May Duran
Medical Billing and Verification
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About
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Experience
Registration Specialist at Lehigh Valley Hospital (2025-05 – Present)
Manage patient check-in and demographic updates utilizing Epic Hyperspace for over 60 patients daily.
- Manage patient check-in and demographic updates utilizing Epic Hyperspace for over 60 patients daily.
- Execute real-time insurance eligibility verification and pre-authorization processes using Epic Prelude.
- Managed provider schedules in Epic Cadence to optimize appointment linking and minimize cancellations.
- Execute processing of co-payments, deductibles, and point-of-service collections in compliance with financial policies.
- Digitized identification consent forms and insurance documents into Epic EHR system.
Insurance Verification Specialist at Plainview Physical Therapy (2001-10 – 2025-03)
Specialist responsible for insurance verification and claims processing.
- Minimized billing errors by meticulously maintaining patient records with current insurance information.
- Facilitated enhanced communication between medical staff and patients by clarifying insurance benefits and financial responsibilities.
- Optimized workflow for medical providers by securing essential referrals and authorizations for services.
- Streamlined claim processing efficiency through verification of insurance coverage and acquisition of pre-authorizations for procedures.
- Facilitated timely claims processing through submission of accurate and comprehensive documentation to insurance companies.
- Streamlined treatment scheduling by promptly identifying and resolving potential coverage issues.
- Enhanced verification processes to boost accuracy and streamline manual task efficiency.
Home Health Coordinator at Holmar Nursing Agency (1993-06 – 2001-05)
Coordinator responsible for patient satisfaction through effective coordination and scheduling of timely home health services.
- Facilitated patient satisfaction through effective coordination and scheduling of timely home health services.
- Facilitated effective communication between patients, caregivers, and healthcare providers to enhance care coordination.
- Enhanced patient outcomes through comprehensive assessments and strategic referrals to specialized services.
- Executed regular follow-ups with patients to evaluate well-being and implement necessary adjustments to care plans.
- Oversaw caseload management, prioritizing urgent cases to ensure timely assistance.
- Oversaw maintenance of accurate patient records, appointments, and services to enhance case management efficiency.
- Facilitated staff training programs to elevate skillsets and guarantee consistent delivery of high-quality care services.
Education
High School Diploma – South Side High School (2005-06)