Summary
Overview
Work History
Education
Skills
Timeline
Generic

LUZ ELENA DAVILA

Anaheim,CA

Summary

Seeking a position in the Medical Field with a company that will allow to utilize skills and experience for the betterment of the company.

Overview

18
18
years of professional experience

Work History

Collections / Referrals / Authorizations

Samara P Cardenas M.D.
10.2006 - Current
  • Medical Claim Collector
  • Checking Eligibility / Benefits
  • Verify insurance and authorization for treatments
  • General administrative duties/phones
  • Check claim status / office Ally / Avatility.
  • Expedited urgent requests by prioritizing tasks effectively, ensuring efficient handling of time-sensitive cases.
  • Developed strong relationships with healthcare providers through consistent professional communication, fostering trust and support between parties during authorization process.
  • Informed customers of alternative options when authorizations were denied, providing guidance to support informed decision making.
  • Demonstrated exceptional attention to detail while handling sensitive personal information, adhering to HIPAA guidelines and maintaining confidentiality.
  • Ensured timely communication with healthcare providers, delivering prompt updates on status of authorization requests.
  • Improved data accuracy by diligently updating client records and tracking changes in insurance coverage or benefits.
  • Reduced errors in authorization approvals by meticulously reviewing documentation and cross-referencing information.
  • Enhanced customer satisfaction by efficiently processing authorization requests and verifying eligibility.

Surgery Scheduler

Bariatric Care Center
08.2006 - 02.2015
  • Answered phones and greeted patients entering the establishment in a friendly manner
  • Coordinated surgery procedures, surgeons, and equipment
  • Maintained records and accounts with great accuracy
  • Requested surgery authorizations from medical insurances
  • Established and maintained effective working relationship with physicians and Hospitals
  • Discussed with surgeons the nature of the surgical procedure, including operative consent, methods of operative exposure, diagnostic or laboratory data, or patient-advanced directives.

Bariatric Care Coordinator

Bariatric Care Center
08.2006 - 07.2008
  • Coordinated care for patients and assisted with the creation of individual plan of care
  • Facilitated support groups on the education on bariatric surgery
  • Prepared patients for surgery (Pre-Op)
  • Scheduled Surgery for patients according to their availability
  • Determined availability of necessary equipment or supplies for operative procedures
  • Worked closely with Medical Director and staff maintaining professional rapport
  • Verified Eligibility
  • Requested Authorizations for treatment
  • Checked Claim Status / EZCAP.

Education

High School Diploma -

Anaheim High School
Anaheim, CA
06.1987

Skills

  • Bilingual in English and Spanish
  • Insurance Verification and EOB experience
  • Medicare, Medi-Cal, PPO, HMO and EPO
  • MS Suite, Data entry and Ten Key touch experience
  • Referrals / Authorizations
  • Friendly customer service and strong organizational skills
  • Professional phone presence
  • Knowledge of Medical Terminology
  • ICD9/ CPT Coding

Timeline

Collections / Referrals / Authorizations

Samara P Cardenas M.D.
10.2006 - Current

Surgery Scheduler

Bariatric Care Center
08.2006 - 02.2015

Bariatric Care Coordinator

Bariatric Care Center
08.2006 - 07.2008

High School Diploma -

Anaheim High School

Similar Profiles

CREATE PROFILE
LUZ ELENA DAVILA