Kristara Duran
Portland,OR
Summary
Seasoned Administrative Coordinator with a robust background at Oregon Health & Science University. Expert in fostering strong relationships, identifying quality improvement opportunities, and implementing effective training and workflow. Demonstrates critical thinking with a track record of achieving quality outcomes.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Administrative Coordinator
Oregon Health & Science University
Portland, OR
11.2022 - Current
- Completed 340B training modules with both OHSU and Apexus
- Improved daily Managed Care operations by implementing standardized Epic documentation and workflows
- Created standardized process for annual patient benefit review, including creation of tracking spreadsheet, and led the team's management and prioritization of calls resulting in completion of task in record time
- Identified department gaps in training and developed plan for creating new resources with current processes
- Identified gaps in patient care resulting from payer/clinic miscommunication and assisted Program Manager in implementing new workflow to improve process
- Prepare reports for stakeholder and insurance to ensure contractual compliance
- Complete self-audits of the Factor Program to ensure 340B compliance is met for dispensing
- Currently covering tasks and responsibilities of Program Tech 1 position during role vacancy
- Initiated patient contact and enrollment in copay assistance and patient assistance programs between patients, clinic, and pharmaceutical companies
- Involved in creation and implementation of new processes within OHSU HTC, as well as creation of educational resources within the Mountain State Region
- Utilized exceptional customer service skills to effectively communicate with insurance companies, providers, and patients regarding various aspects of patient care within the OHSU HTC
Pharmacy Technician 2
Oregon Health & Science University
Portland, OR
11.2020 - 11.2022
- Contacted insurance carriers to obtain authorizations, notifications, and pre-certifications for patients
- Coordinated medication assistance paperwork between clinics, pharmaceutical companies, and patients
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff, and office personnel, by using effective written and verbal communication skills
- Completed patient refill outreach to promote medication adherence for specialty medications
Pharmacy Technician
Oregon Health & Science University
Portland, OR
01.2019 - 11.2020
- As a Lead, identified need for improved customer service level to meet accreditation standards and assisted with creation and implementation of new process for incoming patient calls
- As a Lead, identified gaps in department training standards and worked to implement a standardized training experience for all new technicians
- As a Lead, collaborated with Pharmacist in Charge to create daily responsibility checklists for each shift
- Reviewed all audit requests, preparing all requested documentation and forwarding it to payers, including CMS, OmniSys, and Optum
- Reconciled invoices with product received and worked with suppliers to resolve any discrepancies
- Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency, and service quality
Senior Insurance Verification Specialist
Alliance Data
Beaverton, OR
03.2018 - 01.2019
- Conducted thorough audits to verify quality of department work was to company standards and met legal requirements
- Trained new employees on company policies, procedures, and work ethics
- Traveled to out-of-state locations within company to train new hires and implement new processes within their facilities
- Analyzed data from customer feedback surveys to gain insight into potential trends or opportunities for quality improvement
- Successfully managed patient escalations, resolving conflict and complex issues with high degree of efficacy and patient satisfaction
- Delegated daily tasks to team members to optimize productivity
- Collaborated with other supervisors and Seniors to coordinate operations and activities within or between departments
- Monitored customer service levels to ensure compliance with accreditation expectations
Insurance Verification Specialist
Alliance Data
Beaverton, OR
08.2017 - 03.2018
- Collaborated with insurance carriers and billing coordinators to investigate claim denials and promoted resolutions in a timely manner
- Managed intake and verification of a Neuro clinic's entire patient population and implemented standardized process within the company to ensure streamlined outcomes
- Identified specific reason for consistent payer denials and worked with pharmacists to implement new process to ensure payer criteria was met prior to claim submission
- Contacted insurance companies to obtain benefits for service and obtained pre-authorizations needed for medications covered under medical benefits
Insurance Verification Technician
AllianceRx Walgreens Prime
Beaverton, OR
11.2016 - 08.2017
- Verified patient eligibility with insurance carriers using web-based applications
- Processed insurance claims for medications and contact providers and clinics to coordinate prior authorization processes
- Adhered strictly to HIPAA regulations related to confidentiality of patient information at all times
- Triaged incoming phone calls, assisting callers with benefit inquiries and escalating therapeutic inquiries to pharmacists
Patient Care Coordinator
AllianceRx Walgreens Prime
Beaverton, OR
07.2016 - 11.2016
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care
- Completed registration procedures for patients, expertly inputting information to meet facility and legal requirements
- Counseled patients on potential financial liabilities, HIPAA guidelines, and specialty pharmacy practices
- Received patient inquiries or complaints and directed to appropriate management teams as needed
Senior Certified Pharmacy Technician
Walgreens
Multiple Locations, OR
10.2010 - 07.2016
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions
- Facilitated training of pharmacy externs and interns on prescription filling processes and state Board of Pharmacy laws and standards
- Consulted with customers via telephone or in-person to assist with navigating pharmacy systems and completing requests
- Worked with insurance companies to process claims, resolve problems, and obtain payments
- Managed inventories, rotated stock, removed expired or damaged drug products, and resolved discrepancies in drug counts
Starbucks Barista
Safeway
St. Helens, OR
01.2009 - 10.2010
- Established and adjusted ordering parameters to manage inventory
- Listened to customer desires and needs to recommend optimal products
- Addressed and resolved customer concerns to maintain brand loyalty
- Followed health, safety, and sanitation guidelines to pass state inspections
Courtesy Clark
Safeway
St. Helens, OR
08.2008 - 01.2009
- Trained new employees on best practices and protocols
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements
- Conferred with management to offer feedback on operations based on customer preferences and concerns
Legal Secretary
Timothy Pizzo, Attorney at Law
St. Helens, OR
01.2008 - 01.2008
- Drafted letters and prepared legal correspondence for attorney and legal assistants
- Sorted and distributed incoming faxes, letters, and emails for office distribution
- Arranged case files and maintained records and notebooks
- Kept office equipment functional and supplies well-stocked to promote efficient operations
Interim Planning Secretary
City of St. Helens
St. Helens, OR
06.2007 - 08.2007
- Issued legal permits and licenses for dogs and businesses, respectively
- Received and submitted payments for fees and fines, accurately tracking amounts, issuing receipts, and updating computer systems
- Evaluated applications and assessment results to determine eligibility and acceptance for permits and licensure
- Issued public notification of official activities or meetings to public
Education
Vocational Certificate - Pharmacy Technician Program
Anthem College
Beaverton05-2010
Some College (No Degree) - Health Information Management
Eastern Gateway Community College
OhioSkills
- Quality Assurance
- Process Improvement
- Epic and CPR software
- CareTend and BobJ reporting
- 340B Compliance
- CMS Guidelines
- HCPCS and ICD-10 Billing
- Microsoft Office Suite
Certification
- Certified Pharmacy Technician
- Pharmacy Technician Certification Board Certified
Volunteer Experience
City of St. Helens Municipal Court & St. Helens Police Department
- Prepared and issued summons, complaints, warrants, and other documents necessary for daily courtroom and legal operations
- Assembled paperwork and relevant files and briefs for use by judge and prosecutor at hearing and trials, using discretion to indicate key information relevant to judgement and prosecution decisions
- Processed citations by accurately entering information into CMS database and filing by appropriate court date.
References
References available upon request.
Timeline
Administrative Coordinator
Oregon Health & Science University
11.2022 - Current
Pharmacy Technician 2
Oregon Health & Science University
11.2020 - 11.2022
Pharmacy Technician
Oregon Health & Science University
01.2019 - 11.2020
Senior Insurance Verification Specialist
Alliance Data
03.2018 - 01.2019
Insurance Verification Specialist
Alliance Data
08.2017 - 03.2018
Insurance Verification Technician
AllianceRx Walgreens Prime
11.2016 - 08.2017
Patient Care Coordinator
AllianceRx Walgreens Prime
07.2016 - 11.2016
Senior Certified Pharmacy Technician
Walgreens
10.2010 - 07.2016
Starbucks Barista
Safeway
01.2009 - 10.2010
Courtesy Clark
Safeway
08.2008 - 01.2009
Legal Secretary
Timothy Pizzo, Attorney at Law
01.2008 - 01.2008
Interim Planning Secretary
City of St. Helens
06.2007 - 08.2007
Vocational Certificate - Pharmacy Technician Program
Anthem College
Some College (No Degree) - Health Information Management
Eastern Gateway Community College
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