Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Taysa Cueva-Muijres

Lenexa

Summary

Dedicated Healthcare Navigator with a proven track record in patient support, healthcare service coordination, and surpassing program expectations. Managed diverse case load, coordinated successful surgeries, provided support to at-risk families, and offered translation services while maintaining confidentiality. Committed to upholding HIPAA regulations and ensuring compliance for optimal care delivery and patient outcomes. Skilled in collaborating with healthcare providers, overcoming patient barriers, and increasing program participation. Ready to leverage expertise to contribute effectively to any industry and uphold highest standards of practice.

Overview

2
2
years of professional experience

Work History

Bilingual Care Coordinator

Transcarent
09.2023 - Current

- Successfully facilitated 100+ patients through the surgery review process, surpassing program expectations and meeting all metrics.
- Efficiently managed a diverse case load, overseeing over 200 clients in various surgical categories.
- Coordinated and approved surgeries from initial request to patient placement, ensuring a streamlined process for over 300 successful procedures.
- Obtained and processed demographic, financial, clinical, and other essential data for over 500 referral cases.
- Acquired medical records promptly and accurately for 100% of cases, leading to expedited processing times and improved patient care.
- Expertly maintained and updated application records for 400+ cases, ensuring real-time access to critical information for decision-making.
- Collaborated with providers, clinics, facilities, and management to resolve issues and obtain pre-authorizations for over 250 cases.
- Worked seamlessly with internal departments and operational roles to coordinate over 150 member cases, ensuring optimal care delivery.
- Addressed and resolved patient barriers effectively, resulting in a 20% increase in member program participation.
- Demonstrated adherence to HIPAA regulations and maintained confidentiality for all cases handled.
- Complied with company policies rigorously, ensuring alignment with organizational standards and best practices.

Cultural Healthcare Navigator

University Health
05.2022 - 08.2023

- Successfully coordinated healthcare services for an average of 50 patients per week, resulting in improved patient outcomes and satisfaction scores by 20%.
- Implemented a streamlined appointment scheduling process that reduced wait times and increased patient retention.
- Developed a patient education program on billing information, resulting in a 25% increase in patient understanding and a decrease in billing-related inquiries by 40%.
- Collaborated with TMC and University Health clinical/non-clinical personnel to identify and address barriers, resulting in an increase in patient referrals and a significant improvement in patient care coordination.
- Established strong relationships with physicians and support staff, leading to an increase in patient volumes and growth in patient satisfaction scores.

Education

Bachelor of Arts - Education

Fort Hays State University
Hays, KS
05.2022

High School Diploma -

Wichita East High School
Wichita, KS
05.2018

Skills

  • Multidisciplinary team collaboration
  • Progress Monitoring
  • Patient Education
  • Case Management
  • Understanding of billing information
  • Identifying barriers and finding solutions

Languages

French
Full Professional
Spanish
Full Professional
Russian
Elementary

Timeline

Bilingual Care Coordinator

Transcarent
09.2023 - Current

Cultural Healthcare Navigator

University Health
05.2022 - 08.2023

Bachelor of Arts - Education

Fort Hays State University

High School Diploma -

Wichita East High School
Taysa Cueva-Muijres