Referral Specialist offering background coordinating and managing patient referral process. Gifted at obtaining required documentation, answering patient questions and communicating with insurance providers. Mastery of medical and insurance terminology and abbreviations. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
Work History
Referral Specialist
Syracuse Orthopedic Specialists
Syracuse, NY
07.2023 - 12.2023
Tracked referral request progress and resolved issues to maintain smooth processing.
Verified documents and associated records to catch and resolve discrepancies.
Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
Contacted patients to confirm or reschedule appointments to minimize no-show appointments.
Answered telephones and directed calls to appropriate medical or adminstrative staff.
Scheduled patients according to availability, urgency and insurance authorization guidelines.
Call Center Representative
Upstate Orthopedics
East Syracuse, NY
09.2017 - 07.2021
Ensured that all calls were handled according to company policies and procedures.
Answered incoming calls from patients, doctors, and other healthcare providers in a timely manner.
Managed time effectively during high-volume periods while maintaining quality standards.
Adhered to HIPAA regulations while handling confidential patient information over the phone.
Entered patient information into the computer system accurately and efficiently.
Assisted patients with scheduling appointments for doctor visits or follow-up care.
Updated customer accounts, addresses and contact information within call management databases.
Assistant Insurance Underwriter
Preferred Mutual Insurance
New Berlin, NY
04.2016 - 12.2016
Ensured compliance with all applicable laws, regulations, and guidelines related to insurance underwriting activities.
Maintained detailed records of underwriting decisions and processes.
Examined documents to determine degree of risk from health, financial standing and value and condition of property.
ED Registrar Clerk
Cobleskill Regional Hospital
Cobleskill, NY
01.2011 - 11.2014
Provided excellent customer service while assisting patients with questions regarding registration procedures.
Greeted patients, determined purpose of visit and directed to appropriate staff.
Compiled and coded patient information or data in appropriate computer system.
Set and managed patient appointment schedules
Registered patients using proper data entry procedures and fully compliant ICD-10 and CPT codes.
Updated patient demographic information to prevent treatment and recordkeeping errors
Greeted patients upon arrival at facility, collected required documents, and verified demographic information against existing records.
Prepared patients for departure by coordinating discharge plans and paperwork.