Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Cheryl Faulk

Spokane,WA

Summary

Referral specialist experienced with connecting clients with medical specialists. Successful working with insurance companies to obtain prior authorization for consults and medical procedures. Able to access EPIC computer program to maintain referral information. Has good communication skills with colleagues, patients and outside medical personnel.

Overview

13
13
years of professional experience

Work History

Referral Specialist

Unify Community Health
01.2023 - Current

*Managed computer work ques to prioritize referrals to be processed on basis of need

*Sent referrals for patients to appropriate specialists based on PCP requests, type of insurance coverage they have and location that works for them

*Obtained insurance authorizations for specialist consults or medical procedures

*Sent messages to patients to notify them of referrals being sent

*Maintained computer work ques to follow up on referrals to see if patient was able to get scheduled. If not, helped patient to be able to contact referral location or redirect referral to another location

*Answered phone calls with referral questions from patients, specialists offices, or imaging departments

*Maintained good communication with providers in order to effectively process patient referrals

Authorization/Referral Specialist

Providence Center For Congenital Heart
07.2021 - 01.2023
  • Requested Insurance Authorizations For Consults And Echocardiograms That Required Authorizations
  • Used Insurance Web Portals To Request Prior Authorizations And/Or Spoke With Insurance Representatives On Phone
  • Input/Updated Insurance Coverage Information Prior To Requesting Prior Authorizations
  • Completed Authorization Information In Referral In Electronic Chart For Patient
  • Requested Referral From PCP For Patients Not Having A Proper Referral To Visit With Our Providers

Receptionist/Scheduler

Grande Ronde Hospital Regional Hem/Onc Clinic
09.2011 - 07.2021
  • Scheduled and confirmed patient appointments for new and returning patients
  • Conducted patient intake interviews to collect medical information and insurance details
  • Handled incoming referrals and contacted other medical facilities to obtain needed medical records
  • Checked in patients at front desk, verified and scanned identification and insurance cards
  • Entered patient information, including insurance and demographic information into system to keep all records up-to-date
  • Collected and processed co-pays
  • Got insurance authorizations for radiology procedures ordered by physician
  • Took messages from patients, staff members and other facilities
  • Promptly relayed messages to appropriate staff
  • Delivered high-quality administrative and customer service to sustain patient workflows
  • Handled all office supply ordering including toner, and other office supplies
  • Ordered supplies for infusion nurses.

Education

Bachelor of Science - Elementary Education

Oregon State University
Corvallis, OR
05.2001 -

Skills

Organized

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Timeline

Referral Specialist

Unify Community Health
01.2023 - Current

Authorization/Referral Specialist

Providence Center For Congenital Heart
07.2021 - 01.2023

Receptionist/Scheduler

Grande Ronde Hospital Regional Hem/Onc Clinic
09.2011 - 07.2021

Bachelor of Science - Elementary Education

Oregon State University
05.2001 -
Cheryl Faulk