Highly skilled, organized, dependable and enthusiastic professional with more than 15 years of experience managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
Work History
Referral Coordinator
Conviva Care Center
09.2023 - Current
Scheduled appointments with specialists on behalf of patients.
Processed referral requests from patients, doctors and other health care professionals.
Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
Referral Coordinator
United Health Group/Wellmed
09.2021 - 09.2023
Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
Scheduled appointments with specialists on behalf of patients.
Processed referral requests from patients, doctors and other health care professionals.
Service Coordinator/Case Manager Coordinator
Superior Health Plan Inc
06.2016 - 04.2021
Served as a primary point of contact for patients, addressing inquiries, providing updates, and ensuring overall satisfaction with services rendered.
Maintained accurate records of all service activities, facilitating smooth communication between patients and providers. Resolved customer complaints and issues to drive satisfaction and loyalty.
Conducted thorough assessments of patient needs, strengths, and risks to inform appropriate interventions and support services.
Assisted patients in crisis situations by providing immediate intervention and connecting them with relevant resources.
Established strong relationships with patients through regular follow-ups, keeping them informed about progress updates regarding their services requested or concerns raised.
Education
Community Health Worker Certificate -
South Coastal Area Health Education Ctr
Corpus Christi, TX
04.2024
High School Diploma -
Robstown High School
Robstown, TX
06.1995
Skills
Pre-authorizations
Insurance Verification
Medical Terminology
Multi-line phone proficiency
Patient Scheduling
Follow-up Coordination
HIPAA Regulations
Caseload Management
Utilization Management
Electronic Medical Record Software
Patient Care Assessment
Timeline
Referral Coordinator
Conviva Care Center
09.2023 - Current
Referral Coordinator
United Health Group/Wellmed
09.2021 - 09.2023
Service Coordinator/Case Manager Coordinator
Superior Health Plan Inc
06.2016 - 04.2021
Community Health Worker Certificate -
South Coastal Area Health Education Ctr
High School Diploma -
Robstown High School
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