Luciana Corral

Assist walk-in clients with intake assessed needs and assigned to case manager

Managed high volume of case files for individuals with physical and developmental disabilities

Responsible for providing outreach permanent housing

Advocate for clients, assistive technology, peer counseling, transportation, food vouchers

Assist clients applying for IHSS, General Relief,

SSI

Outreach mobile serving homeless population providing medical services and hygiene packages.

Networking with resources in the community beneficial to patients.

HIV 101 Certificate.

Managed a high volume of incoming/outbound calls servicing patients, medical groups, and providers.

Assist with authorization status and enter in the system for approval by the nurse.

Claim status for facility/professional and submit discrepancies on amounts paid on claims, including appeal process CPT codes modifiers

Submitting grievances from patients for review.

Advocate for patients medical necessities, contacting health plan, DME, second opinions.

Managed work queue, high incoming calls and educated members on HMO process

Assisted providers with Commerical accounts

Submit dis-enrollments, refund request, claims, transportation reimbursements, interpreter services, RX approval