Sarah Luna

Background

About Sarah Luna

Currently working as a Utilization Review Specialist at Akua Behavioral Health. Tasks include: Review patient admission data and clinical documentation to ensure medical necessity; consulting with medical and treatment staff regarding patient diagnosis, medical justification, length of treatment, and case documentation; assessing records for the appropriate level of care and treatment, aftercare, and discharge planning for patients; advocate for required patient treatment with medical providers. I also had 1.5 yrs experience as a verification of benefits specialist. Previous tasks include: Collecting and reviewing all patient insurance information needed to complete the benefit verification process; Verifying patient-specific benefits and precisely documenting specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs; investigating of insurance benefits, including information about coverage and out-of-pocket costs; documenting all gathered information in the client's EMR Also had 11 years of BPO experience- 6 years of which is dedicated to Training and Development. Handled several US health Insurance classes using various training techniques, business processes and complex systems. Used a variety of learning strategies /experiences (Lecture, hands on, role play, games, group discussions, multimedia, feedback, goal setting, etc) Assisted in the transitioning of trainees to operations by acting as transition team lead. Duties include data management, coaching, mentoring, etc. Provided support for operations whenever the need arises Provided learning materials for trainees and operations for efficiency on handling different call issues.