Accomplished specialist in referrals and authorizations, with expertise in patient service and communication. Skilled in electronic health records, insurance verification, and fostering interdepartmental collaboration.
Overview
16
16
years of professional experience
Work History
Referral and Authorization Specialist
Tryon Medical Partners
Charlotte, United States
09.2018 - Current
Processed authorization requests for medical services and procedures via telephone and web-based systems, ensuring timely access to necessary care.
Coordinated care between primary care physicians and specialists, facilitating seamless patient service and enhancing communication.
Optimized patient scheduling to improve appointment management and reduce no-shows.
Managed patient records with strict adherence to confidentiality standards.
Led patient care coordinators across three offices to enhance operational efficiency.
Conducted hands-on training sessions for all new PCC's for Ballantyne, Matthews, and Waverly
Handled multi-line phone systems to deliver exceptional customer service, resolving patient inquiries efficiently.
Cross trained in specialties and covered other areas to ensure operational support.
Patient Care Coordinator
Mecklenburg Medical Group
Charlotte, North Carolina
02.2010 - 08.2018
Coordinated patient appointments, optimizing scheduling and rescheduling for improved access to care.
Coordinated patient appointments and managed scheduling for seamless operations.
Coordinated patient referrals to specialists and other healthcare services.
Facilitated collaboration between primary care physician and specialists to enhance continuity of care.
Communicated with healthcare providers to ensure accurate patient information exchange.
Organized patient records and maintained confidentiality in compliance with regulations.
Promoted positive environment for patients, families, and staff by delivering exceptional customer service.
Received and routed care team messages and documents to the appropriate staff.
Performed administrative duties such as filing paperwork, answering phones, and scheduling appointments.
Trained new employees on operational procedures and company policies. and making sure that they have the tools to perform their jobs successfully.
Registered Nurse II – Prior Authorization & Referral at Texas A&M University – University Health ServicesRegistered Nurse II – Prior Authorization & Referral at Texas A&M University – University Health Services