Karla Moncayo
Oceanside
Summary
Experienced healthcare access and patient services professional with 20+ years of experience in fast-paced medical environments including hospital, imaging, cardiology, rehabilitation, and dental settings. Skilled in patient registration, insurance verification, authorizations, scheduling, financial clearance, and multi-modality support. Proven ability to manage high-volume patient flow while delivering excellent customer service. Bilingual (Spanish).
Overview
21
21
years of professional experience
1
1
Certification
Work History
ACCESS MANAGEMENT REPRESENTATIVE / PRE-REGISTRATION REPRESENTATIVE
Tri-City Medical Center
Oceanside, CA
01.2022 - Current
- Collect and verify patient demographic, insurance, financial, referral, and clinical information prior to scheduled services
- Verify insurance eligibility, benefits, and authorizations; communicate patient financial responsibility
- Contact patients prior to services to review estimated financial obligations and collect payments over the phone
- Explain hospital payment options and assist patients with financial questions
- Pre-admit surgical patients and support registration workflows
- Cross-trained and supported multiple clinical modalities including Surgery, Interventional Radiology, MRI, CT, Mammography, Ultrasound, Nuclear Medicine, and DEXA
- Train and mentor new employees on registration workflows, systems, department processes, and quality expectations.
- Collaborate with clinical departments, physicians’ offices, and payors to resolve patient access issues.
- Ensure accurate patient access processes in coordination with clinical departments and payors
PATIENT SERVICE REPRESENTATIVE
Physical Rehabilitation Network
Carlsbad, CA
04.2021 - 01.2022
- Scheduled patient appointments and maintained accurate records
- Verified insurance, referrals, and authorizations
- Collected co-pays and managed patient financial responsibilities
- Supported front office operations and patient flow
MEDICAL RECEPTIONIST / SCHEDULER
San Diego Imaging
Oceanside, CA
03.2014 - 01.2021
- Registered and checked in patients, collecting demographic and insurance information
- Scheduled imaging appointments and coordinated with providers and departments
- Verified insurance coverage, collected payments, and maintained EMR records
- Managed high-volume patient interactions while ensuring HIPAA compliance
FRONT OFFICE COORDINATOR / MEDICAL ASSISTANT
Tri-City Coastal Cardiology and Arrhythmia
Oceanside, CA
02.2012 - 03.2014
- Verified insurance benefits and obtained referrals and authorizations
- Collected patient payments including co-pays, deductibles, and balances
- Performed patient intake, vital signs, and EKGs
- Supported clinical and administrative workflows
RECEPTIONIST / FRONT OFFICE COORDINATOR
North County Dental Care
Vista, CA
06.2008 - 10.2009
- Managed front office operations including scheduling, phone coverage, and patient check-in/out
- Verified insurance eligibility, posted payments, and maintained patient records
- Prepared charts and supported daily administrative operations
CLIENT COORDINATOR
Integrative Therapeutics
Natick, MA
04.2005 - 03.2008
- Managed scheduling, patient communication, referrals, and administrative workflows
- Verified insurance coverage and processed billing documentation
- Maintained office organization and daily operational support
Education
Medical Assistant Diploma -
Kaplan University
Vista, CASkills
- Insurance Verification
- Teamwork
- Innovation management
- Customer relations
- Authorizations
- Scheduling
- Patient Financial Clearance
- EMR Systems
- Patient Flow Management
- HIPAA Compliance
- Medical Terminology
- Spanish Fluent
- Electronic Health Records
- Problem-solving aptitude
Certification
- CPR Certified
- HIPAA Certified
Languages
Spanish
Timeline
ACCESS MANAGEMENT REPRESENTATIVE / PRE-REGISTRATION REPRESENTATIVE
Tri-City Medical Center
01.2022 - Current
PATIENT SERVICE REPRESENTATIVE
Physical Rehabilitation Network
04.2021 - 01.2022
MEDICAL RECEPTIONIST / SCHEDULER
San Diego Imaging
03.2014 - 01.2021
FRONT OFFICE COORDINATOR / MEDICAL ASSISTANT
Tri-City Coastal Cardiology and Arrhythmia
02.2012 - 03.2014
RECEPTIONIST / FRONT OFFICE COORDINATOR
North County Dental Care
06.2008 - 10.2009
CLIENT COORDINATOR
Integrative Therapeutics
04.2005 - 03.2008
Medical Assistant Diploma -
Kaplan University