Summary
Overview
Work History
Education
Skills
Timeline
Generic

Arlene Claxton

Hemet,CA

Summary

Efficient Referral Coordinator with 12 years of increasing responsibility in workers comp. industry. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. Interested in shifting career to Referral specialization. Bilingual individual with demonstrated leadership and strong staff oversight and development skills. Astute Social Services Director offering extensive research, grant writing and communication skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

12
12
years of professional experience

Work History

Referral Coordinator

Access First/ Seven Star Urgent Care
Hemet , CA
2016.08 - Current
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
  • Trained 5 staff on referral and intake process.
  • Scheduled appointments with specialists on behalf of clients.
  • Coordinated with medical staff and patients to find cost-effective options for services.
  • 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.
  • Linked families to relevant community support to meet non-medical needs.

Front Desk Receptionist/ Physical Coord./Front Desk Receptionist/ Physical Coord./Front Desk Receptionist/ Physical Coord./Front Desk Receptionist/ Physical Coord./Workers' Compensation Coordinator

US Health Works
Oceanside , CA
2009.05 - 2015.10

Achieved all Areas of the front office

  • Answered central telephone system and directed calls accordingly.
  • Checked-in visitors, distributed visitor badges and managed logbooks to comply with security initiatives.
  • Managed multiple tasks and met time-sensitive deadlines.
  • Confirmed appointments, communicated with clients and updated client records.
  • Maintained confidentiality of information regarding clients and company.
  • Resolved customer problems and complaints.
  • Provided callers with address, directions, company website and related information.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Restocked supplies and submitted purchase orders to maintain stock levels.

Education

No Degree - Medical Assisting

Center For Employment Training - Escondido
Escondido, CA

Bachler's in Administrative Management - Undergraduate

University of Phoenix
San Marcos, CA

GED -

Escondido High School
Escondido, CA
06.1997

Skills

  • Patient Referral
  • Company Representative Management
  • Referral Verification
  • Specialty Care
  • Medical Information Collection
  • Quality Patient Care
  • Patient Data Management Systems
  • Referral Tracking
  • HIPAA Regulations
  • Compassionate Communication
  • Workflow Processes
  • Direct Patient Care

Timeline

Referral Coordinator

Access First/ Seven Star Urgent Care
2016.08 - Current

Front Desk Receptionist/ Physical Coord./Front Desk Receptionist/ Physical Coord./Front Desk Receptionist/ Physical Coord./Front Desk Receptionist/ Physical Coord./Workers' Compensation Coordinator

US Health Works
2009.05 - 2015.10

No Degree - Medical Assisting

Center For Employment Training - Escondido

Bachler's in Administrative Management - Undergraduate

University of Phoenix

GED -

Escondido High School
Arlene Claxton