Summary
Overview
Work History
Education
Skills
Languages
Accomplishments
Languages
References
Timeline
Generic

JANET DIAZ (Coffey)

CHULA VISTA,UNITED STATES

Summary

Experienced with expertise in patient advocacy and insurance navigation, adept at optimizing revenue through strategic financial planning and process improvement. Demonstrates strong analytical skills by enhancing billing processes to improve revenue streams. Committed to leveraging skills in a collaborative healthcare environment to support patient care and streamline financial operations. Insightful Financial Counselor known for productive and efficient task completion. Possess specialized skills in debt management, financial planning, and budgeting strategies. Excel in communication, empathy, and problem-solving to effectively assist clients with complex financial situations. Strive to provide clear guidance and support in managing finances toward achieving financial stability and goals. Hardworking financial counselor proudly offering several years of experience in processing financial forms and obtaining healthcare documents. Highly trained professional with background in patient account management and meeting tight deadlines. Offering exemplary time management and issue resolution skills. Dedicated and organized financial professional with outstanding relationship-building and problem-solving skills. Driven to exceed expectations and operate effectively in fast-paced, high-pressure environments. Self-motivated team player adept at cultivating partnerships and building lasting relationships across all demographics and management levels. Dynamic and reliable with exceptional customer service and communication skills. Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations. Detail-oriented surgery scheduler well-versed in coding and electronic records management systems. Adept at coordinating documentation, supplies and equipment. Seeking a dynamic role with a growing team where resourcefulness, adaptability and hard work will be valuable. Organized Surgery Scheduler with professional experience in medical settings. Possess strong communication skills needed to coordinate surgical procedures, manage patient records, and liaise between medical personnel. Known for accuracy, discretion with confidential information, and ability to thrive in high-pressure environments. Previous roles have resulted in improved efficiency and smooth running of surgical units due to careful scheduling and coordination efforts.

Overview

6
6
years of professional experience

Work History

Financial Counselor

UCSD Health
03.2019 - 10.2021
  • As a Financial Counselor, I was responsible for financially securing all accounts, ensuring accounts are evaluated within the Medical Center's Financial Policy, serving as a financial resource to the patient care team, staff, vendors, patients, and their families regarding financial issues and/or referrals to government programs, obtaining eligibility and benefit information, authorizations, and patient demographic information, collecting deductibles and patient liability, presenting and explaining payment options for collections of monies due, coordinating facilitation by pursuing eligibility and benefits for services rendered that are determined to be necessary in the continuum of care, and keeping the team informed of the status of the account by openly communicating and participating in removing barriers to discharge and online documentation in funding notes.
  • Analyzed patient financial data to optimize billing processes, resulting in improved revenue cycle management, and reduced outstanding accounts.
  • Guided patients through complex insurance procedures, ensuring a clear understanding of financial obligations and available assistance programs.
  • Streamlined payment collection methods, leading to a substantial increase in on-time payments, and overall financial stability for the institution.
  • Partnered with healthcare providers to develop tailored financial plans, enhancing patient satisfaction, and reducing financial stress.
  • Implemented new financial counseling strategies, resulting in improved patient engagement, and a notable decrease in billing-related inquiries.
  • Reviewed and verified financial data to determine program eligibility.
  • Documented all interactions with patients regarding billing issues in a timely manner.
  • Counseled patients on financial obligations associated with their medical care.
  • Stayed current on community-based resources and services useful to patients.
  • Collaborated with hospital staff members to resolve complex billing issues.
  • Documented patient counters in hospital system and initiated follow-up actions.
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
  • Maintained knowledge of current health care regulations related to billing practices.
  • Assisted patients in understanding the details of their bills, including deductibles and co-pays.
  • Initiated application processes to add patients to assistance programs at bedside and followed through until completion.
  • Developed rapport with patients to discuss sensitive financial matters in a professional manner.

Patient Logistics

Scripps Health
07.2016 - 03.2019
  • Responsible for all patient placements throughout all Scripps hospitals.
  • Trauma transfers, repatriation of patients in accordance with their health plans.
  • Optimized patient flow processes, reducing wait times, and enhancing overall care quality.
  • Analyzed data to identify bottlenecks, and implement strategic solutions.
  • Coordinated with multidisciplinary teams to streamline patient transfers, admissions, and discharges.
  • Fostered strong relationships across departments.
  • Implemented new logistics protocols, resulting in improved bed utilization and patient satisfaction scores.
  • Consistently met or exceeded key performance indicators.
  • Pioneered the adoption of a new patient tracking system, revolutionizing real-time bed management, and resource allocation across the facility.
  • Provided compassionate support to patients and families during transitions of care.
  • Ensured smooth communication between healthcare providers and patients.
  • Identified areas for improvement, narrowing focus for decision-makers in making necessary changes.
  • Collaborated with colleagues in other departments to ensure that all patient needs were met effectively.
  • Participated in training sessions designed to improve overall job performance.
  • Compiled and analyzed sales data to identify trends and opportunities for growth.

Surgery and Authorizations Specialist

Valley Perinatal
Chandler, Arizona
10.2015 - 07.2016
  • The main objective is to provide excellent high-risk obstetric and gynecologic ultrasound services to our patients in a kind and caring manner, with a family-centered approach to their care at VPS.
  • Managed surgery authorizations, optimizing workflow for efficient patient care.
  • Implemented streamlined processes, reducing approval times, and enhancing overall operational effectiveness.
  • Coordinated complex perinatal surgeries, ensuring seamless authorization procedures.
  • Improved patient satisfaction through prompt and accurate insurance verifications.
  • Meticulously reviewed and processed medical documentation for surgical procedures.
  • Maintained high accuracy in insurance authorizations, minimizing delays in patient care.
  • Fostered strong relationships with insurance providers and healthcare teams.
  • Facilitated smooth communication channels, resulting in expedited authorization processes for critical surgeries.
  • Developed and implemented a new tracking system for surgery authorizations.
  • Significantly reduced processing time, allowing for more efficient scheduling, and improved patient outcomes.
  • Streamlined surgery authorization processes, reducing approval times, and enhancing operational efficiency for high-risk obstetric and gynecologic ultrasound services.
  • Gathered data to formulate appropriate replies for information requests.
  • Managed workflow processes for authorization requests, including routing documents and tracking progress.
  • Implemented strategies to improve the efficiency of the authorization process.
  • Collaborated with other departments within the organization to ensure timely completion of authorizations.
  • Coordinated communication between departments regarding authorization procedures.
  • Maintained accurate records of all authorizations in the system.
  • Updated spreadsheets and other document filing systems.
  • Investigated discrepancies identified during audits of claims submitted for reimbursement by providers.
  • Participated in new hire training and development tasks.
  • Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
  • Tracked authorization statuses using electronic databases or manual filing systems.
  • Generated monthly reports detailing productivity metrics such as number of authorizations processed per day, week, month.
  • Participated in meetings with staff members from other departments such as billing and coding teams to provide clarification on policies related to authorizations.
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.

Education

NURSING -

San Diego Mesa College
San Diego
06.2021

Skills

  • Patient advocacy
  • Insurance navigation
  • Financial planning
  • Revenue optimization
  • Process Improvement
  • Insurance planning
  • Relationships and rapport
  • Insurance verification
  • Professional relationship building
  • Proficient in Epic
  • Financial counseling

Languages

Spanish, Highly proficient

Accomplishments

  • Patient Access Award for highest patient insurance collections.

Languages

Spanish
Full Professional

References

References available upon request.

Timeline

Financial Counselor

UCSD Health
03.2019 - 10.2021

Patient Logistics

Scripps Health
07.2016 - 03.2019

Surgery and Authorizations Specialist

Valley Perinatal
10.2015 - 07.2016

NURSING -

San Diego Mesa College
JANET DIAZ (Coffey)