Beverly Carter
Lewisville,TX
Summary
Dedicated professional with experience in the legal and medical fields, currently seeking a role as an Authorization and Referral Coordinator. Expertise in managing referrals, maintaining databases, and ensuring accurate documentation for specialists' appointments. Proven track record in healthcare administration, staff management, and process improvement.
Overview
31
31
years of professional experience
Work History
Referral Coordinator
Daphne L. Favroth and Associates
10.2022 - 10.2024
- Coordinated the verification of diagnosis and accuracy of referral documentation, liaising with physicians to ensure preciseness
- Managed comprehensive referral submission processes, including document compilation, submission to specialists and patients, and maintain database of all submitted referrals
- Communicated effectively with patients via Tebra (formerly known as Kareo), providing submission confirmations and detailed instructions for scheduling appointments with specialists
- Maintained meticulous patient records by documenting referral submissions and updating specialist contact information within patient folders
- Handled additional administrative tasks, including processing appeals to insurance providers to include additional patient documents to the requested balance of service fees. Diligently researched EOBs for reasons for initial rejections and modified accordingly, tracking appeal statuses, posting payments, and managing billing adjustments and resubmissions
Staff Administrator
Pugh, Jones & Johnson, P.C.
08.1993 - 02.2019
- Managed the end-to-end hiring process, including conducting initial interviews and coordinating post-hire training with key department leads to ensure seamless integration of new employees into company operations
- Administered staff timekeeping, including tracking time entries and overseeing leave requests, ensuring adherence to company policies and labor regulations
- Assisted with annual staff performance evaluations and the implementation of salary adjustments, while maintaining up-to-date personnel records in compliance with legal requirements
- Supported litigation attorneys by transcribing legal documents, preparing trial materials, and meticulously reviewing and entering attorney time entries to maintain accurate billing records
Education
Bachelor of Arts - Human Resource Management
DeVry University
Chicago, ILAssociates Degree - Healthcare Administration
University of Phoenix
Skills
- Kareo/Tebra
- Medisoft
- Metro Fax
- Adobe
- Demand Force
- Excel
- Timeslips/Juris
- Paychex
- Office 365
- Pre-authorizations
- Insurance verification
- Medical terminology knowledge
Timeline
Referral Coordinator
Daphne L. Favroth and Associates
10.2022 - 10.2024
Staff Administrator
Pugh, Jones & Johnson, P.C.
08.1993 - 02.2019
Bachelor of Arts - Human Resource Management
DeVry University
Associates Degree - Healthcare Administration
University of Phoenix
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