John Miko Luna

John Miko Luna Email and Phone Number

Pre-Certification Specialist @ Marietta Dermatology & the Skin Cancer Center
Marietta, GA, US
John Miko Luna's Location
Marietta, Georgia, United States, United States
About John Miko Luna

John Miko Luna is a Pre-Certification Specialist at Marietta Dermatology & the Skin Cancer Center. Colleagues describe him as "I had the pleasure of working with Miko for 1 1/2 years with my entrepreneur education company, The Hight Effect, and later my joint-venture, The Business and Brand. Miko took the initiative to reach out to me during his final semester of college just to shadow me for a week or so. By the end of the meeting I was so impressed that I offered him a summer internship. Miko's skill, attention to detail, professionalism, willingness to learn and commitment to better himself led to us offering him a job with the team as the Internship Program Manager and Business Analyst. During this time Miko worked on many challenging consulting projects for clients, business plans, networking events and more. Most notably, he completed the development of the company's robust internship program -- Our internship program receives close to 150 applicants per semester and has seen over a half dozen interns to-date. Prior to Miko moving on to the next chapter of his professional journey, he smoothly transferred duties and gave ample notice so the company had months to prepare. If you are looking for a detail oriented professional with a strict adherence to meeting commitments, Miko is the person!"

John Miko Luna's Current Company Details
Marietta Dermatology & the Skin Cancer Center

Marietta Dermatology & The Skin Cancer Center

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Pre-Certification Specialist
Marietta, GA, US
Website:
mariettaderm.com
Employees:
62
John Miko Luna Work Experience Details
  • Marietta Dermatology & The Skin Cancer Center
    Pre-Certification Specialist
    Marietta Dermatology & The Skin Cancer Center
    Marietta, Ga, Us
  • Gilmer County Government
    Human Resources Coordinator
    Gilmer County Government Sep 2023 - Present
    Ellijay, Georgia, Us
    Responsible for performing human resources related duties in supporting designated areas This position carries out responsibilities in the following functional areas: assistance with benefits administration, employee relations, training, performance management, onboarding, policy implementation, staffing and recruitment, and employment law compliance. • Processes bi-weekly payroll and its functions• Assists with human resources strategies in all HR functional areas, programs, and practices such as talent management, staffing, on-boarding, employee relations, performance management, organization effectiveness, training and development, and HR policies.• Maintains full cycle recruitment efforts including attracting and assessing candidate capabilities, work productively with outside search agencies, candidates, and internal clients.• Assists with the onboarding process for the County including ensuring all pre-requisite screenings have been met, scheduling new hires, and ensuring all paperwork is completed on time.• Assist HR Director on strategic HR initiatives.• Work with the HR director on talent management initiatives including employee assessment, development, organization effectiveness, and HR programs.• Drive employee engagement efforts through execution of employee feedback survey, analysis of results, and development and exaction of engagement strategy.• Assists HR Director with employee relations and assist in counseling employees.• Assists the HR Director to design and implement a training curriculum for employees.• Collaborate with the team to develop department goals, objectives, and processes.• Ensure compliance with federal and state regulations concerning employment/labor by frequently looking at applicable labor/employment sites and keeping up with current trends.• Assists with the administration of HR programs; monitors the performance evaluation program and revises as necessary utilizing appropriate protocol.
  • Gilmer County Government
    Human Resources Assistant
    Gilmer County Government May 2023 - Sep 2023
    Ellijay, Georgia, Us
    The Human Resources Assistant, is responsible for the daily administrative and HR duties of the practice. They are able to assist with recruitment, be the custodian of our records, payroll processing as well as provide clerical support to all county employees.• Assisting with all day-to-day operations of the HR functions and duties• Providing clerical and administrative support to the Human Resources executive• Compiling and updating employee records (hard and soft copies) • Processes bi-weekly payroll and its functions• Be the liaison between the employees and HR, ensuring smooth communication and prompt resolution of concerns• Assists with benefits processing, and answering basic benefit questions. • Assists with staffing and recruiting needs, schedule phone calls, interviews etc…• Conducts research and analysis of organizational trends including review of reports and process documentation and prepares reports relating to personnel activities.• Point of contact for all facets of HR questions but will escalate issues out of scope to HR Director for guidance and assistance. • Assists HR Director with process of FMLA, and will be responsible for tracking FMLA for the county• Process Workers Compensation claims, but will assist the Director in case management as needed• Coordinate HR projects and take minutes • Properly handle complaints and grievance procedures then escalating the issues to Director• Assists in the creation of policies, processes, and any other HR documentation• Track HR departmental budget regarding spending• Owns new hire orientation and onboarding along with offboarding process
  • Marietta Dermatology & The Skin Cancer Center
    Pre-Certification Specialist
    Marietta Dermatology & The Skin Cancer Center Mar 2023 - May 2023
    Marietta, Ga, Us
    The Pre-Certification Specialist is responsible for obtaining prior authorizations for all MOHS procedures and procedures scheduled for the light department. The staff is responsible to contact various insurance companies by phone, fax, or any other means to verify the benefits of these procedures, contact the patients with those benefits. Clearly document of all communications and contacts with providers and other personnel in standardized documentation requirements, including proper format.• Prioritize tasks for authorization requests according to the urgency• Contact insurance carriers to verify the patient's insurance eligibility, benefits, and requirements• Collaborate with other MDA staff members and working together successfully to complete tasks/goals• Obtain authorization via the payer website or by phone and follow up regularly on pending cases• Respond to tasks/update patient's charts and communicate with respective departments• Answer the phones, discuss patient balances, accept credit card payments and post to accounts• Support revenue cycle• Able to work effectively in a team environment• Meeting daily/weekly goals and prioritizing them in order to meet department deadlinesKnowledge• Knowledge and understanding of payer medical policy guidelines while utilizing these guidelines to manage authorizations effectively• Knowledge of Microsoft office including but not limited to Excel, Word, PowerPoint etc...Skills• Demonstrate initative to provide quality of services and improve efficiency• Maintains positive working relations with co-workers• Time management skills• Detail oriented with above-average organizational skills• Excellent Customer Service skills and communicates clearly/effectivelyAbilities• Ability to plan and prioritize to meet company deadlines• Ability to understand and interpret policies and regulations• Ability to prepare documents in response to complaints and inquiries
  • Marietta Dermatology & The Skin Cancer Center
    Accounts Receivable Specialist
    Marietta Dermatology & The Skin Cancer Center Jun 2022 - Mar 2023
    Marietta, Ga, Us
    Responsible for accounts receivable and identifying, investigating, and resolving unpaid claims, which will include researching individual payer policies and submitting claims appeals. The position will have other assigned duties that may include making and receiving patient calls, communicating with physicians and office staff, posting payments and data entry. Works towards providing outstanding customer service and maximum reimbursement to our clients that are within a variety of specialties.• Work BCBS commercial and BCBS Medicare AR (denials/Appeals Etc.)• Work TriZetto rejection report for BC and BC Medicare• Enter InstaMed Payment• Answer the phones/ resolve billing issues for patients• Mail hard copy claims and medical records to payers: Good Samaritan Health Center of Cobb, Capstone, Cobb County Sheriff's Department• Work the unverified Insurance Pool / Verify patient's benefits and contact patients• Work Insurance Pool - Verify benefits for procedures scheduled• Process patient Credit Card Payments• Work rejected claims bucket in EMA (Modernizing Medicine/ModMed)• Work up to but not limited to 50 accounts per day• Review unpaid accounts/claims to determine status and appropriate action• Contact payers via website, phone, and/or correspondence regarding unpaid claims• Collaborate with team to identify payer trends and non-payment issues• Prepare and submit claims for reimbursement• Manage patient and client calls with exceptional customer service• Create and analyze monthly reports for clients• Monitor and advise on how to optimize operational procedures to improve the efficiency of the collection processes• Keep up to date with carrier rule changes and distribute the information within the team
  • New Western Acquisitions
    Licensed Real Estate Investment Agent
    New Western Acquisitions Sep 2021 - Dec 2021
    Irving, Texas, Us
  • The Business & Brand
    Manager Of Education And Training
    The Business & Brand May 2020 - Aug 2020
    • Developed educational and informational programs for a specified internal (InternshipProgram) and external (client-facing) audiences.• Represented the organization in educational and community discussions, and education ininternal meetings.• Created, tracked, and maintained metrics about attendance, reach, and effectiveness ofprograms.• Developed curriculum and design training course.• Administered training for designated groups with the ability to deliver, project and motivatetrainees through effective training methodologies, both in group and individual classroomdynamics.• Administered training with a range of training tools and techniques including workshops,classroom lectures, videos or presentations, online learning, training manuals, one-to-onecoaching, and group role-play sessions.• Conducted needs assessment and identified performance gaps and implements training bestpractices to ensure alignment with company needs.• Collaborated with senior management and department managers to create relevant on-going course content.• Evaluated success of training by assessing objectives and identifying future learning needs• Utilized a variety of techniques, concepts, and development and delivery of trainingprograms and strategies.• Managed the learning experience consistent with company philosophy and company-widestrategy.• Updated and maintained product library of files, which include digital/electronic andphysical media.• Developed and delivered an engaging and positive learning environment for in-person, print,and online platforms.• Made conference site visits and meets with facility, sales and catering representatives forthe purpose of negotiating and screening meeting room space, food service, lodging andaudiovisual capabilities• Planned and administered seminars including identifying number of rooms, layout,scheduling and selection of breaks and meals, room changes, audiovisual needs, etc.
  • The Business And Brand
    Business Analyst
    The Business And Brand Nov 2018 - Aug 2020
    • Promoted from Business Analyst Intern in The Hight Effect Division to Business Analyst within 6 months for exceeding goals and expectations.• Created business plans to help clients receive a combined $582,000 in funding.• Led a team to implement the first software implementation for a co-working space• Generated educational business content that informed over 400 entrepreneurs.• Evaluated various business software vendors to reorganize and support the business.• Assisted senior management to collaborate with 10+ companies, from small to Fortune 500, to develop the infrastructure, website, and social media of the Competitive Advantage Program.• Support the lead consultants on projects.• Consulting project-based work as assigned.• Assist with developing and documenting policies and procedures for the company.• Seek positive resolution on customer service issues for internal and external customers.• Support the business in answering complex questions with both quantitative andqualitative insights.• Develop, track and report on key operational metrics and playbooks in partnership withkey business leaders.• Oversee special business operations projects to include planning, requirements gathering,development, management, analysis, training, execution and other duties as assigned.
  • The Business And Brand
    Internship Program Manager
    The Business And Brand Nov 2018 - Aug 2020
    • Designed and wrote the policies and procedures to lay the foundation of the Internship Program.• Created onboarding and recruitment processes that funneled 150+ applicants and hired 10+ interns.• Hired, trained, and empowered 10+ interns entrepreneurial skills that will benefit and grow their community. • Managed a team of 10+ interns.• Provided guidance, direction and support to company interns by implementing bi-weekly checkup sessions.• Managed meeting agendas, minutes and follow up oversight.• Prepped of meeting documentation and status reports.• Attended, participation in executive level meetings.• Maintained a system of continuous process improvement.• Assisted with new intern onboarding including computer access, technology/softwaretraining and workstation/office setup.• Established and maintained a reciprocal communication channel between departments toensure that all team members are aware of policies procedures and key deadlines.
  • The Business And Brand
    Business Operations Manager
    The Business And Brand Sep 2019 - Mar 2020
    • Indirect management of company interns• Provide guidance and direction to company interns• Management of meeting agendas, minutes and follow up oversight• Prep of meeting documentation and status reports• Consulting project-based work• Attendance and participation in executive level meetings• Maintain a system of continuous process improvement• Assist with developing and documenting policies and procedures for the company• Assist with new employee onboarding including computer access and workstation/office 
setup• Establish and maintain a reciprocal communication channel between departments to 
ensure that all team members are aware of policies procedures and key deadlines• Seek positive resolution on customer service issues for internal and external customers• Oversee special business operations projects to include planning, requirements gathering, 
development, management, analysis, training, execution and other duties• Support the business in answering complex questions with both quantitative and 
qualitative insights• Develop, track and report on key operational metrics and playbooks in partnership with 
key business leaders• Supervise other support personnel
  • The Hight Effect
    Business Consultant Intern
    The Hight Effect May 2018 - Nov 2018
  • Night Owl Productions
    Event Operations Assistant
    Night Owl Productions May 2015 - Aug 2017
    • Facilitated 20+ team members to provide a personalized experience in a fast-paced environment for 200-500+ customers during events.• Guided teams of 10+ individuals to prepare, operate, and organize the stadium to deliver successful events for our guests.• Updated operation processes to increase productivity and decrease delays in our inventory room.

John Miko Luna Education Details

  • Kennesaw State University
    Kennesaw State University
    General

Frequently Asked Questions about John Miko Luna

What company does John Miko Luna work for?

John Miko Luna works for Marietta Dermatology & The Skin Cancer Center

What is John Miko Luna's role at the current company?

John Miko Luna's current role is Pre-Certification Specialist.

What schools did John Miko Luna attend?

John Miko Luna attended Kennesaw State University.

Who are John Miko Luna's colleagues?

John Miko Luna's colleagues are Brandi Kline, Ruby Gaines, Erica Brooks, Jamie Bosma Groh, Tyja Morris, Ruby Gaines, Alice Gonzalez.

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