Summary
Overview
Work History
Education
Skills
Timeline
Generic

KAREN ANDREA ARREOLA SANTILLAN

Durango

Summary

Healthcare operations professional with experience supporting U.S. healthcare workflows through patient coordination, insurance verification, and medical documentation management. Skilled in reviewing records, aligning prescriptions with payer requirements, and ensuring HIPAA compliance. Strong focus on case follow-up, process accuracy, and continuity of care. Experienced collaborating with providers, nursing staff, and insurance representatives to resolve documentation gaps and support order completion.

Overview

9
9
years of professional experience

Work History

Healthcare Operations Specialist

Teleperformance
Remote
02.2023 - Current

• Managed high-volume patient communication (up to 60 calls/day) supporting medical supply reorders within the U.S. healthcare system.

• Ensured HIPAA compliance prior to handling protected health information.

• Verified insurance eligibility and aligned prescriptions with payer requirements.

• Reviewed medical documentation and patient records to support order approval and continuity of care.

• Coordinated with physicians, nurses, and insurance representatives to obtain required documentation.

• Documented patient interactions, case updates, and order status within Event Scheduler (EV) healthcare system.

• Provided follow-up on open cases to ensure completion of documentation and order processing.

• Identified discrepancies in prescriptions, insurance coverage, and patient data, escalating when needed.

• Consistently met performance metrics in quality, documentation accuracy, and case resolution.

• Recognized multiple times as Star of the Month for performance and reliability.

Assistant Manager

ARBA Madera
12.2020 - 01.2023

• Supported daily administrative and operational tasks.

• Coordinated schedules, documentation, and internal follow-ups.

• Assisted in organization of workflow and team support activities.

Head Assistant

KLAV's Estetica
04.2017 - 02.2020

• Supported scheduling, client coordination, and daily administrative tasks.

Education

High School Diploma -

Instituto Universitario Anglo Español
Durango, Mexico

Skills

    HIPAA Compliance

    Insurance Verification

    Patient Documentation

    Medical Records Review

    Case Follow-up & Coordination

    Healthcare Workflow Support

    Provider & Insurance Communication

    Order Processing Support

    Discrepancy Identification & Escalation

    Bilingual Patient Support (English/Spanish)

Timeline

Healthcare Operations Specialist

Teleperformance
02.2023 - Current

Assistant Manager

ARBA Madera
12.2020 - 01.2023

Head Assistant

KLAV's Estetica
04.2017 - 02.2020

High School Diploma -

Instituto Universitario Anglo Español
KAREN ANDREA ARREOLA SANTILLAN