Brenda Munoz Diaz

• Verified home addresses and discharge dates for patients through daily communication, ensuring accurate patient information for post-discharge care.
• managed daily care for 20-25 patients after their discharge from hospitals and skilled nursing facilities
• also verified eligibility for patients such as optum , altamed , inland empire ,
• Developed customer service framework for new company, streamlining response processes for incoming calls to enhance service efficiency.
• 
  

• Coordinated the intake process for new clients, including scheduling initial assessments and providing necessary paperwork.
• Coordinated home health intake referrals for UNISON HOME HEALTH SERVICES patients and families.
• Processed and managed new patient referrals from hospitals, skilled nursing facilities, and physician offices.
• Verified insurance coverage and eligibility for incoming home health admissions.
• Verified eligibility with insurance plans MEDICARE AND MEDICAL , PPO , COMMERCIAL such as , blueshield , bluecross , La care , altamed , molina medical , optum and many more.
• Staffed patients by verifying their eligibility and processing authorizations.
• Sent initial authorizations promptly upon receipt of patient referrals from hospitals to prevent delays in patient care.
• Achieved staffing targets of 80 to 100 patients per day to ensure optimal patient care.
• Confirmed patient demographics with patients and family while clearly explaining home health services
• Screened incoming calls and routed them to appropriate department
• Maintained communication with referring facilities to ensure timely referral updates.
• 
  

Verified insurance coverage and eligibility for incoming home health admissions, ensuring compliance with admission standards.

• Communicated with physicians, case managers, and families regarding admission requirements to facilitate smooth onboarding.
• Monitored authorization requests and kept intake records updated for Unison Home Health services.H
• Facilitated communication for case managers by managing incoming calls effectively. , following up with authorizations with patients insurance
• Coordinated with DME companies to confirm approval of patient equipment such as wheelchairs, walkers, gauze, and saline.