Summary
Overview
Work History
Education
Skills
References
Languages
Languages
Timeline
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Diana M. Duran

Diana M. Duran

Yucaipa,CA

Summary

Dynamic healthcare professional with extensive experience at Loma Linda University Medical Center, excelling in insurance verification and patient education. Proven ability to enhance patient outcomes through effective communication and financial coordination. Skilled in EMR systems and team leadership, ensuring compliance and optimizing processes for improved service delivery.

Overview

18
18
years of professional experience

Work History

Pre Kidney/Pancreas/Liver Financial Coordinator

Loma Linda University Medical Center
Loma Linda, CA
03.2023 - Current
  • Verified insurance coverage and benefits (OOP, deductible, DOFR/copy/co-insurance).
  • Submitted authorizations with clinical documentation.
  • Requested updated clinical workups and coordinated with clinical teams.
  • Educated new patients on transplant process in both group and one-on-one settings.
  • Communicated pre- and post-transplant coverage to patients.
  • Presented financial status during waitlisting committee meetings.
  • Processed urgent surgery update requests to secure timely authorizations.

Referral Intake Specialist

Loma Linda University Medical Center
Loma Linda, CA
12.2021 - 03.2023
  • Reviewed physician orders and notes for referral processing.
  • Verified patient eligibility and insurance benefits.
  • Processed and sent 7+ referrals daily for scheduling.
  • Provided patients with referral status updates and support.

Account Development Specialist

Cyrex Laboratories LLC
Santa Ana, CA
09.2015 - 03.2020
  • Managed international accounts in over 10 countries.
  • Conducted outreach calls (100–1500/month) to develop provider relationships.
  • Trained new customers on system onboarding and account use.
  • Developed marketing materials and educational packets.
  • Improved account retention through consistent follow-up and support.

Utilization Management Coordinator

Alignment Healthcare
Orange, CA
10.2011 - 09.2015
  • Supported nurses by managing 100+ patient files for records, authorizations, and medications.
  • Served as backup for Credentialing and UM departments.
  • Scheduled after-care visits and verified PCP appointments.
  • Completed discharge education and infection prevention counseling.
  • Scheduled initial appointments using Access Express.

Admissions/Scheduling Coordinator

St. Mary Medical Center
Long Beach, CA
11.2009 - 07.2010
  • Checked in/out patients, processed co-pays, and verified insurance.
  • Managed OR scheduling and post-surgery treatment plans.
  • Ensured HIPAA compliance and patient data accuracy.

Executive Coordinator - Lead

St. Mary Medical Center (Surgi Center)
Long Beach, CA
06.2007 - 03.2008
  • Led administrative functions and trained team members.
  • Ensured compliance with Medi-Cal and commercial insurance requirements.
  • Managed ICD-9 code entry, paperwork prep, and patient record filing.

Education

Bachelor of Science - Organizational Leadership

Colorado State University – Global Campus
Colorado
01.2021

Skills

  • Patient Education (English/Spanish)
  • Insurance Verification & Authorization
  • Transplant Coordination
  • EMR Systems (Epic, Access Express)
  • Case Management & Discharge Planning
  • Medical Terminology & Billing (CPT, ICD-9)
  • HIPAA Compliance
  • Team Leadership & Training
  • Customer Service & Communication
  • Epic
  • Access Express
  • Microsoft Word
  • Excel
  • PowerPoint
  • Google Suite
  • Microsoft Teams
  • Insurance verification
  • Authorization submission
  • Patient education
  • Data management
  • Regulatory compliance
  • Customer service
  • Referral processing
  • Communication skills
  • Financial analysis
  • Data entry
  • Telephone etiquette
  • Benefits explanation

References

References available upon request

Languages

English, Spanish (Fluent)

Languages

Spanish
Native/ Bilingual

Timeline

Pre Kidney/Pancreas/Liver Financial Coordinator

Loma Linda University Medical Center
03.2023 - Current

Referral Intake Specialist

Loma Linda University Medical Center
12.2021 - 03.2023

Account Development Specialist

Cyrex Laboratories LLC
09.2015 - 03.2020

Utilization Management Coordinator

Alignment Healthcare
10.2011 - 09.2015

Admissions/Scheduling Coordinator

St. Mary Medical Center
11.2009 - 07.2010

Executive Coordinator - Lead

St. Mary Medical Center (Surgi Center)
06.2007 - 03.2008

Bachelor of Science - Organizational Leadership

Colorado State University – Global Campus