CARRIE WALKER
Pendleton,OR
Summary
Experienced with managing patient referrals and coordinating communication between healthcare providers. Uses organizational skills to streamline referral processes and enhance patient care. Strong understanding of healthcare systems and insurance requirements. Reliable and adaptable with expertise in managing patient data. My primary objective is to support the functioning of business operations by supervising staff, coordinating operations and ensuring exceptional customer service. I aim to create a positive and productive work environment by communicating with team members, setting clear goals, and monitoring performance.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Referral Coordinator
Yellowhawk Tribal Health Center
04.2021 - Current
- Demonstrate strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care and following the guidance of the Yellowhawk Compliance team .
- Call insurance companies to get precertification and confirm benefits & eligibility information.
- Respond to patient inquiries, concers to offer timely updates regarding referral process and eligibility status.
- Manage EHR/RPMS efficiently, safeguarding sensitive patient information.
- Developed comprehensive knowledge of insurance requirements, terminology and on-line eligibility tools.
- Maintain a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Check-in patients for appointments and verify patient demographics are correct and patient has completed their annual update.
- Review and approve consults/referrals ordered by providers in a timely manner to include review of patient's eligibility for services, last yearly update and third party coverage.
Patient Access Representative II
Conifer Health Solutions/St. Anthony Hospital
05.2018 - 04.2021
- Provide support for the Outpatient Physical Therapy Department; performing scheduling, registration, patient pre-admission and admission, reception and discharge functions.
- Complete full patient registration at date of service, adhere to financial & cash control, thoroughly explain & secure Hospital & patient legal forms.
- Secure medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verify insurance, benefits, coverage & eligibility, obtain insurance authorizations for scheduled & unscheduled Hospital services, and secure notification to payers.
- Answer phones providing support to patients, process incoming faxes, create and file patient information packets/folders for upcoming Hospital Services.
Training Coordinator
ColumbiaCare Services, Inc.
12.2017 - 02.2018
- Received promotion from Support Services II to Training Coordinator.
- Identified training needs and opportunities for staff including New Hire Orientations, CPR, VPI and other required trainings; made appropriate recommendations to management.
- Scheduled all aspects and ensured the success of live training classes by coordinating the locations, trainer, materials, executed contracts and other necessary resources.
- Researched, planned, and organized training seminars and conferences for all employees.
- Prepared and distributed training aids such as instructional material, handouts, evaluations forms, and visual aids; assisted with the set-up of audiovisual equipment.
- Conducted follow-up studies of all completed training to evaluate and measure results; modified programs and developed effective training materials utilizing a variety of resources.
Support Services II
ColumbiaCare Services, Inc.
10.2015 - 12.2017
- Provided support to all departments of the Administrative Office, as well as to staff company-wide.
- Answered phones providing support to clients, processed and distributed incoming faxes and mail, and provided customer service internally and externally.
- Assisted with the planning and coordinating of conferences, events, and trainings to include booking locations, room set-up/specifications, catering, group reservations, communicating, coordinating with attendees, and creating or preparing materials as necessary.
- Provided support in the new hire process by ordering business cards, updating contact lists, company accounts, and prepared office space, if necessary.
- Was responsible for planning office activities and assisted in special projects.
Customer Service Representative
Tri – State Module
02.2013 - 04.2013
- Received incoming calls and routed through company’s various departments according to request providing excellent and helpful customer service, no matter what the request.
- Generated orders for computer parts through incoming calls and online orders.
- Tracked orders and submitted to billing and followed up for payment.
- Learned company specific computer platforms and engaged them for efficient use.
Event Coordinator
Meetings & Events International
07.2011 - 02.2013
- Received promotion to Event Coordinator from Assistant Coordinator.
- Managed assigned clients from the State of Florida, communicating and providing them service through both phone and online communication.
- Executed contracts and carried out all responsibilities within assigned budget.
- Continued all duties listed under Assistant Coordinator, but was the sole responsible party for the contract, reservations, catering and start to finish coordination of events.
Assistant Coordinator
Meetings & Events International
01.2011 - 07.2011
- Provided support and assistance to an assigned Event Coordinator, processing incoming requests for meetings and events.
- Answered phones and provided support to clients, specifically Pharmaceutical Representatives, received online requests for meetings or conferences.
- Assisted Coordinator in all aspects of event and conference set-up, including scheduling, reservations, catering, communicating efficiently and effectively with all parties involved.
- Maintained physical records and assisted company with transition to electronic records.
Education
Associates Degree - Health Administration/Health Records
University of Phoenix
Phoenix, Arizona01.2017
Skills
- Pre-authorizations
- Insurance verification
- Medical terminology
- Patient scheduling
- Data entry proficiency
- HIPAA regulations
- Caseload management
- MS office expertise
- Referral tracking
- IHS knowledge
Certification
- QPR, March 2025
- CPR/AED, April 2024
- HIPAA, March 2024
Timeline
Referral Coordinator
Yellowhawk Tribal Health Center
04.2021 - Current
Patient Access Representative II
Conifer Health Solutions/St. Anthony Hospital
05.2018 - 04.2021
Training Coordinator
ColumbiaCare Services, Inc.
12.2017 - 02.2018
Support Services II
ColumbiaCare Services, Inc.
10.2015 - 12.2017
Customer Service Representative
Tri – State Module
02.2013 - 04.2013
Event Coordinator
Meetings & Events International
07.2011 - 02.2013
Assistant Coordinator
Meetings & Events International
01.2011 - 07.2011
Associates Degree - Health Administration/Health Records
University of Phoenix
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