Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brittany Talerico

Fairmont,WV

Summary

Spine Center Referral Specialist at WVU Medicine with expertise in insurance verification and patient communication. Proven track record in enhancing referral processes and improving patient satisfaction through effective collaboration and attention to detail. Adept at managing high-volume requests while maintaining data integrity and fostering strong relationships with healthcare providers.

Overview

13
13
years of professional experience

Work History

Referral Specialist

WVU Medicine
05.2021 - Current
  • Managed electronic health record systems for accurate tracking of patient referral processes.
  • Assisted in resolving referral-related inquiries, enhancing patient satisfaction and communication.
  • Streamlined referral workflows by implementing standard operating procedures for efficiency.
  • Trained new staff on referral protocols and best practices for improved operational consistency.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
  • Promoted clear communication between primary care providers and specialists through detailed documentation and follow-up calls.
  • Built professional relationships with service providers.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Scheduled appointments with specialists on behalf of clients.
  • Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
  • Enhanced patient satisfaction by promptly addressing inquiries and resolving issues related to referrals.
  • Supported healthcare team members by providing detailed patient information for seamless transitions between providers.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Processed referral requests from patients, doctors and other health care professionals.
  • Responded to patient inquiries to offer timely updates regarding referral status.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Coordinated patient referrals to specialists, ensuring timely follow-up and continuity of care.

Revenue Cycle Support Specialist

WVU Medicine
05.2021 - 05.2021
  • Managed sorting of insurance correspondence received via mail and fax.
  • Log denials and refund requests.
  • Process credit card payments.
  • Research patient updated mailing information through passport/One Source.
  • Adapted to the ongoing changes made when acquiring more hospitals.
  • Guided co-workers on how to research pacific patient billing info.
  • Drafted tip sheets on how to do specific tasks pertaining to the position.
  • Outlined the day to day work flow.
  • Collaborated with co-workers when having issues with work flow or getting work done.
  • Sent out letters, itemize statements, and refund checks.

Customer Service Representative

WVU Medicine
06.2019 - 12.2019
  • Communicated the methods of payment to patients.
  • Explained explanation of benefits (EOB’s) to patients.
  • Researched accounts related to billing questions or concerns.
  • Sent emails to coders and insurance specialist when a problem with account arose.
  • Communicated payment plans, unacceptable payment plans, and financial assistance.
  • Actively engaged with my co-workers, supervisor and manager in a positive manner.
  • Listened to the caller and/or patient about their financial situation and help to provide the best solutions that could help them.
  • Sent itemized statements to patients when asked.
  • Verified patient insurance info using Epic or One Source.
  • Researched credit card payment info when the caller asked.
  • Spoke with insurance agents about patient claims.

Centralized Scheduling Specialists

WVU Medicine
12.2017 - 05.2019
  • Built and edited providers clinic schedules.
  • Created outlines to show what the provider schedules will look like with the changes they are requesting.
  • Communicated schedule changes with call center and different departments.
  • Identified the best way to help providers, co-worker, and patients when issue arose with a schedule conflict.
  • Aided my team with tasks without being asked.

Centralized Scheduler

WVU Medicine
08.2016 - 12.2017
  • Communicated with different levels of people for the clinics.
  • Adapted to change when it comes to scheduling patients.
  • Communicated the referral process to patients and providers for the specialty clinics.
  • Identify the best way to help the patient when they call about appointment or need to nurse.
  • Mediated between the patients and nurses or doctors when receiving calls about medical problems.
  • Created useful outlines that help me team with scheduling.
  • Processed insurance information.

Console Attendant

WVU Medicine
11.2015 - 07.2016
  • Communicated with different levels of people for the hospital.
  • Answered calls from patients, patient family and hospital staff in a positive manner.
  • Directed callers to the correct phone lines for patient room, nurse staff and different departments through out the hospital.
  • Edited on call schedules for doctors and nurses.
  • Collaborated with doctors on rolling pagers and paging doctors within the hospital.
  • Coordinated patient appointments to optimize scheduling efficiency and reduce wait times.

Event Staff Member

WVU Art and Entertainment
09.2012 - 06.2015

Intern

American Red Cross
06.2014 - 08.2014
  • Organized a list of potential schools and programs for the Disney Pillowcase Project- Disaster preparedness program.
  • Formulated cover letters about the Disney Pillowcase Project to be mailed or emailed out to principles and programs coordinators.
  • Contacted different program coordinators to talk about participating in the Disney pillowcase project.
  • Organized project material for pillowcase project.
  • Planned and organized picnic for volunteers.
  • Designed flyers for the Disaster Action Team.
  • Research information about potential donors.
  • Created a media release for the disaster action team.
  • Promoted the disaster action team to radio stations, TV. stations and newspaper

Quick Service

Disney College Program
01.2014 - 05.2014
  • Prepared orders for guest.
  • Restock merchandise and snacks when the shelves were running low.
  • Explained the Disney Dining Plan.
  • Promoted all the different parks within Walt Disney World Resort. Expressed what parks I
  • Organized and cleaned the dining area.
  • Adapted to different work environments when being deployed to help out another hotel resort for Disney.
  • Handled a Cash register.
  • Treated guest like royalty so they would have a magical day.
  • Directed guest on how to use the automated touch screen when ordering their food.
  • Communicated with different levels of people which were co-workers, kitchen staff, and management.
  • Resolved problems for guests.

Education

Bachelor of Arts - Communication Studies

West Virginia University
Morgantown, WV

High School Diploma -

Clay Battelle High School
Blacksville, WV

Skills

  • Insurance verification
  • Data entry proficiency
  • Patient confidentiality
  • Appointment scheduling
  • Follow-up skills
  • Note taking and documentation
  • Outbound calls
  • Referring physician communication
  • Customer service
  • Collaboration and teamwork
  • Data entry
  • Adaptable and flexible
  • Problem-solving ability
  • Excellent communication
  • Organizational skills
  • Detail-oriented
  • Self motivation

Timeline

Referral Specialist

WVU Medicine
05.2021 - Current

Revenue Cycle Support Specialist

WVU Medicine
05.2021 - 05.2021

Customer Service Representative

WVU Medicine
06.2019 - 12.2019

Centralized Scheduling Specialists

WVU Medicine
12.2017 - 05.2019

Centralized Scheduler

WVU Medicine
08.2016 - 12.2017

Console Attendant

WVU Medicine
11.2015 - 07.2016

Intern

American Red Cross
06.2014 - 08.2014

Quick Service

Disney College Program
01.2014 - 05.2014

Event Staff Member

WVU Art and Entertainment
09.2012 - 06.2015

Bachelor of Arts - Communication Studies

West Virginia University

High School Diploma -

Clay Battelle High School
Brittany Talerico