Azra Bajric
Jacksonville,FL
Summary
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.
Overview
2
2
years of professional experience
Work History
Referral Coordinator
UF Health Shands
Jacksonville, FL
01.2023 - Current
- Ensures current and standardized referral policies and workflows
- Prioritizes referrals by their urgency and addresses them in a timely manner
- Contact insurance companies to ensure prior approval requirements are met
- Reviewed medical records to determine if additional services are needed prior to making a referral.
- Performed data entry related to referrals into electronic health record systems.
- Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove medical necessity of services
- Identifies and utilizes community resources; establishes relationships with servicing providers and personnel
- Point of contact for patients and specialists for any questions or rising concerns
- Assist in problem-solving potential issues related to their referral due to language or social barriers
- If unable to help, assist in finding the right point of contact to further help
- Maintained large database of provider services for referral and coordination activities
- Researched and identified low cost and free community resources to share with staff members for referral purposes
- Updated referring providers on changes or delays in specialist appointment scheduling
- Arranged for transportation services to take clients to appointments, counseling and meetings
- Managed incoming faxes related to referrals, authorizations, and other pertinent information.
Referral Coordinator
Bahri and Sports Medicine
10.2022 - 01.2023
- Ensures current and standardized referral policies and workflows
- Prioritizes referrals by their urgency and addresses them in a timely manner
- Participates in the selection, orientation, and training of referral Personnel
- Evaluated pending claims to identify and resolve problems blocking auto adjudication
- Stayed current on HIPAA regulations
- Documented file notes clearly and concisely in System
- Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements
- Checked documentation for appropriate coding, catching errors and making revisions
- Determine the amount of coverage a customer should receive according to the procedure done and the coverage on the account
- Stay in constant contact with medical facilities providing service to determine the accuracy of claims being made
- Filed medical claims made by customers by entering and organizing data and inputting all information into the computer system
- Determined the amount of coverage and sent payments to medical facilities or reimbursements to customers
- Made phone calls to confirm the accuracy of medical claims
- Ensures complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists
- Contact insurance companies to ensure prior approval requirements are met
- Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove medical necessity of services
- Reviews details and expectations about the referral with both ordering providers and patients
- Requests new referrals to be ordered when applicable
- Develops and implements systems as required by EMR functionality and/or regulatory agencies
- Identifies and utilizes community resources; establishes relationships with servicing providers and personnel
- Point of contact for patients and specialists for any questions or rising concerns
- Assist in problem-solving potential issues related to their referral due to language or social barriers
- If unable to help, assist in finding the right point of contact to further help.
Education
Englewood High School
Jacksonville, FL06-2024
Skills
- Medical Record
- Insurance Companies
- Customer Services
- Patient Care
- Patient Referrals
- Data Entry
- Front Office
- Team-Management
- Analytical And Problem solving abilities
- Accurate Documentation
- Patient records oversight
- Scheduling Software
- Patient advocacy
- Telephone etiquette
- Medical terminology knowledge
- Resourcefulness
- Confidentiality maintenance
- Critical thinking
- Follow-up coordination
- Insurance Verification
- Effective communication
- Healthcare systems understanding
- Cross-functional collaboration
- Active listening
- HIPAA Regulations
- Task prioritization
- Computer literacy
- Professionalism
- Medical Terminology
- Team collaboration
- Time management
- Adaptability
- Patient Scheduling
- Multitasking capabilities
- Attention to detail
- Organizational abilities
- Database Management
Languages
- Fluent
- Bosinan
Accomplishments
- FSCJ Engineering
Timeline
Referral Coordinator
UF Health Shands
01.2023 - Current
Referral Coordinator
Bahri and Sports Medicine
10.2022 - 01.2023
Englewood High School
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