Keila Flores

Experience

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  Mount Sinai Beth Israel

  Jan 2001 - Feb 2007

  Medical Secretary

  Teaching hospital combining medical excellence with clinical innovation; 800 beds.• Supported the administrative duties of five attending physicians• Assisted patients with home care re-certification and Durable medical equipment requisitions.• Guided patient intake, processing, scheduling, referrals, registration, insurance coverage verification, files, and charts.• Coordinated with the admissions department to achieve authorization for procedures, specialty visits, and ancillary testing. Show less

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  Joan & Sanford I. Weill Medical College of Cornell University

  Mar 2007 - Feb 2015

  Patient Care Coordinator

  Top-rated biomedical research unit and medical school of Cornell University in New York City.• Steered breast cancer survivorship program and clinical research documents, meetings, schedules, communications, updates, and other administrative tasks in collaboration with the medical director and nurse practitioner.• Managed chemotherapy patient tests, schedules, instructions, preparation, and communications with doctors.• Scheduled patients for chemotherapy or testing and instructed them on proper preparation. • Administered new patient scheduling, processing, referrals, registration, insurance coverage verification, files, and charts.• Managed medical referrals, authorization, denials, documentation, patient-clinic messages, billing, and treatment coding.• Coordinated with the admissions department to achieve authorization for procedures, specialty visits, and ancillary testing.• Managed schedules to meet the needs of doctors, nurses, and physician assistants. Show less

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  NewYork-Presbyterian Hospital

  Mar 2015 - now

  Top 10 U.S. hospital providing inpatient, outpatient, and diagnostic academic care; 2,600 beds, 6,500 physicians, 20,000 staff.• Manage complex care process for diverse patients from Middle East, Europe, and Latin America for all medical disciplines.• Direct patient treatment, procedure, and surgery care, communication, scheduling, coding, insurance authorization, registration, orientation, patient phone and email communications, quality, travel, language translation and record keeping.• Manage a heavy caseload of ~15 cases concurrently with efficiency, accuracy, reliability, and attention to detail.• Deliver emotional support by building trusting relationships with families, embassies, providers, and health stakeholders.• Investigate, advocate, record, and solve with follow-up action patient concerns by partnering with hospital personnel.• Support patient care excellence, patient experience, satisfaction, quality, and CAHPS metrics using Epic EMR technology.• Assist multi-disciplinary clinical team in patient care execution, optimization, change, workflow, and issue resolution.• Arrange post-surgical appointments, testing, home care, physical therapy, and durable medical equipment.• Maintain medical records and patient information confidentiality according to HIPAA regulations.• Pre-authorize and appeal all medical and surgical procedures with contracted and non-contracted insurance.• Secure surgical consent for services, identify cases, price guidelines, quote prices and arrange payment.• Liaise with the billing team to coordinate updated authorizations and treatment authorization requests.• Prepare patient schedules, procedures, and treatment plans with physicians, department heads, clinical chairs, and staff.• Cross-market and upsell premium amenities and Executive Health Assessment services to patients, families, and guests. Show less • Collected and verified completeness of intake and enrollment forms, procedures, and screening from potential patients.• Created patient treatment plan case files and forwarded them to physicians for review and approval. • Translate medical records for second-opinion consultations.• Referred clients to appropriate physicians, community agencies, and support organizations to meet treatment needs.• Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout the process.• Oversaw registration and financial clearance process with financial counselors. • Trained other staff on referral and new patient intake process. Show less

  • International Patient Care Coordinator

    Feb 2017 - now

  • Patient Care Referral Liaison

    Mar 2015 - Feb 2017