Summary
Work History
Education
Skills
Timeline
Generic

Annette Dime

Naperville,IL

Summary

Detail-oriented and highly organized referral coordinator with several-year history of serving patients in the field setting. Technically savvy and expert user of various software packages. Interested in contributing to industry. Highly organized Referral Coordinator with successful experience in managing and streamlining patient referrals within healthcare settings. Demonstrated strengths include thorough knowledge of insurance processes, patient advocacy, and compliance with HIPAA standards. Past work showcases effective communication skills, coordination of multidisciplinary teams for optimal patient care, and introduction of efficient referral tracking systems to improve workflow. Resourceful Referral Coordinator known for high productivity and efficient task completion. Skilled in managing patient referrals, coordinating with healthcare providers, and ensuring accurate record-keeping. Excel in communication, problem-solving, and time management to enhance operational efficiency and patient satisfaction. Committed to maintaining confidentiality and providing exceptional service in fast-paced environments. Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration. Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Patient-focused professional equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts. Highly-motivated employee 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.

Work History

Referral Coordinator

Optum
Minnetonka, MN
07.2024 - Current
  • ANNETTE DIME
    708-268-6374 Amb3030@att.net Downers
    Grove, IL
    SUMMARY
    Driven referral Specialist with 18 years of experience in facilitating referrals and obtaining
    authorization and pre-certifications. Seasoned industry veteran at managing referral verifications. Retro-authorizations and denial re-submits.
    Continuously enforces practice procedures, requirements and regulations. Detailed oriented and
    highly organized with a long history of serving the patients in obtaining the prior authorizations. I am
    a team player with organizational skills and can multi-task. I have lead experience and mentored others on my team.
    GED
    CHICAGO, IL
    1987
    OPTUM MARCH 2021- PRESENT
    Remote status
    • Verified insurance eligibility and submit using multiple
    online portals for the prior authorizations.
    • Track progress of the submitted cases via a pending Work
    Que. Follow on all pend cases and faxes.
    • Created and maintained a spreadsheet with commonly
    used Insurance company’s names and phone numbers.
    • Entered all the determinations received via portal or call
    into the Epic system on each pt.
    • Work closely with my team to streamline the day-to-day
    procedures and insurance updates and changes per
    Insurance plan code or submissions.
    DULY HEALTHAND CARE
    LOMBARD, IL MAY 2002- MARCH 2021
    • Verified insurance eligibility and submit using multiple
    online portals for the prior authorizations.
    • Track progress of the submitted cases via a pending Work
    Que. F/up calls, faxes.
    • Entered all the determinations received via portal or via call
    into the Epic system on each pt.
    • Work closely with my team to streamline the day-to-day
    procedures and insurance updates and changes.
    • Data base of ins plan codes, phone numbers, fax #’s.
    • Trained new employees.
    • Charge entry sleep study codes for pulmonary/sleep
  • I have mentored other staff, training sessions for all the job duties in the deptartment.
  • I was the lead in the sleep lab scheduling & referral dept.
  • I have been conisistanly given the highest review at exceeds the job requirements.
    Awards &
    acknowledgments
    Consistently receive positive
    feedback from my Optum
    Leadership team. Have gotten
    high mark reviews.
    Received monetary bonus
    from both employers listed.

Education

GED -

Daily College
Chicago, IL
09-1987

Skills

  • Accurate Documentation
  • Multi-line phone proficiency
  • Insurance precertification processes
  • Outbound calls
  • Referral tracking
  • Organizational abilities
  • Medical Terminology
  • Patient Scheduling
  • HIPAA Regulations
  • Database Management
  • Insurance Verification
  • Lead Generation
  • Caseload Management
  • Appointment Scheduling
  • Scheduling Software
  • Decision-Making
  • Epic Systems
  • Employee Work Scheduling
  • Critical Thinking
  • Employee Performance Evaluations
  • Medical Condition Coding Software
  • Employee Supervision
  • Financial Reporting Coordination
  • Problem-Solving
  • Attention to Detail
  • Active Listening
  • Performance monitoring
  • Professionalism
  • Professional Demeanor
  • Records Management
  • Team building
  • Team Collaboration
  • Analytical Thinking
  • Time Management
  • Staff Supervision
  • Effective Communication
  • Continuous Improvement
  • Patient Care Assessment
  • Problem Identification
  • Excellent Communication
  • Staff Scheduling

Timeline

Referral Coordinator

Optum
07.2024 - Current

GED -

Daily College
Annette Dime