ZAIRA GOMEZ
Santa Ana
Summary
Dedicated healthcare and business operations professional with extensive experience in medical administration, patient care coordination, and business process optimization. Adept at improving patient flow, ensuring compliance, and implementing policies to enhance operational efficiency. Proven ability to manage referrals, oversee healthcare authorizations, and support clinical teams in delivering high-quality care. Strong background in customer service, sales administration, and human resources with expertise in HIPAA compliance, medical coding, and insurance verification.
Overview
15
15
years of professional experience
Work History
Operations Coordinator
St-Nicks Christmas Lighting & Decor
01.2024 - Current
- Collaborated with area managers to evaluate needs and optimize operational plans.
- Led successful projects from conception to completion, achieving objectives on time and within budget constraints.
- Developed strong relationships with clients, maintaining open lines of communication to promote loyalty and retention.
- Boosted productivity by establishing effective communication channels between departments.
Referral Center Manager
Savas Health
10.2020 - 04.2024
- Prepares clinical data for physician approval and obtains authorizations
- Processes authorization for consults and procedures on both fee-for-service as well as managed care patients
- Monitors delivery of care by completing patient rounds; documenting care; identifying progress toward desired care outcomes; intervening to overcome deviations in the expected plan of care
- Review the care plan with patients in conjunction with the direct care providers; interacting with involved departments to negotiate and expedite scheduling and completion of tests, procedures, and consults
Sales Administrator
Dekra Lite
04.2019 - 03.2020
- Type correspondence, proposals, bids, and special projects for the assigned account consultant
- Processed purchase orders: Adjust corresponding budgets and timelines
- Update quotes, bids, site installation plans
- Continually enhance product and service knowledge; Provide a high standard of efficiency, accuracy, and courtesy to customers; Proactively provide project updates to customers
- Coordinate job status with engineering, manufacturing and project management teams and attend weekly project status meetings
Customer Service Lead
GlideWell Laboratories
04.2016 - 01.2018
- Provide administrative support such as answering inbound telephone calls, checking on ship dates, offering information on all products, updating new accounts
- Resolve product or service problems by clarifying the customer's complaint; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; Handle complaints, provide appropriate solutions and alternatives within the time limits; follow up to ensure resolution
- HIPPA Compliant; Knowledge of Medical Terminology; Determine Physicians documentation reflects need for proposed procedure; General knowledge of ICD9 and CPT codes
Office Manager
Russell Fischer Partnership
08.2010 - 03.2016
- Maintains office staff by coaching, counseling, and disciplining employees, planning, monitoring, and appraising job results
- Perform payroll functions, such as maintaining timekeeping information and processing and submitting payroll
- Collect and deposit money into accounts, disburse funds from cash accounts to pay bills or invoices, keep records of collections and disbursements, and ensure accounts are balanced
- Maintains supplies by checking stock to determine inventory levels; anticipating requirements; placing and expediting orders; verifying receipts; stocking items; delivering supplies to workstations
Education
Bachelors of Science - Nursing
West Coast University
Anaheim, CA05-2028
Associate of Arts - Pre- Science
Golden West College
Huntington Beach, CA01.2020
Skills
- Payroll
- Management
- Human resources
- Sales
- Training in EHR systems
- Familiarity with multiple medical specialties, particularly Pain Management, Psychology, PM&R
- Operations management
- Medical terminology
- HIPAA compliance
- Insurances
- CPT/ICD 10 codes
- Process implementation
Timeline
Operations Coordinator
St-Nicks Christmas Lighting & Decor
01.2024 - Current
Referral Center Manager
Savas Health
10.2020 - 04.2024
Sales Administrator
Dekra Lite
04.2019 - 03.2020
Customer Service Lead
GlideWell Laboratories
04.2016 - 01.2018
Office Manager
Russell Fischer Partnership
08.2010 - 03.2016
Associate of Arts - Pre- Science
Golden West College
Bachelors of Science - Nursing
West Coast University
Similar Profiles
Garret PapandreaGarret Papandrea
construction worker at Christmas Light Guy and Decorconstruction worker at Christmas Light Guy and Decor
Michael WenkMichael Wenk
Owner/ Operator/ Christmas Lights Decor at Michael Deans Christmas DecorOwner/ Operator/ Christmas Lights Decor at Michael Deans Christmas Decor
Gaihya QuirogaGaihya Quiroga
Installer at Northern Lights Christmas DecorInstaller at Northern Lights Christmas Decor