Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Amanda Austin

Amanda Austin

Durham,NC

Summary

Organized and dependable healthcare leader who’s successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to successfully meet goals and keep internal and external clinicians positively supported. Provide seamless support through excellent communication, relationship-building and problem-solving abilities. Diligent, attentive and quality-driven.

Overview

18
18
years of professional experience

Work History

Community Liaison

Mindpath Heath
08.2023 - Current
  • Partner closely with Referrals Manager, Referral and Payor Relations Director and VP and Growth Team Leadership and help to determine key accounts in assigned areas.
  • An active member for multiple state’s growth team (NC, SC, FL, TX, AZ) that required traveling.
  • Develop partnerships with referral sources, case managers, social workers, physicians, and any other referral sources.
  • Maintain liaison relationship with referral sources providing information and education on organization services, coverage issues and related areas.
  • Work with Referral Manager, Growth Team, Clinical Team, and Operations to create a strong referral process providing “white glove” service to referral sources.
  • Effectively communicate with patients, hospitals, insurance companies, and other providers regarding referral process and outcomes.
  • Complete the referral loop by following up for incomplete referrals and responding with referral outcomes ( i.e. patient was scheduled, we were unable to contact patient)
  • Work closely with internal clinicians to place existing patients for a new line of service.
  • Act as a direct contact for internal clinicians seeking support.
  • Keep track of clinician credentialing updates, employment status’s, and schedule utilization.
  • Responsible for clinician onboarding and referral creation training.
  • Oversee multiple key accounts simultaneously.
  • Ensure that all referral forms are uploaded to the patients chart in a timely manner, after patient is scheduled.
  • Respond to In-house provider questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status.
  • Arrange outgoing referrals as indicated by the provider, utilizing patients’ insurance and diagnosis codes to ensure proper placement.
  • Provide intensive tracking and follow-up on all patients designated as a key account.
  • Maintain accurate and timely data for properly tracking, reporting and conducting follow-up on all of the above activities.
  • Meet routinely with Key Accounts to discuss relevant metrics.
  • Report on metrics to be shared with leadership and executive level teammates.
  • Responsible for creating the training material and successfully training new Community Liaisons and referral management staff.

Referral Specialist Lead

Mindpath Health
07.2021 - 08.2024
  • Processed referrals for multiple mental health clinics throughout multiple states in the US.
  • Provided reliable support and information as a 1st contact for referral team members, upper management, clinicians and their staff.
  • Coordinated project work applying strong team leadership for enhanced success.
  • Trained staff on referral and intake process.
  • Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
  • Helped develop monthly schedules and assignments.
  • Used Microsoft Word and other software tools to create documents and other communications.
  • Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork.
  • Prepared variety of different written communications, reports and documents.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Performed scheduled patient safety checks and documented results to establish patients' well-being.
  • Scheduled office meetings and client appointments for staff teams.
  • Proved successful working within tight deadlines and fast-paced atmosphere.
  • Used company software and databases to maintain records of services performed and patient conditions.

Referral Coordinator II

Duke Health System
12.2020 - 07.2021
  • Worked with medical teams, patients and families to implement effective treatment plans.
  • Scheduled appointments with specialists on behalf of clients.
  • Completed up to 100 referral requests each day for medical provider of Family Medicine and Urgent Care.
  • Trained multiple staff on referral and intake process.
  • Followed up with clients and specialists to inquire about experience and collect reports.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Assisted clients in locating resources that accepted various insurances.
  • Built professional relationships with service providers.
  • Entered healthcare data using Epic Software to document referrals and results.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Mentored new hires, resulting in stronger staff development and increased productivity.
  • Followed up with patients about medical and healthcare processes.
  • Uploaded physician progress notes, history and physicals into electronic medical records.

Referral Coordinator

UNC Healthcare-UNC Physicians Network
06.2019 - 02.2021
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Trained staff on referral and intake process.
  • Followed up with clients and specialists to inquire about experience and collect reports.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Scheduled appointments with specialists on behalf of clients.
  • Coordinated program referrals for community-based resources.
  • Organized clinical documentation, treatment plans, and referrals.
  • Notified and reminded clients of appointments.
  • Assisted clients in locating resources that accepted various insurances.
  • Built professional relationships with service providers.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Answered telephone calls to offer office information, answer questions and direct calls to staff.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Oversaw in-person and curbside patient registration and processing.
  • Obtained temperatures of visitors and employees at entry of facility and asked screening questions.
  • Inventoried and ordered medical and office supplies.
  • Protected individual confidentiality as prescribed by local, state and federal mandates.
  • Documented novel coronavirus screening assessments.
  • Provided COVID-19 FAQs and educational material to patrons and employees.
  • Supported office operations by expertly handling administrative needs.
  • Completed necessary reports and documentation on time and to specifications.

Revenue Cycle Specialist

UNC Healthcare-UNC Physicians Network
08.2018 - 06.2019
  • Balanced and reconciled accounts.
  • Identified and resolved payment issues between patients and providers.
  • Contacted responsible parties for past due debts.
  • Reached out to insurance companies to verify coverage.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Posted surgical charges for all practice providers.
  • Collected payments and applied to patient accounts.
  • Liaised between patients, insurance companies and billing office.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Adhered to established standards to safeguard all patients' health information.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Filed and updated patient information and medical records.
  • Set up and maintained new electronic billing system.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.

Assistant Practice Manager/ Referral Manager

Non-profit Community Center For UNC Health
11.2015 - 08.2018
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Coordinated with medical staff and patients to find cost-effective options for services.
  • Collected and verified completeness of intake and enrollment screening packets for facility.
  • Scheduled appointments with specialists on behalf of clients.
  • Linked families to relevant community support to meet non-medical needs.
  • Trained multiple staff members on referral and intake process.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Followed up with clients and specialists to inquire about experience and collect reports.
  • Organized clinical documentation, treatment plans, and referrals.
  • Preserved and prepared reports and treatment records.
  • Coordinated program referrals for community-based resources.
  • Worked with medical teams, patients and families to implement effective treatment plans.
  • Documented case notes daily and coordinated follow-up for seamless case management.
  • Developed quality improvement plans, policies and operational guidelines.
  • Recorded, analyzed and distributed statistical information.
  • Connected individuals with available and relevant resources.
  • Acted as main point of contact between management, clinical staffs and external community.
  • Fielded phone calls and pleasantly greeted office visitors, answering questions and inquiries regarding community resources and services.
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Gathered patient information by collecting demographic information from variety of sources.
  • Maintained patient records in compliance with security regulations.
  • Uploaded physician progress notes, history and physicals into electronic medical records.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Maintained patient confidence by keeping patient records information confidential.

Optician Assistant/ Office Manager

Department Of Veterans Affairs Contractor
01.2013 - 11.2015
  • Provided expert administrative support to meet daily requirements and maximize team productivity.
  • Kept work areas clean, organized and safe to promote efficiency and team safety.
  • Received and submitted cash, credit and check payments.
  • Greeted clients and guests and assisted with variety of questions to foster exceptional customer service.
  • Identified issues during preliminary exam and addressed concerns with physician.
  • Cleaned or sterilized ophthalmic or surgical instruments.
  • Conducted binocular disparity tests to assess depth perception.
  • Worked well with patients, staff and manufacturer representatives to carry out successful office- and patient-related work each day.
  • Directed patients to exam rooms for initial evaluations and intake, including history, medication and symptom documentation, to aide physicians with carrying out efficient appointments.
  • Assessed patients for eye issues and checked visual acuity, color plates and papillary function.
  • Reviewed inventory levels to check medications and other materials, placed orders and restocked supplies to meet forecasted needs.
  • Resolved escalated customer issues promptly and professionally, maintaining a positive brand reputation within the community.

Customer Service Specialist

Sports Endeavors Inc.
01.2007 - 01.2013
  • Collected customer feedback and made process changes to exceed customer satisfaction goals.
  • Assisted customers with needs such as opening accounts, depositing or transferring funds, updating account details and signing up for new services.
  • Described product highlights and benefits to help guide purchasing decisions.
  • Resolved concerns with products or services to help with retention and drive sales.
  • Addressed customer complaints and mitigated dissatisfaction by employing timely and on-point solutions.
  • Took payment information and other pertinent information such as addresses and phone numbers to place orders.
  • Handled over 100 calls per shift signing up new customers, retrieving customer data, presenting relevant product information and cancelling services.

Education

Associate Of Arts And Sciences - Business Administration

Alamance Community College, Graham, NC

High School Diploma -

Durham School of The Arts, Durham, NC
06.2006

Skills

  • Health Insurance knowledge, coding (ICD-9 and CPT), verification, and pre-authorizations
  • Appointment Scheduling
  • Electronic Health Records
  • Patient Contact, Billing, Scheduling Advocacy and care
  • Medical Records Management
  • Medical Terminology
  • Multi-Line Phone Proficiency
  • Accurate Documentation
  • Filing
  • Database Management
  • Networking with staff/ clinicians
  • Complaint resolution
  • Account management
  • Compassion
  • Collaboration
  • Interpersonal Communication
  • Multitasking
  • Attention to Detail
  • Onboarding and Orientation
  • Shift Scheduling
  • Team Leadership
  • Training and Development
  • Provider Relations
  • Stakeholder Relations

Accomplishments

  • “Outstanding Administrative staff member” presented by UNC 2nd year Family Medicine Residents. June 2017 - June 2018

Timeline

Community Liaison - Mindpath Heath
08.2023 - Current
Referral Specialist Lead - Mindpath Health
07.2021 - 08.2024
Referral Coordinator II - Duke Health System
12.2020 - 07.2021
Referral Coordinator - UNC Healthcare-UNC Physicians Network
06.2019 - 02.2021
Revenue Cycle Specialist - UNC Healthcare-UNC Physicians Network
08.2018 - 06.2019
Assistant Practice Manager/ Referral Manager - Non-profit Community Center For UNC Health
11.2015 - 08.2018
Optician Assistant/ Office Manager - Department Of Veterans Affairs Contractor
01.2013 - 11.2015
Customer Service Specialist - Sports Endeavors Inc.
01.2007 - 01.2013
Alamance Community College - Associate Of Arts And Sciences, Business Administration
Durham School of The Arts - High School Diploma,
Amanda Austin