Lorraine Salas
Menifee,CA
Summary
Experienced Referral Coordinator and Care Coordinator , Billing and Appeal knowledge. High productivity and efficient task completion. Skilled in managing patient referrals coordinating with Billing and Appeals with healthcare providers, and ensuring accurate record-keeping. Excel in communication, problem-solving, and time management to enhance operational efficiency and patient satisfaction. Committed to maintaining confidentiality and providing exceptional service in fast-paced environments.
Detail-oriented and highly organized referral coordinator with several-year history of serving patients in the field setting. Technically savvy and expert user of various software packages. Interested in contributing to industry.
Resourceful Referral Coordinator known for high productivity and efficient task completion. Skilled in managing patient referrals, coordinating with healthcare providers, and ensuring accurate record-keeping. Excel in communication, problem-solving, and time management to enhance operational efficiency and patient satisfaction. Committed to maintaining confidentiality and providing exceptional service in fast-paced environments.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Referral Coordinator
St Johns Wellchild Medical
City of Los Angeles, California
05.2021 - 04.2025
- Referral Coordinator and Medical Records.
Care Coordinator
Verio Healthcare
11.2019 - 03.2020
- DME
Staff Support
Inland Valley Detox
12.2018 - 02.2019
- Intake and property search
- Monitor Clients
- Administer medications
- Coordinate Visits with Physician and Hospital Visits
- Lab Work
- Urine and Drug Testing
- Facilitated Group Counseling
- Client Rounds
- Meal Prep and Serve.
Behavioral Health Coordinator
Borrego Health
02.2014 - 10.2016
- A care coordinator is a member of a patient's care team who works cooperatively with other primary care providers to ensure that the behavioral health provided meets the patient's needs.
- In the simplest explanation, a care coordinator for behavioral health is a liaison between the patient and other health care team members to make sure that the treatment plan put in place by the care team is working effectively for all involved.
Medical Biller
Rancho Family Medical Group
05.2013 - 07.2013
- Billing and follow up for Regal claims.
- Accounts receivables.
- Posted batch payments.
- Inputted fee schedules.
- Verified and updated patient demographics.
- Inquiries of existing out dated accounts for non payment, collections, etc.
- Created spreadsheets for non payment from insurance companies.
Medical Biller
San Bernardino Medical Center
03.2012 - 07.2012
- Billed Medicare, Medi-Cal, Workers Compensation and Physical Therapy claims.
- Collected and followed-up on liens with workers compensation.
- Corrected denied claims.
- Posted payments and A/R.
- Scheduled patient appointments, surgeries and follow up visits.
- Verified insurance eligibility and obtained authorizations.
- Answered incoming calls and greeted patients.
Site Coordinator
Sodexo UCR Extension
11.2010 - 01.2012
- Senior Nutrition Services.
- Greeted seniors and participated in activities.
- Verified the eligibility of new clients for meals on wheels program.
- Daily record keeping log of clients.
- Food prep and serve.
- Meal planning and home delivery.
Billing Manager
California Medical Pharmacy
03.2008 - 01.2009
- Insured accuracy of insurance claims submitted to insurance company prior to processing for correct billing codes or missing information.
- Requested new authorization or changes for medications and or supplies for CCS and Medi-cal's new and existing patients.
- Supervised five medical billers.
- Verified insurance benefits and obtained authorizations.
- Spoke with providers and or facilities regarding patient's day to day care.
- Updated current catalog pages to correspond with treatment and supplies.
- Knowledgeable in current fee for schedule services.
Billing Clerk
Whittier Medical Supply
02.2007 - 09.2007
- Called patients or caregivers for any changes on monthly at home, and in facilities delivery service.
- Verified benefits for monthly delivery of supplies.
- Printed orders for delivery drivers.
- Assisted customer in finding the correct medical supplies.
- Filled prescription for DME.
- Customer service.
Pharmacy Technician
Botica San Martin
05.2002 - 01.2003
- Date entry of all new prescriptions, refills.
- Answered phones and customer relations.
- Posting payments.
- Worked closely with Pharmacist on compounding and special orders.
Education
Certification - Billing Coder
Mt. San Jacinto
Skills
- Referrals,Care Coordinator and Behavioral Health Coordinator
- Billing -Medical, Hospitals and Pharmacy -DME and Medical Supplies,Denials, Appeals Liens,Post Payment Reconciliation
- Electronic Health Record
- Medical Records
- Medical Terminology
- Front Office
- Pharmacy Clerk
- Receptionist
- Surgery Scheduling
- Spanish Speaking
Certification
- CPR & First Aid
- Medical Billing/Terminology Certification
- CCAPP 2018
Timeline
Referral Coordinator
St Johns Wellchild Medical
05.2021 - 04.2025
Care Coordinator
Verio Healthcare
11.2019 - 03.2020
Staff Support
Inland Valley Detox
12.2018 - 02.2019
Behavioral Health Coordinator
Borrego Health
02.2014 - 10.2016
Medical Biller
Rancho Family Medical Group
05.2013 - 07.2013
Medical Biller
San Bernardino Medical Center
03.2012 - 07.2012
Site Coordinator
Sodexo UCR Extension
11.2010 - 01.2012
Billing Manager
California Medical Pharmacy
03.2008 - 01.2009
Billing Clerk
Whittier Medical Supply
02.2007 - 09.2007
Pharmacy Technician
Botica San Martin
05.2002 - 01.2003
Certification - Billing Coder
Mt. San Jacinto