Summary
Overview
Work History
Education
Skills
Timeline
Generic

Leselle Duran

Edinburg,Tx

Summary

Friendly Medical Receptionist offering excellent skills in patient relations and office management. Skilled using appointment scheduling system to manage over patients weekly. Organized and accurate in managing patient flow. Results-driven Field Supervisor versed in site management and performance optimization. Highly effective at operating with minimal input and accomplishing project objectives according to budget and timeline requirements. Experienced with over years of experience in. Excellent reputation for resolving problems and improving customer satisfaction. Reliable employee seeking position. Offering excellent communication and good judgment. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals. Hardworking and passionate job seeker with strong organizational skills eager to Program Coordinator position. Ready to help team achieve company goals.

Overview

14
14
years of professional experience

Work History

Program Coordinator I/ PSR1/Medical Office Specialist

UTRGV
10.2020 - Current
  • Initiate authorization requests for output or input services in keeping with prior authorization list. Research claims inquiry specific to department and responsibility.
    • Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.
    • Screen for eligibility and benefits. Identify members without PCP and refer to Member Services. Screen members by priority for case management assessment. Perform transition of care duties to include but not limited to contact member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
    • Coordinate services with community-based organizations. Attend marketing and outreach meetings as directed to represent plan.
    • Data enter assessments and authorizations into system.
  • Answered phone calls and messages for medical facility, scheduling appointments and handling patient inquiries.
  • Registered and verified patient records before triage with most up-to-date information.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.

Medical Office/Medical Assistant

STHS
05.2014 - 11.2020
  • Eligibility, authorizations, complete authorizations and referrals for medical services. In addition to reviewing medical history of potential patients, verify information provided by their referring physicians and verify their insurance coverage.
  • Performed clerical duties, such as word processing, data entry, answering phones and filing.
  • Answered telephone calls to offer office information, answer questions and direct calls to staff.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
  • Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
  • Ordered and prepared reagents and supplies.

Field Supervisor/Front Office

Legacy Home Health
02.2013 - 10.2014
  • Authorizations and referrals for medical services. Make sure patient has active insurance. In addition to reviewing medical history of potential patients,verify information provided by their referring physicians and verify their insurance coverage.
  • Hired and trained technicians and other staff members and evaluated work of team members to improve performance.
  • Field office, skillfully coordinating programs funded by state and federal agencies.
  • Evaluated staff performance and provided technical guidance for improvement.
  • Monitored fieldwork progress and drafted operational reports.
  • Filed records to keep system efficient and all information organized.
  • Delivered new-hire orientation, training and ongoing educational programs to foster team development.
  • Trained workers in proper methods, equipment operation and safety procedures.
  • Managed safety and security of location to prevent intrusion, criminal activity, vandalism and injuries to workers.

South Texas Community Living

Front Office/Nurse Assistant
05.2010 - 02.2013
  • Facilitated skill-building classes for clients.
  • Engaged in therapeutic relationships with clients and delivered crisis counseling, conflict resolution and problem-solving assistance.
  • Supervised client behavior and respectfully implemented consequences for rule violations.
  • Monitored whereabouts of clients within facility and tracked individuals entering and exiting.
  • Worked with clients to improve life choices and maximize benefits of programs.
  • Coordinated referrals and direct support for clients.
  • Detailed program operations and participant activities with comprehensive recordkeeping.


Education

Associate of applied Science - NURSING ALLIED HEALTH

UTRGV
McAllen, TX
06.2012

Associate Degree - Medical Assistant

South Texas College
Mcallen, TX
06.2012

Skills

  • Eligibility verification specialist
  • Authorizations
  • Telephone Skills
  • Organization Skills
  • Performance Improvement
  • Microsoft Outlook
  • Customer Service
  • Email Software

Timeline

Program Coordinator I/ PSR1/Medical Office Specialist

UTRGV
10.2020 - Current

Medical Office/Medical Assistant

STHS
05.2014 - 11.2020

Field Supervisor/Front Office

Legacy Home Health
02.2013 - 10.2014

South Texas Community Living

Front Office/Nurse Assistant
05.2010 - 02.2013

Associate of applied Science - NURSING ALLIED HEALTH

UTRGV

Associate Degree - Medical Assistant

South Texas College
Leselle Duran