
With a background in referrals and authorizations, along with clinical experience as a Patient Care Technician, I have developed strong communication skills, attention to detail, and the ability to provide efficient, and compassionate support in a fast-paced environment. Through my experience, I have gained expertise in documentation, coordination, problem solving, and supporting both patients and staff-skills. I am passionate about supporting teams, improving processes and contributing to positive and professional workplace experience.
Coordinate and process patient referrals and prior authorizations for vascular procedures and diagnostic imaging. Verify insurance coverage and benefits; obtain necessary approvals from insurance companies and third-party payers. Communicate with referring physician offices, patients, and clinical staff to ensure timely and accurate processing of authorizations. Maintain accurate records in electronic health systems, ensuring HIPPA compliance and confidentiality. Serve as liaison between patients and insurance companies to resolve coverage issues or delays. Monitor pending authorizations and proactively follow up to expedite approvals. Assist in scheduling appointments based on insurance approvals and patient needs. Provide education to patients regarding coverage status and any financial responsibility.
Coordinated patient referrals by liaising with primary care physicians to ensure timely and accurate processing. Managed a high volume of incoming referral requests and verified insurance eligibility and authorization. Traced referral status in electronic health records (EPIC) systems, updating patients and providers as needed. Streamlined communication between referring providers, patients, and specialist offices to enhance service efficiency. Collaborated with leadership to address issues related to referral denials and insurance capitation. Facilitated interdepartmental coordination, particularly with palliative care, psychology, and oncology teams, to ensure smooth referral workflows. Worked closely with scheduling teams to align referral confirmations with appointment schedules, ensuring clear communication and follow-up.
Greeted and assisted patients with registration and appointment scheduling, ensuring accuracy in demographics and insurance information. Verified insurance eligibility, obtained prior authorizations, and updated patient records in compliance with HIPPA regulations. Provided detailed information regarding medical services, billing inquires, and payment options. Coordinated with clinical staff to manage patient flow and reduce wait times. Resolved patient concerns and escalated complex issues to leadership .
Managed multi-line phone system and pleasantly greeted patients. Coordinated patient scheduling, check in/check out and payments for billing. Verified patient's insurance, demographic and health history to keep information current. Reviewed patient's insurance benefits, requesting referrals and obtaining necessary authorizations.
Evaluated strengths and weakness of candidates through effective screening processes. Operated and supported applicant tracking and candidate management systems. Verified applicant references and employment details. Developed recruiting strategies to identify qualified candidates and build network.
Retrieved blood samples and other specimens, prepared specimens for laboratory testing, and performed screening procedures including EKG. Monitored, tracked and conveyed important patient information to HealthCare staff to help optimize treatment. Obtained patient vital signs and reported results to the staff nurse or physician, noting changes from prior measurements.
Lean Six Sigma Yellow Belt LSSYB-Process Improvement
EKG Certification
Phlebotomy
CNA LIcense