behavioral Learning Center
05.2023 - 01.2026
Administrative Medical Assistant
Pain Management Center
12.2021 - 05.2023
Front Desk Receptionist
Next Health
05.2019 - 12.2021
Hospice Patient Coordinator
Global Management
01.2014 - 05.2019
High School Diploma - undefined
San Fernando High School
No Degree - Certified Nurse Assistant
Westchester College of Nursing & Allied Health
No Degree - General Studies
University of Oregon