Delmy Duke
Colton,CA
Summary
Detail-oriented Patient Care Coordinator adept at managing multiple referrals and pre-authorizations to streamline patient care. Proficient in medical billing, documentation management, and compliance, ensuring accuracy and efficiency in healthcare operations while maintaining strong professional relationships.
Overview
6
6
years of professional experience
Work History
Patient Care Coordinator
Option Care Home Infusion
Remote
10.2023 - 10.2024
- Managed multiple referrals simultaneously to ensure timely processing and patient care.
- Tracked pre-authorizations, submitted renewals, and organized tasks to ensure timely patient care processes.
- Collaborated with clinical and administrative staff to meet patient needs.
- Advised patients on financial liabilities and payment requirements to enhance understanding and compliance.
- Documented all patient care activities in electronic health record systems to support accurate and efficient patient management.
- Registered patients using proper data entry procedures and fully compliant ICD-10 and CPT codes.
- Ensured that all necessary documentation was completed accurately and submitted in a timely manner.
Billing Coordinator
Magellan Health
Remote
07.2020 - 06.2023
- Managed billing operations, payment processing & account updates with high accuracy.
- Processed prior authorizations and submissions for medical services, ensuring compliance and timeliness.
- Followed up on denied or pending claims, facilitating prompt reimbursement for services rendered.
- Maintained detailed records of authorization approvals and denials.
- Investigated discrepancies identified during audits of claims, improving accuracy of reimbursement submissions.
- Communicated with clients regarding billing inquiries and payment status.
Patient Care Coordinator
Coram Home Infusion
San Bernardino, California
11.2018 - 06.2020
- Coordinated patient schedules for home health services and routine visits, ensuring timely access to care.
- Liaised with patients, doctors, and members, assessing medical charts to enhance communication and ensure comprehensive care.
- Maintained accurate records in electronic health systems, facilitating seamless patient care coordination.
- Verified insurance eligibility, benefits, & coverage requirements prior to treatment.
- Committed to maintaining professional relationships to increase profitability and drive business results.
Education
High School Diploma -
Arroyo Valley
San Bernardino, CA06-2015
Skills
- Patient registration
- Medical billing & claims processing
- Healthcare navigation
- Authorization & verification
- HIPAA compliance
- Medical terminology expertise
- Data entry
- Documentation
- Patient satisfaction
- Appointment scheduling
- Microsoft Office suite
- Multi-tasking abilities
- Time management & organization
- Attention to detail
- Pharma Point/CPR knowledge
- Insurance verification
Timeline
Patient Care Coordinator
Option Care Home Infusion
10.2023 - 10.2024
Billing Coordinator
Magellan Health
07.2020 - 06.2023
Patient Care Coordinator
Coram Home Infusion
11.2018 - 06.2020
High School Diploma -
Arroyo Valley