Amber Turner
Sacramento,Ca
Summary
Highly-motivated referral coordinator with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
19
19
years of professional experience
Work History
Referral Coordinator
Aston Carter /Wellspace Health
Rancho Cordova , CA
04.2023 - Current
- Responsibilities include. Processed incoming authorization requests and updated patients charts accordingly.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Adhered to HIPAA regulations when handling confidential patient information.
- Reviewed and approved authorization requests according to insurance and diagnosis
- Verified and updated requested documents to complete the 360 referral process
Authorization Specialist
Centene/ Pyramid Consulting
Sacramento, CA
04.2022 - 12.2022
- Monitor and process pre-authorization via Filenet, completed authorization task, verify members eligibility, initiate LTC authorization process for Health Net patients residing in long term care facilities
- Reported accurately all specialist referrals to administration as directed.
Benefit Advocate
United Healthcare
09.2021 - 03.2022
- Communicated effectively via email, phone, or chat with plan participants to resolve issues pertaining to health insurance benefits.
- Mastered state and Federal benefit laws Including ERISA, FMLA, COBRA, HIPPA and 401k administration.
- Provided assistance to plan participants by explaining benefits information to ensure educated selections.
- Assisted clients in understanding their rights under COBRA and other state mandated programs.
- Maintained records of employee benefit data such as enrollments, changes, terminations and plan costs.
Customer Service Rep
Luxor One
06.2019 - 06.2021
- Responsibilities included responding to a high volume of incoming calls and inquiries inquiring postal deliveries via Fed Ex US Postal etc.
- Responding to customer emails and chats to reactivate access code for secured lockers and troubleshooting hardware and software issues.
- Solving resident issues using critical thinking
- Used proactive monitoring procedures and tools to identify problem prevention opportunities.
Healthcare Enrollment Specialist
Covered California/Faneuil
08.2018 - 10.2020
- Responsibilities included enrolled consumers into subsidized healthcare plans
- Assisted consumers with completed online application
- Verified and confirmed applicants' citizenship and identity using federal data hub
- Assisted consumers in completing Medi-cal application and referred to local county
- consulted with Medi-cal worker regarding consumers application status and process.
Human Resources/ Benefit Consultant/Collections
Ameri plan Corporation
08.2016 - 06.2018
- Responsibility included consulting customers via online or email, enrolled clients into medical and dental savings plans, trained and created a marketing strategy for each new employee designed to fit their own personality, prepared employee hiring records explained human resources policies, procedures, and standards to new employees
- Followed up on delinquent account discussed and implemented payment plans with clients.
Medical Office Coordinator
UCSF Benioff Children's Hospital Oakland
Oakland , Ca
11.2015 - 07.2016
- Responsibility included the workflow of patient registration for outpatient services and emergency visits, prepared, cleaned, and sanitized patient waiting rooms and bathrooms
- Assumed the duties of patient intake that included: insurance verifications, scheduling appointments, pre-authorizations, updating of referrals, patient registration, as well as applying the patients for temporary Med-Cal benefits in addition to collecting delinquent copays
- Implemented a training manual and the training of new employees on office procedures.
Data Abstractor/HIM
Sutter Pacific OBGYN
11.2014 - 11.2015
- Assisted patients in determining their needs of scheduling or canceling appointments, and/or referring them to the correct staff member
- Trained employees on (EPIC) scanning software to include scanning all patient records into EPIC media reported to HIM, abstracting patients charts before their appointments or services rendered
- Managed patient information and abstracted each diagnosis and patient demographics into electronic medical records
- Called patients and collected on aged accounts
- Verified insurance and coverage before services are rendered.
Medical Billing/Office Assistant
Smith's Professional Services
02.2005 - 10.2014
- Organized information for past-due accounts and transferred to collection agency.
- Created monthly aging reports to identify delinquent accounts for review by management team.
- Provided administrative support to staff members, included copied and scanned documents, filed paperwork, and ordered supplies.
- Maintained records and updated patient information.
- Organized office operations and procedures, prepared monthly reports.
Education
Associate of Arts - Medical Billing
Everest College
Hayward, CA05-2013
High School Diploma -
West Campus
Berkeley, CA06-1992
Skills
● Patient Registration
● Chart/Data Abstracting
● Customer Service/ Claims
● Medical Billing/Collections
● Eligibility/Authorization/Referrals
● EMR/HIM
Timeline
Referral Coordinator
Aston Carter /Wellspace Health
04.2023 - Current
Authorization Specialist
Centene/ Pyramid Consulting
04.2022 - 12.2022
Benefit Advocate
United Healthcare
09.2021 - 03.2022
Customer Service Rep
Luxor One
06.2019 - 06.2021
Healthcare Enrollment Specialist
Covered California/Faneuil
08.2018 - 10.2020
Human Resources/ Benefit Consultant/Collections
Ameri plan Corporation
08.2016 - 06.2018
Medical Office Coordinator
UCSF Benioff Children's Hospital Oakland
11.2015 - 07.2016
Data Abstractor/HIM
Sutter Pacific OBGYN
11.2014 - 11.2015
Medical Billing/Office Assistant
Smith's Professional Services
02.2005 - 10.2014
Associate of Arts - Medical Billing
Everest College
High School Diploma -
West Campus
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