Dynamic and detail-oriented professional with extensive experience at Tidewater Physicians Multispecialty Group. Expert in insurance verification and patient scheduling, enhancing operational efficiency. Proven ability to maintain accurate documentation while delivering exceptional customer service. Adept at navigating electronic health records and fostering strong patient relationships to ensure seamless care transitions.
Experienced with managing patient referrals and coordinating communication between healthcare providers. Uses organizational skills to streamline referral processes and enhance patient care. Strong understanding of healthcare systems and adept at multitasking in fast-paced environments.
Overview
2026
2026
years of professional experience
Work History
Referral Coordinator/Front Desk Receptionist
Tidewater Physicians Multispecialty Group
2015 - Current
Coordinated patient referrals to specialists, ensuring timely access to care.
Managed electronic health records, maintaining accuracy and confidentiality.
Assisted in scheduling appointments, improving patient flow and satisfaction.
Communicated with healthcare providers to confirm referral details and requirements.
Developed relationships with patients, providing guidance throughout referral process.
Monitored referral outcomes, identifying trends for process improvement opportunities.
Scheduled appointments with specialists on behalf of clients.
Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
Called insurance companies to get precertification and other benefits information on behalf of patients.
Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
Assisted with completion of referral forms and verified data accuracy and completion
Reduced wait times for specialist appointments by proactively identifying available slots and coordinating schedules.
Coordinated with insurance companies to verify coverage, facilitating smoother patient experience.
Maintained accurate and up-to-date patient records, contributing to improved healthcare outcomes.
Communicated with patients, ensuring that medical information was kept private.
Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Discussed medical histories with patients in effort to provide most effective medical advice.
Managed multi-line phone system, efficiently directing calls to appropriate departments.
Maintained accurate appointment schedules, coordinating meetings for staff and clients.
Processed incoming mail and packages, distributing them promptly to designated recipients.
Assisted in maintaining cleanliness and organization of reception area for professional appearance.
Addressed client inquiries with professionalism, providing information on services offered.
Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
Scheduled, coordinated and confirmed appointments and meetings.
Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
Medical Coding and Billing Specialist/Data Entry Clerk
Geary Medical Center
2012 - 2013
Assisted in reviewing medical records to ensure accurate coding and billing practices.
Supported the reconciliation of insurance claims for timely processing and payment.
Learned to navigate electronic health record (EHR) systems for efficient data entry.
Collaborated with healthcare providers to clarify documentation requirements for coding accuracy.
Maintained up-to-date knowledge of CPT, ICD-10, and HCPCS codes for proper billing processes.
Contributed to the identification of discrepancies in billing statements for corrective action.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
Maximized productivity through effective time management, prioritizing tasks based on urgency and importance.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Verified signatures and checked medical charts for accuracy and completion.
Education
High School Diploma -
Keyser High School
Keyser, WV
Skills
Pre-authorizations
Insurance verification
Medical terminology
Patient scheduling
Multi-line phone proficiency
Data entry proficiency
Appointment scheduling
Follow-up coordination
Accurate documentation
Scheduling software
HIPAA regulations
Database management
Record preparation
Electronic patient charts
Critical thinking
Records maintenance
Timeline
Referral Coordinator/Front Desk Receptionist
Tidewater Physicians Multispecialty Group
2015 - Current
Medical Coding and Billing Specialist/Data Entry Clerk
Medical Assistant / Receptionist at Tidewater Physicians Multispecialty GroupMedical Assistant / Receptionist at Tidewater Physicians Multispecialty Group