Mayra Duran

• PROFESSIONAl accomplished Referral Case Manager at Clinica Family Health,
  a dept in case Summary 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 providers, and a track record in fostering client advocacy and maintaining high accuracy in documentation, contributing to practice growth and patient satisfaction.
  • Problem-Solving • Decision-Making • Case Management • Conflict Resolution • Case Documentation • Positive Attitude • Organization and Multitasking • Email and Telephone Etiquette • Documentation and Reporting • Client Advocacy • Relationship Building • Bilingual • Medical Terminology • Knowledge of ICD-10 Coding • Referral Case Manager 08/2021 to Current Clinica Family Health.| Thornton, CO
  
  • 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 a 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.
•Developed comprehensive knowledge of insurance requirements, advocating for patients, when necessary, to secure approval for needed services.
• Assisted with the 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 the 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.

• Assited with Referrals for Earlie Intervention between patient and provider.

• • 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.

• • 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.