Diana Tonoyan
MEDICAL FIELD
Lake Forest,CA
Summary
Experienced healthcare professional specializing in coordination and management. Adept at optimizing inpatient procedures and facilitating effective communication among medical staff. Committed to delivering top-notch patient care and fostering a collaborative work environment. Demonstrated track record of reliability, problem-solving skills, and upholding excellence in fast-paced healthcare settings. Known for adaptability, achieving tangible outcomes, and maintaining high standards in dynamic healthcare environments.
Overview
16
16
years of professional experience
Work History
Inpatient Coordinator
MEDPOINT MANAGEMENT
03.2018 - Current
- Verified insurance and benefits following through with any higher level of care or transfer to cap hospitals through insurance plans
- Created authorizations for inpatient and ambulatory transfers
- Enhanced operational efficiency by regularly updating electronic systems used for tracking admissions, discharges, transfers, and other pertinent data points related to inpatient care coordination.
- Streamlined communications between multidisciplinary teams for enhanced patient outcomes.
- Collaborated with case managers to develop individualized care plans tailored to each patients unique needs.
- Coordinated with insurance companies regarding patient eligibility and authorization of services.
Financial Counselor
Encino Hospital
03.2016 - 05.2018
- Determined patient liability based on benefits and advises patient of their liability prior to scheduled elective procedures
- Notified patient(s) of financial responsibility; collection arrangements are made prior to services rendered for all elective care
- Verified insurance eligibility and benefits for emergent and urgent admissions, procedures or other services, ensuring communication of patient responsibility to the patient or responsible party
- Collaborated with clients to develop personal recommendations for improvement of financial circumstances, reducing debt and increasing income.
- Verified and secured accurate patient demographic and insurance information, updating patient account information as needed
- Assisted patients in making arrangements as needed for patient responsibility by time of discharge for emergent or urgent services
- Screened and referred patients for possible linkage to state, county or other government assistance programs as well as Charity or Discounts as per the facility Charity and Discount policies
- Insurance Verifier/ Financial Counselor works closely with Case Management in securing Medicaid/Medical treatment authorizations as needed
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Documented details regarding contact with patients, providers and other individuals in system.
Medical Office Manager
Warner Plaza Urgent Care Center
01.2014 - 03.2016
- Managed office and employees, also carefully selected, developed and retained qualified staff, as well as trained several new staff annually
- Ordered medical supplies and did employee schedules
- Managed patient intake for Nova Vita Detox center provided in the urgent care center
- Duties include checking patients in and out
- Conducted quotes for prices for inpatient procedures, collected co-pays and out-of-pocket amounts, checked eligibility and submitted authorizations, answered phones, and took care of pharmacy requests
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Consulted with healthcare professionals on business decisions.
Surgery Scheduler (Temp)
Radnet - Northridge diagnostic center
03.2012 - 12.2014
- Collaborated with doctors and nurses to schedule patients for pre op services and surgery
- Provided information regarding care before and after procedure
- Submit authorization and claims to insurance companies
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained confidentiality and compliance with healthcare regulations, safeguarding patient information.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Educated patients about surgeries and provided treatment plan documentation.
- Maintained accurate records for billing purposes, ensuring proper reimbursement from insurance carriers and patients alike.
Eligibility Specialist
Health Net
02.2009 - 02.2012
- Maintained accurate eligibility records for assigned line of business
- Determined system eligibility data on a daily basis, including new enrollees, changes, and cancellations
- Responded to all written and telephone eligibility inquiries from individuals or assigned employer groups
- Established databases to track, analyze and automate eligibility application processes.
- Researched information on subscribers to resolve problems and disputes
- Processed and certified documents for accuracy and compliance with government regulations.
- Tracked members who are out of the service area
- Assisted clients with accurate eligibility form, application and document completion.
- Trained staff on current eligibility requirements and policies.
- Changed address and phone numbers for member profile
- Knowledge of State regulations regarding State Disability and Paid Family Leave, and State and Federal regulations regarding mandated leaves and time off
Education
High School Diploma -
Kennedy High School
Granada Hills, CA06.2002
Skills
- Patient services management
- Healthcare system resources
- Managing patient cases
- Improving clinical quality outcomes
- Medication dispensing
- Department supply management
- Compliance with regulatory guidelines
- Medical terminology
- EMR systems
- Medical office management
- Hospital experience
- Front desk
- Customer service
- Office management
- Medical Billing
- Insurance Verification
- Claims
- CPT
- Clinical documentation
- Scheduling appointments
- Healthcare regulations
- Patient confidentiality
- Patient health education
- Patient education
- Clinical quality improvement
- Patient relationship management
- Medical records management
- HIPAA
- Insurance verification
- Care coordination
- Discharge planning
- Marketing and promotion
- Patient care
- Patient care planning
Languages
English
Full Professional
Armenian
Native or Bilingual
Turkish
Full Professional
Russian
Full Professional
Timeline
Inpatient Coordinator
MEDPOINT MANAGEMENT
03.2018 - Current
Financial Counselor
Encino Hospital
03.2016 - 05.2018
Medical Office Manager
Warner Plaza Urgent Care Center
01.2014 - 03.2016
Surgery Scheduler (Temp)
Radnet - Northridge diagnostic center
03.2012 - 12.2014
Eligibility Specialist
Health Net
02.2009 - 02.2012
High School Diploma -
Kennedy High School
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