Cierra Campbell
Coconut Creek
Summary
Referral coordinator with six years of experience in high-volume healthcare settings. Achieved recognition as one of the top five referral coordinators in the region for efficiency and accuracy. Expertise in problem-solving and teamwork, dedicated to streamlining processes and enhancing patient care. Committed to advancing within healthcare administration.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Referral Coordinator
Conviva Care Center - Humana
Margate
04.2024 - Current
- Processed patient referrals to specialists based on orders from primary care providers and specialists.
- Secured insurance approvals via Availity, utilizing ICD-10 and CPT coding to facilitate timely patient care.
- Scheduled follow-up appointments for specialists, hospital procedures, diagnostic imaging, and DME.
- Conducted follow-ups with specialists and insurance companies to ensure seamless patient access to necessary services.
- Managed administrative and clerical tasks to support streamlined operations and enhance overall customer service.
Business Office Manager
Yamato Skilled Nursing and Rehabilitation Center
Boca Raton
07.2022 - 03.2024
- Secured financial coverage through effective communication with patients, families, staff, visitors, and government agencies in diverse situations.
- Oversaw billing processes and ensured accurate patient insurance verification.
- Managed patient trust accounts through weekly and monthly reconciliations to ensure accuracy.
- Oversaw census activities, balancing daily, weekly, and monthly reports with nursing admissions.
- Developed financial record-keeping systems that streamlined payment processing and facilitated timely refund issuance.
- Managed private pay collections to maintain financial integrity and accountability.
Receptionist
Yamato Skilled Nursing and Rehabilitation Center
Boca Raton
05.2022 - 08.2022
- Managed incoming calls, ensuring timely routing to appropriate staff or nursing station.
- Assisted guests and residents with inquiries, enhancing their experience and addressing needs promptly.
- Maintained organized and welcoming lobby area for guests and residents.
- Monitored entry and exit of visitors, vendors, and residents.
- Oversaw processing of incoming mail and packages, ensuring efficient distribution to staff and residents.
Member Service Advocate
Convey Health Solutions
Miramar
08.2019 - 05.2022
- Addressed member inquiries on OTC benefits and processed orders, enhancing member satisfaction and access to services.
- Resolved billing discrepancies and premium payments for beneficiaries, ensuring accurate account management.
- Conducted detailed research on formulary medicines to confirm coverage tiers and associated copays.
- Instructed providers on prior authorization processes for medications under Medicare Part D restrictions.
Education
Bachelor of Science - Health Care Management
Florida A&M University
Tallahassee, FL07-2022
Skills
- ICD-10 and CPT coding
- Insurance verification
- Referral management
- Appointment management
- HIPAA compliance
- Medical terminology
- Athena
- eClinicalWorks
- PointClickCare
- Availity
- Effective communication
- Customer service and support
Certification
- Basic Life Support (CPR and AED), American Heart Association, Issue Date 3/6/2025
Timeline
Referral Coordinator
Conviva Care Center - Humana
04.2024 - Current
Business Office Manager
Yamato Skilled Nursing and Rehabilitation Center
07.2022 - 03.2024
Receptionist
Yamato Skilled Nursing and Rehabilitation Center
05.2022 - 08.2022
Member Service Advocate
Convey Health Solutions
08.2019 - 05.2022
Bachelor of Science - Health Care Management
Florida A&M University