DIANA M. DURAN

C: 951-***-**** adjbe8@r.postjobfree.com

Summary

To continue to broaden my knowledge to be able to succeed in a great and honorable organization. Learning is a privilege I want to continue to experience.

Skills

Word, Excel, and PowerPoint. WPM 80 +. ICD 10, CPT Coding Training Certified IV and Blood Draw, Some Credentialing knowledge.

ICD Immunology and Autoimmunity Testing, Sales Experience, Scheduling, Admissions, Insurance Verification

Experience

Account Development Specialist 09/2015 to 03/2020

Cyrex Laboratories

As an Account Development Specialist in a Functional Immunology and Autoimmunity company, I am the liaison to new account holders.

Managed new account holders by introducing them to the company and the services we provide. I guide providers through the account and explain the tools they need to submit their orders for testing their patients. Provided over the phone orientations where key aspects of the account were pointed out and provided assistance when submitting orders.

Sales Experience.

Marketing and Branding for our unique testing for autoimmunity and immunology.

International Account Representative for our International Accounts: Puerto Rico, France, Belgium, Australia, S. Korea, Japan, Venezuela, Mexico.

Training of new hires for Account Development and provide in depth clinical and scientific explanations for Autoimmunity Testing.

Case Management/ CCIP/ QIP/ UM Coordinator 10/2011 to 09/2015

Citizens Choice Health Plan HMO - Alignment Healthcare

Managed and Delegated my own patients of 100+ and referred to appropriate follow up care.

As the lone Case Management Coordinator, I was pulled into assisting our UM Depart in processing authorization requests and/or help in the Incoming Call Queue

Knowledgeable of EZ-CAP and Access Express.

Entered Admitting Face Sheets when the work load increasing.

Managed and processed IPA/MG's monthly bed-day reports.

I was a back-up for the Credentialing Department.

Member Services- Provide services over the phone to members with concerns and/or questions regarding their coverage.

I was designated the After Hours Hotline calls. I had to call the patients the following day to insure they were helped by the on call nurse and delegated care accordingly.

Admissions Coordinator 02/2011 to 10/2011

Little Company of Mary Hospital

Began experience as an Administrator Coordinator, scheduling follow up appointments and collecting co payments

I was transferred to assist with all urgent and Emergent/Stat referrals

I ensured all requests were submitted in a timely manner and assisted in scheduling patient's first initial appointment for the procedure/visit requested by PCP using Access Express.

Knowledgeable of EZ-CAP and Access Express.

Managed Office Visit sheets and correct ICD-9 codes for appropriate billing.

Customer Service Representative 07/2010 to 02/2011

Nissan Cerritos, California

Scheduled Service AppointmentAppointments for car

Expressed appreciation and invited customers to return to this Service

Managed quality communication, customer support for each client.

Promptly responded to general inquiries from clients via mail, e-mail and fax.

Assisted customers with complaints.

Managed cash stock and inventory balances accurately, when overflowed into the Cashier Department.

Admissions Coordinator 11/2009 to 07/2010

Dignity Health Long Beach, CA

Effectively served as an advisory resource by providing patient/family experience expertise.

Observed strict confidentiality and safeguarded all patient-related information.

Verified insurance

Verified patients demographics before admitting to the Main Hospital, E.R. and Radiology Departments.

Provided specific instructions for procedures.

Scheduled appointments accordingly.

Executive Coordinator- Surgi Center 06/2007 to 03/2008

Dignity Health Long Beach, CA

Administered, directed and coordinated the activities of the agency.

Served as liaison between management, clinical staff and the community.

Observed strict confidentiality and safeguarded all patient-related information.

Collected Copayments and/or Deductibles

Scheduled follow up consults

Education and Training

Bachelor of Science: Organizational Leadership 2019

CSU - Global Colorado State Colorado

Medical Allied Graduated: January 2016

N/A: Biology

California State University, Long Beach Long Beach, California

2002

Norwalk High School Norwalk, Ca

Languages

Bilingual (Spanish)

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