Mayra Duran
Henderson,CO
Summary
Accomplished Referral Case Manager at Clinica Family Health, adept in case management and relationship building, significantly enhanced patient care through efficient coordination and documentation. Leveraged problem-solving skills to streamline referral processes, achieving seamless communication between healthcare providers and patients. Proven track record in fostering client advocacy and maintaining high accuracy in documentation, contributing to practice growth and patient satisfaction.
Overview
11
11
years of professional experience
Work History
Referral Case Manager
Clinica Family Health
Thornton, CO
08.2021 - Current
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Scheduled appointments with specialists on behalf of clients.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
- Assisted with completion of referral forms and verified data accuracy and completion
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Streamlined referral process by implementing efficient tracking and communication systems.
- Contributed to practice growth by maintaining positive relationships with both patients and referring providers.
Profesional Interpreting
Profecional Interpreting Llc
Denver, CO
11.2019 - 03.2020
- Provided oral interpretations for clients during special events, successfully maintaining pace with native speakers to deliver real-time comprehension.
- Interpreted remotely through video conferencing or phone to facilitate communication between parties unable to meet in person.
- Enhanced communication between clients and non-English speakers by providing accurate translations in real-time conversations.
- Improved patient outcomes in healthcare settings by facilitating clear communication between medical professionals and non-English speaking patients.
- Kept up-to-date with industry-specific terminology and jargon to accurately interpret technical or specialized language.
Receptionist Administrator
Orozco Hauling
Commerce City, CO
01.2014 - 08.2019
- Answered incoming calls, directing clients to individuals addressing specific needs.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Kept reception area clean and neat to give visitors positive first impression.
- Handled complaints and questions, and re-directed calls to other team members.
- Expedited daily office tasks such as mail distribution, document scanning, photocopying, and data entry to ensure smooth workflow.
- Acted as first point of contact and set appointments for prospective clients.
- Maintained a clean, organized, and welcoming reception area with updated reading materials for visitors while monitoring security by verifying visitor credentials and issuing visitor badges.
- Contributed to a positive work environment through excellent interpersonal skills and genuine care for colleagues'' needs or concerns.
- Boosted company image by providing friendly, professional, and timely assistance to all visitors, clients, and vendors.
- Took delivery of packages and documents, applying appropriate internal policies relating to chain of possession.
- Oversaw office equipment maintenance to support continuous and uninterrupted operations.
- Assisted in the planning and execution of company events for improved employee morale and client relations.
Education
High School Diploma -
Skyview Academy
Thornton, CO05.2010
Skills
- Problem-Solving
- Case Management
- Case Documentation
- Organization and Multitasking
- Documentation And Reporting
- Relationship Building
- Decision-Making
- Conflict Resolution
- Positive Attitude
- Email and Telephone Etiquette
- Client Advocacy
Languages
Spanish
Full Professional
Timeline
Referral Case Manager
Clinica Family Health
08.2021 - Current
Profesional Interpreting
Profecional Interpreting Llc
11.2019 - 03.2020
Receptionist Administrator
Orozco Hauling
01.2014 - 08.2019
High School Diploma -
Skyview Academy