Very diverse with experience in scheduling appointments and coordinating referrals, and prior authorizations. Proven track record of efficiently and accurately completing paperwork. Offers strong time management, organizational and multitasking abilities.
Overview
4
4
years of professional experience
Work History
Referral Coordinator
Carolina Pain And Weight Loss
07.2023 - 05.2024
Scheduled appointments with specialists on behalf of clients.
Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
Processed referral requests from patients, doctors and other health care professionals.
Responded to patient inquiries to offer timely updates regarding referral status.
Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
Developed and maintained strong working relationship with referral sources to streamline processing.
Monitored referrals to foster timely completion and followed up with physicians to facilitate.
Prior Authorization Specialist
Carolina Pain And Weight Loss
06.2023 - 05.2024
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Verified eligibility and compliance with authorization requirements for service providers.
Analyzed medical records and other documents to determine approval of requests for authorization.
Reached out to insurance carriers to obtain prior authorizations.
Responded to inquiries from healthcare providers regarding prior authorization requests.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Assistant Store Manager
Woodleaf BP Gas Station
02.2020 - 05.2023
Managed cash registers efficiently, ensuring accurate transactions, balancing drawers daily, and minimizing discrepancies.
Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
Enhanced store appearance for increased sales by maintaining cleanliness and implementing strategic merchandise displays.
Rotated merchandise and displays to feature new products and promotions.
Walked through store areas to identify and proactively resolve issues negatively impacting operations.
Boosted customer satisfaction by providing exceptional service and addressing concerns promptly.
Processed payments for credit and debit cards and returned proper change for cash transactions.
Created and maintained safe and secure work environments for employees.
Developed a loyal customer base through personalized interactions, increasing repeat business in-store visits.
Responded to customer concerns, working with manager to significantly raise customer satisfaction ratings.
Streamlined inventory management with regular audits, accurate ordering, and efficient stock organization.
Provided weekly work schedules to employees to accommodate business demands and vacation requests.
Interviewed, hired, and trained staff associates and equipped to comply with company policies and procedures.
Implemented loss prevention tactics to deter thefts while maintaining a welcoming environment for all customers.
Education
High School Diploma -
West Rowan High School
Mount Ulla, NC
04.2006
Skills
Pre-authorizations
Insurance Verification
HIPAA Regulations
Medical terminology knowledge
Follow-up Coordination
Scheduling Software
Notetaking and documentation
Patient Scheduling
Multi-line phone proficiency
Organizational abilities
Appointment Scheduling
Timeline
Referral Coordinator
Carolina Pain And Weight Loss
07.2023 - 05.2024
Prior Authorization Specialist
Carolina Pain And Weight Loss
06.2023 - 05.2024
Assistant Store Manager
Woodleaf BP Gas Station
02.2020 - 05.2023
High School Diploma -
West Rowan High School
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