Olinka Zamarripa
San Ysidro
Summary
Achieved optimization of total quality patient care through expert knowledge and experience. Evaluated programs, services, and departmental performance to identify areas for improvement. Advanced career in healthcare administration, supported by a master's degree in public health and strong skills in patient care scheduling and communication. Delivered accurate and detail-oriented contributions, leading to successful audit outcomes during critical phases of studies.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Outpatient Clinical Service Coordinator
Blue Shield of California Promise Health Plan
10.2018 - Current
- Work collaboratively with UM Nurses, UM Managers and Medical Directors and VP.
- Plan and organize daily operational work to ensure operational effectiveness of the UM department.
- Provide assistance to Inpatient Outpatient UM coordinators to resolve issues.
- Ensure that staff is handling provider inquiries properly an effectively, and promptly following up on provider issues.
- Work with Inpatient and Outpatient UM Nurse Managers and Director to set up departmental goals.
- Communicating goals to Inpatient and Outpatient UM coordinators and motivates staff to achieve goals.
- Create and track Census, performance and utilization reports.
- Escalated issues to manager when necessary.
- Ensure privacy and security of PHI (Protected Health Information) as policies and procedures relating to HIPAA compliance.
Utilization Management Coordinator
Care 1st Health Plan
07.2015 - 09.2018
- Add support for the licensed UM personnel
- Resource to providers or members for benefits plan information
- Response to first line of telephonic response for incoming calls in the UM Department
- Collect data for UM reports pertaining to the pre-authorization and concurrent review processes
- Other duties as requested by the Supervisor/Director of Utilization Management including supporting other members of the department as necessary
- Administers all reports required by regulatory agencies
- Data entry proficiency in MHC and other data bases
- Supporting the UM Supervisor and UM Department activities.
- Screening all incoming authorization requests
- Verifying eligibility and benefits, and complete the data entry portion of authorization in the CSC system
- Responsible for approving specific benefit authorizations
- Responding and assisting with Authorizations to modifications, via phone, email, and faxes
- Assisting the UM team with questions, modifications, and clarifications to authorizations/referrals when lead is not around
Imaging Health Care Specialist
TLC Staffing
12.2014 - 06.2015
- Greet patients and provide instructions as they arrive
- Working with EMR Medical Program, and computer programs with accurate data entry into Front office procedures
- Perform clerical and administrative tasks
- Collect patient demographic data, and payments
- Analyze health insurance benefits and verify insurance eligibility
- Handle high volume of calls with provider’s, insurance company and patient’s and provide relevant information
- Schedule and confirming appointments
- Process requests for medical records and copies for images to provider’s and patients
Front office/ MA-Back office
WORKMED
10.2010 - 09.2014
- Answering eight incoming calls, processing new and active patients, creating new profiles and charts prior been seen
- Scheduling patients to future appointments and reschedule missed appointments
- Arranging patients’ referrals visits, along with submission of needed documents and information
- Obtaining insurance authorization prior referrals and future appointments
- Back office clinical procedures such as; vitals, vaccine, patient’s demographics, urine collections, blood draw, medication dispensed
- Work one-on-one with patients as a health care provider
- Monitor the flow of onboarding patients and delivering routine medical care
- Handle blood draws, injections, EKGs, vitals, drug screens, rooming patients and much more.
Education
Associate of Arts - GED Studies
Montgomery Adult School
San Diego, CANo Degree - Business Administration
COLLEGE OF CONTINUING FOUCATION
4343 Ocean View Blvd, San Diego, CA 92113Certificate of Technical Studies -
United Education Institute
Chula Vista, CA11.2009
Skills
- Bilingual Spanish/English
- Over 10 years’ experience working as a Medical setting and over 8 plus years’ experience as a Medical Assistant
- Well Organized and detail oriented
- Excellent written and oral communication skills
- EMR/EHR Proficiency (eg, Epic, Cerner)
- Medical Billing (eg, ICD-10, CPT)
- Scheduling Software (eg, Zocdoc, Calendly)
- Patient Registration
- HIPAA Compliance
- Microsoft Office Suite
- Medical Coding (eg, ICD-10-CM)
- Insurance Verification
- Telehealth Platforms (eg, Zoom, Doxyme)
- Multitasking
- Customer Service
- Conflict Resolution
- Ability to respond in urgent situation
Accomplishments
Bilingual Certified with Medical Education ( BScA)
Shield Learns Certifications
Medical Assistant Certified
Office/ Word, 10- key and computer certified
Community Volunteers
Certification
GED- Certified
Medical Assistant Certification
Spanish/ English Bilingual Certification
Office MS certification- Administration Assistant efficacy
CPR- certified
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Outpatient Clinical Service Coordinator
Blue Shield of California Promise Health Plan
10.2018 - Current
Utilization Management Coordinator
Care 1st Health Plan
07.2015 - 09.2018
Imaging Health Care Specialist
TLC Staffing
12.2014 - 06.2015
Front office/ MA-Back office
WORKMED
10.2010 - 09.2014
Associate of Arts - GED Studies
Montgomery Adult School
No Degree - Business Administration
COLLEGE OF CONTINUING FOUCATION
Certificate of Technical Studies -
United Education Institute