Esther Prado
Rialto
Summary
Resourceful professional in healthcare management known for high productivity and efficiency in task completion. Skilled in strategic planning, regulatory compliance, and patient care coordination. Excel at team leadership, problem-solving, and communication, ensuring seamless operations and quality service delivery in fast-paced environments.
Overview
9
9
years of professional experience
Work History
Care Coordinator
Medi-Cal Dental
07.2025 - Current
- Manage 100+ active patient accounts, ensuring accurate documentation and timely resolution
- Process 20-30 daily documentation requests supporting claim and reimbursement workflows
- Resolve documentation discrepancies impacting payer processing and account completion
- Work independently to prioritize tasks and meet strict deadlines
Referral & Authorization Coordinator
Santa Clarita Home Health
04.2017 - 01.2025
- Managed end-to-end authorization process and payer follow-up
- Resolved complex authorization and billing issues, including escalations
- Tracked 15-25+ accounts daily, ensuring timely filing and compliance
Medical Scheduling Specialist
South Texas Renal Care
10.2020 - 05.2022
- Handled 50-80+ daily calls in a high-volume environment
- Documented all interactions in Epic EMR with accuracy
Patient Intake & Scheduling Coordinator
Pathways Home Health
10.2018 - 05.2020
- Processed 20-40 referrals daily ensuring complete intake documentation
- Followed up on missing information to prevent billing and scheduling delays
Education
Associate of Arts - Art History
Pasadena City College
Skills
- Accounts Receivable Follow-Up
- Denial Management & Appeals
- Revenue Cycle
- Payer Guidelines
- Claim Corrections & Rebilling
- EOB Analysis
- Eligibility Verification
- ICD-10/CPT/HCPCS
- Epic EMR
- High-Volume Workflows
- Root Cause Analysis
- HIPAA Compliance
Languages
Spanish
Professional
A1
Timeline
Care Coordinator
Medi-Cal Dental
07.2025 - Current
Medical Scheduling Specialist
South Texas Renal Care
10.2020 - 05.2022
Patient Intake & Scheduling Coordinator
Pathways Home Health
10.2018 - 05.2020
Referral & Authorization Coordinator
Santa Clarita Home Health
04.2017 - 01.2025
Associate of Arts - Art History
Pasadena City College