Anna Marie Nolasco
San Antonio,TX
Summary
Efficient Referral Coordinator with 11 years of increasing Responsibility in Health Care Industry , Expertise in medical terminology, Insurance processes, ICD-10 and CPT Codes, Interested in shifting Career to Lead Referral Coordinator.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
6
6
years of professional experience
Work History
Referral Coordinator
Humana Government Business
07.2023 - Current
- Processed Medical , Behavioral Health and Applied Behavioral Health referral requests from doctors and other health care professionals.
- Served as a liaison between Behavioral Health and ACD Departments to ensure timely access to needed services.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Assisted Team Lead and Supervisor with Web distributions , covered for lead with question and overflow .
Clinical Managment Support Assistant 2
Humana Government Businesss
01.2023 - 07.2023
- Streamlined workflow processes for increased efficiency and productivity within the support team.
- Surpassed team goals by partnering with colleagues to implement best practices and protocols.
Referral Coordinator 2
Humana Government Business
11.2021 - 01.2023
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from doctors and other health care professionals.
Lead Referral Coordinator
Humana Government Business
09.2018 - 11.2021
- Conducted regular audits of referral documentation, ensuring compliance with relevant regulations and policies.
- Served as a subject matter expert on insurance requirements for various providers'' networks, supporting the team''s ability to make informed decisions during the referral process.
- Developed and implemented training programs for new hires, reducing onboarding time and increasing productivity.
- Provided exceptional customer service to patients, addressing inquiries or concerns regarding their referrals in a timely manner.
- Implemented quality control measures to ensure the accuracy of referrals processed by the team, resulting in fewer errors and improved overall performance.
- Managed a team of referral coordinators, providing guidance and support for optimal performance and professional growth.
- Enhanced referral process efficiency by streamlining workflows and improving communication between departments.
- Monitored referral trends and identified areas for improvement, implementing changes as needed to optimize processes.
Education
Certified Medical Administrative Assistant - Medical Administrative Assistant
Allied Business Schools
Laguna Hills, CANutrition, Diet & Health Certification - Nutrition Sciences
Ashworth College
Norcross, GARegistered Medical Assistant - Medical Assisting
San Antonio College
San Antonio, TX1999
Skills
- Pre-authorizations
- Insurance Verification
- Medical Terminology
- Organizational abilities
- Follow-up Coordination
- Healthcare Systems Understanding
- Accurate Documentation
- HIPAA Regulations
- Notetaking and documentation
- Database Management
- Decision-Making
- Process Improvement
- Performance monitoring
- Employee Performance Evaluations
Accomplishments
Recipient of numerous Star Awards
Recipient of Inspire Health Award August 2020
Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Referral Coordinator
Humana Government Business
07.2023 - Current
Clinical Managment Support Assistant 2
Humana Government Businesss
01.2023 - 07.2023
Referral Coordinator 2
Humana Government Business
11.2021 - 01.2023
Lead Referral Coordinator
Humana Government Business
09.2018 - 11.2021
Certified Medical Administrative Assistant - Medical Administrative Assistant
Allied Business Schools
Nutrition, Diet & Health Certification - Nutrition Sciences
Ashworth College
Registered Medical Assistant - Medical Assisting
San Antonio College
Similar Profiles
Bethany AlbertsBethany Alberts
Referral Coordinator at Humana Government BusinessReferral Coordinator at Humana Government Business
Kimberly BagleyKimberly Bagley
Tricare Community Liaison at Humana Government BusinessTricare Community Liaison at Humana Government Business
Ronda PeacockRonda Peacock
Care Management Assistant III at Humana Government BusinessCare Management Assistant III at Humana Government Business
Briana RochaBriana Rocha
Retail Sales Associate at United Fashions of TexasRetail Sales Associate at United Fashions of Texas
Jack WardJack Ward
Front Desk Staff Member at VP Racing FuelsFront Desk Staff Member at VP Racing Fuels