Cathy Luna
Grand Prairie,United States
Summary
Highly motivated Transplant Financial Coordinator with a background of over 7 years of experience in insurance benefit verification and scheduling. Smart, reliable, prepared and excited to bring talent to a new growing organization.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Transplant Financial Coordinator
Methodist Dallas Medical Center
Dallas, TX
08.2019 - Current
- Clear new evaluation referrals, by contacting insurance to request kidney/pancreas transplant benefits for facility and provider
- Open case with insurance for kidney/pancreas evaluation. Obtain authorization and referral if needed
- Fax clinicals to case utilization management
- Work closely with hospital and clinics and transplant coordinators to direct services for patient and providers
- Run a monthly report on all patients to verify insurances are still active, and to request an extension on authorization if it has been expired
- Receive and make phone call to patients, regarding their insurance benefits.
- Verify co-pays for office visits
Transplant Scheduler Coordinator
Methodist Dallas Medical Center
Dallas, TX
09.2016 - 08.2019
- Scheduled transplant evaluation appointments, ex: MRI,CT, US,EKG,NM and doctor office visits (coordinate to have done in 3 days)
- Contacted health insurance to obtain test/exams authorization if needed
- Scheduled GI procedures with OR
- Manage physician's calendar
- Faxed clinicals to insurance for pending authorizations
- Call patients with exam preparations and co-pays
- Run monthly report for patient's that need follow up imaging
Education
GED -
Dallas Ser
Dallas, TX07.1995
Skills
- Knowledge on CPT codes
- Windows 10
- Microsoft Word
- Knowledge on medical terminology
- Prioritizing and Planning
Certification
- Certified NRCMA, NAHP Healthcare Certification - 09/2015
Timeline
Transplant Financial Coordinator
Methodist Dallas Medical Center
08.2019 - Current
Transplant Scheduler Coordinator
Methodist Dallas Medical Center
09.2016 - 08.2019
GED -
Dallas Ser
- Certified NRCMA, NAHP Healthcare Certification - 09/2015
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