Bethany Bigham
San Antonio
Summary
Healthcare professional with robust understanding of patient referral systems and proven ability to streamline processes for improved patient care. Known for strong collaborative efforts within teams and consistently achieving desired outcomes. Reliable and adaptable with expertise in managing patient data and coordinating with healthcare providers.
Overview
15
15
years of professional experience
Work History
Referral Coordinator
Deer Oaks Behavioral health
04.2022 - Current
- Communicate efficiently with clinicians regarding all pending referrals to resolve issues pertaining to referrals
- Scan and upload all documents
- Managed communication between patients, providers, and insurance companies to streamline referral processes.
- Coordinated patient referrals and appointments, ensuring timely access to behavioral health services.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
Benefits Specialist
Caprock Health Group
01.2019 - 01.2022
- Respond to and provide education to members and customers regarding inquiries on eligibility, benefits and claim status
- Review and respond to routine paper or emailed correspondence inquiries
- Educate consumers and providers on the use of electronic portal solutions and websites for direct access to benefit questions, claim status
- Make outbound calls on the member’s behalf to various Providers or other entities to help coordinate care or resolve claim/ benefit questions
- Review insurance claims after billing
Customer Service Agent
Alorica
01.2019 - 01.2019
- Assist customers with declined transactions
- Review, approve and or decline credit applications review fraudulent applications and transactions
- Managed customer accounts
- Resolved customer issues
- Worked in the inbound call center
- Assisted customers via live chat
- Responded to inquiries and issues
- Responsible for troubleshooting applications
Patient Account Rep
University of Texas Health Center Tyler
01.2011 - 01.2013
- Review insurance claims after billing for status
- Review correspondence daily including all insurance denials and communicates with the insurance company
- Load and correct patient insurance information
- Review and research all credit balances and process refund to patients and or insurances companies
- Answer incoming calls and help patients understand all billing questions
- Managed patient account inquiries, ensuring accurate information dissemination and resolution of billing issues.
Education
Diploma - Nursing
National University
01.2018
Diploma - Medical Assistant
National Institute of Technology
01.2005
High School Diploma - undefined
Lyndon Baines Johnson High School
01.2001
Skills
- Problem solving
- Communication
- Leadership
- Pre-authorizations
- Insurance verification
- Medical terminology
- Multi-line phone proficiency
- Data entry proficiency
- Follow-up coordination
- Accurate documentation
- HIPAA regulations
Timeline
Referral Coordinator
Deer Oaks Behavioral health
04.2022 - Current
Benefits Specialist
Caprock Health Group
01.2019 - 01.2022
Customer Service Agent
Alorica
01.2019 - 01.2019
Patient Account Rep
University of Texas Health Center Tyler
01.2011 - 01.2013
Diploma - Medical Assistant
National Institute of Technology
High School Diploma - undefined
Lyndon Baines Johnson High School
Diploma - Nursing
National University