Daymari Davila Colina
Hialeah,FL
Summary
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 worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Referral Specialist
Wellmax Medical Center
Pembroke Pines, FL
07.2022 - Current
- Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Researched and responded to inquiries from providers regarding pending or denied referrals in a timely manner.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Developed strategies for improving efficiency within the department while maintaining high standards of customer service.
- Entered confidential patient information and updated electronic records in database.
- Contacted patients to confirm or reschedule appointments to minimize no-show appointments.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Front Desk Receptionist
La Quinta Medical Center
Hialeah, FL
05.2021 - 07.2022
- Greeted customers warmly and made them feel welcome.
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Assisted with scheduling appointments for clients and visitors.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Managed incoming and outgoing mail, courier services, faxes and other correspondence.
- Performed data entry into computer systems to maintain accurate records of customer information.
- Provided administrative support such as filing documents, photocopying and scanning materials.
- Verified identity documents for new customers before opening accounts in accordance with company policies.
Education
High School Diploma -
Hialeah Gardens Senior High School
Hialeah Gardens, FL12-2017
Bachelor of Arts - Psychology
Carlos Albizu University
Doral, FLAssociate of Arts - Psychology
Miami Dade College
Miami, FLRegistered Behavior Technician
Vida Training Center
Skills
- Medical Terminology Knowledge
- EHR Software
- Insurance precertification processes
- Customer Service
- Appointment Scheduling
- Data Entry Software
- Insurance Verification
- Referral Coordination
- Referral Verification
- Documentation Review
- Multitasking
- Medical Records Verification
- Interpersonal Communication
Languages
Spanish
Native/ Bilingual
English
Professional
Certification
- Registered Behavior Technician
Timeline
Referral Specialist
Wellmax Medical Center
07.2022 - Current
Front Desk Receptionist
La Quinta Medical Center
05.2021 - 07.2022
High School Diploma -
Hialeah Gardens Senior High School
Bachelor of Arts - Psychology
Carlos Albizu University
Associate of Arts - Psychology
Miami Dade College
Registered Behavior Technician
Vida Training Center
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