Dynamic professional with extensive experience in healthcare administration, notably at Pensacola Pediatrics, where I streamline referral processes, enhancing patient appointment efficiency. Knowledge in HIPAA compliance and insurance verification.
I excel in problem-solving and maintaining confidentiality.
Having strong attention to detail and decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
23
23
years of professional experience
Work History
Medical Referral Specialist
Pensacola Pediatrics
5437 Berryhill Road Milton, FL
08.2021 - Current
Greets guests at front desk while managing check-in process and ensuring Phreesia check-in is complete.
Schedules and confirms various appointments.(i.e. phone or during check-out process).
Schedules appointments with specialists for patients.
Maintains patient charts ensuring all information is up-to-date and accurate.
Verifies insurance benefits and eligibility for office visits and referrals to participating specialists.
Works within insurance websites to obtain authorizations, (i.e. Availity, Tricare, UHC, and others).
Scans documents and electronic faxes into patient charts.
Processes and completes referral requests from primary providers, patients and specialists ensuring correct CPT, DX codes and supporting documentation from patients chart are included.
Streamlines referral processes for increased efficiency, resulting in timely appointments for patients.
Communicates with providers and other staff members regarding patient information, (i.e. medication refill and referral requests and insurance status).
Communicates with billing department when a patient has a question or dispute on a claim. (i.e. insurance denials, deductibles and COB issues).
Maintains updated information of provider networks to ensure appropriate specialists recommendations for patients.
At Home Secretary
Kay Camp
Milton, FL
09.2011 - 12.2019
Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
Organized and summarized files chronologically including medical records, depositions, court records, and attorney/client correspondence.
Communicated with supervisor on status of files through phone calls and emails.
Legal Secretary
Levin, Papantonio Law Firm
Pensacola, FL
02.2002 - 01.2005
Maintained strict confidentiality of sensitive information to protect client privacy and uphold professional ethics.
Prepared legal correspondence and wrote letters on behalf of attorneys and legal assistants.
Maintained client files both hard and digital copies.
Communicated with clients on behalf of attorneys via phone, email and mail.