Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Ada Kapitzke

Referral coordinator
Brunswick,GA

Summary

Years of experience in the medical field. My employers increased my responsibility and promote me to take on more challenging work. My work required me to handle confidential information, handle patients and staff with professionalism and respect.



Dr. Enrique Espinosa-Melendez

Internal Medicine and Nephrology

855 3rd Ave., Suite 2230 Chula Vista, California 91911

01/2015 - 05/23/2023

*Dr. EEM passed away


Referrals Coordinator: Responsible for processing authorizations for MPMG/Optum Care, our practice consisted of multiple IPA's. I was in charge 375 members enrolled under Mercy Physicians Medical Group IPA. All referrals were processed online, our practice used ECW eclinicalworks. Patients assigned MPMG we used Nammnet/Optum Care. Processed referrals daily for specialist visits Cardiology, Endocrinology, Gastroenterology, Podiatrist DM foot care, Ophthalmology DM eye exam and annual eye visits, Pulmonology sleep apnea, Urology PSA incontinence, radiology studies included mammograms, dexa scans, xrays, MRI's, CT Scans with and without contrast for DME wheelchairs, walkers, walking canes etc


Administrative Assistant: Responsible for completing new contracts for IPA's (independent physician associate). Maintaining and updating licenses for the practice CAQH (consul for Affordable Quality Healthcare), renewed Medical License, DEA License, certificates of Insurance The Doctors Company, City of Chula Vista license, CLIA (Clinical Laboratory Improvement Amendments) California state and San Diego county, renewed Hospital certifications for Sharp Memorial Hospital Chula Vista, Scripps Mercy Hospital Chula Vista, Paradise Valley Hospital National City and Alvarado Hospital San Diego. Supervised staff including two other referral coordinator employees, delegated task, resolved conflicts, employee reviews, new hires and termination of employment.


During my employment with Dr. Espinosa-Melendez, I worked remote access while we lived New Delhi, India and Brunswick, Georgia.



Dr. Robert M. Averille, Orthopedic Surgery

Dr. Christopher Behr, Orthopedic Surgery El Centro

San Diego Orthopaedic Associates Medical Group

4060 Fourth Avenue, 7th floor

San Diego, California 92103

1998-202R1


Receptionist hired to work in scheduling moved to medical records and was promoted to front desk reception. Worked with Dr. Averill as his receptionist. Daily responsibilities included, scheduled appointments private insurance and workers compensation. Prepared clinic daily (paper charts) before EMR was implemented, answered calls, covered other receptionist desks in a practice of seven Orthopedic doctors . Also worked in medical records department filed/pulled charts answered calls etc.



Dr. Geoffrey A. Smith Otolaryngology and Plastic Surgery

7910 Frost Street, Suite 209

San Diego, California 92123

1995 - 1997


Receptionist: Responsible for answering phones, schedule and confirmed appointments, prepared clinic daily (paper charts). Worked with attorneys, scheduled appointments for workers compensation, personal injury and medical malpractice, also coordinated doctor/attorney phone conferences, depositions and trial testimony.

Overview

7
7
years of professional experience

Work History

Referrals Coordinator

Dr. Enrique Espinosa-Melendez
2016.01 - 2023.05
  • 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.
  • Monitored referrals to foster timely completion and followed up with physicians to facilitate.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Assisted with completion of referral forms and verified data accuracy and completion
  • Accessed and reviewed patient records to verify receipt completed referral paperwork.
  • Facilitated referrals to other healthcare providers and resources to bridge service gaps.

Education

No Degree - Medical Terminology

National City Adult School
National City, CA
04.2021

No Degree - Accounting

Pacific Coast College
Chula Vista, CA
1995

High School Diploma -

Montgomery High School
San Diego, CA
06.1984

Skills

  • Referral Wait List Management
  • Specialty Care
  • Referral Tracking
  • Patient Referral
  • Referring Physician Communication
  • Specialist Referrals
  • Appointment Scheduling
  • Conflict Resolution
  • Interoffice Correspondence
  • HIPAA Regulations
  • Patient Scheduling
  • Electronic Patient Charts
  • Medical Terminology

Languages

Spanish
Full Professional

Timeline

Referrals Coordinator

Dr. Enrique Espinosa-Melendez
2016.01 - 2023.05

No Degree - Medical Terminology

National City Adult School

No Degree - Accounting

Pacific Coast College

High School Diploma -

Montgomery High School
Ada KapitzkeReferral coordinator