Kai Peña Email & Phone Number

San Diego, California, United States

San Diego, California, United States

Promoted to role with responsibility to conduct thorough market research and analysis of opportunities to improve commercialization of the pharmacogenomics program. Leveraged outcomes data to examine return on investment (ROI) potential for prospective clients, as a platform for expanding the program’s reach and profitability. Led implementation of new.

San Diego, CA

Supported development of pharmacogenomics program from infancy as an innovative pilot to a successful specialty program that received recognition via the prestigious PBMI award for quality improvement for novel pharmacogenomics (PGx) solution. Awarded at 26th PBMI Annual National Conference.Participated in Agile sprints to facilitate onboarding of vendors.

Santee, California

• Processed up to 1,300 payments per day for HD Supply and sister companies
• Scanned all mail via I-Tran
• Performed QA on mail received to ensure accuracy -Performed mailroom duties

• Managed FS databases
• Audited a total of 5,663 records
• Audited medical/insurance/open enrollment records
• Studied/memorized Kaiser policies/procedures and guidelines
• Created multiple systems/processes/spreadsheets to assist team with organization and accuracy
• Created color coding systems to assist team with organization and accuracy

Mcallen, Texas

• Thrived in a fast paced, stressful, environment
• Able to withstand 13 hour long shifts with minimal breaks
• Walked members through bank statements
• Answered any/all inquiries presented
• Memorized policies, procedures and rules for all Bank of America debit cards, ATM cards, checking/savings accounts, checks, statements, fees, travel flags, stop payments and different types of accounts presented from.
• Educated members on rules, regulations and policies of Bank of America

Mcallen, Texas Area

• Created, audited, scanned and filed medical records in specified order
• Created invoices and input payments received
• Researched claim information and/or rejections on EOBs in order to follow through and have the claims processed promptly
• Billed with ICD-10/CPT Codes
• Tracked deductibles, co-insurance, co-payments, and insurance changes
• Processed medical records requests through mail and facsimile

Edinburg, Texas

• Release of information for all of the South Texas Health SystemProcessed all SSA Disability requests for records
• Created invoices for medical records requests and collected payments from patients
• Responded to telephonic inquiries as well as public inquiries and requests for release of medical information, status of requests, and/or general inquiries
• Reviewed and approved records requests, measuring each against HIPAA criteria
• Prepared records and invoices for billing
• Established levels of priority for release turn-around times

United States

• Release of Information Specialist
• Responded to public inquiries and requests for release of medical and dental information, status of requests and/or general inquiries.
• Reviewed each records request to make sure it was HIPAA compliant
• Organized, packaged, mailed and tracked medical records
• Received and sorted mail and facsimile requests for release of information
• Entered and tracked requests by utilizing a computerized system

Associate Of Science - As, Sociology

Health Services Management Technical Degree, Health Services Administration

Managed Care Pharmacy Certification, Clinical, Hospital, And Managed Care Pharmacy