Tammy Chance
Referral Specialist
Wilmington,NC
Summary
Medical Referral Specialist at Elevance Health with strong expertise in insurance authorization and patient advocacy. Demonstrated success in optimizing referral processes and managing databases, facilitating smooth patient transitions. Proficient in healthcare compliance and adept at resolving complex issues while promoting effective communication among healthcare providers and patients.
Overview
39
39
years of professional experience
Work History
Medical Referral Specialist
Elevance Health
Raleigh, NC
02.2023 - 07.2025
- Coordinated medical referrals between healthcare providers and patients for seamless transitions.
- Managed insurance authorizations for patient referrals, ensuring timely processing.
- Maintained databases of active referrals, tracking progress until case completion.
- Monitored status updates from third-party vendors to facilitate efficient follow-up.
- Assisted patients in resolving issues related to referral denials and authorizations.
- Liaised with healthcare facility personnel, insurance representatives, and physicians to enhance communication.
- Communicated referral processes effectively to patients, addressing inquiries promptly.
- Obtained prior authorizations for services such as diagnostic imaging.
Certified Clinical Medical Assistant
New Hanover Regional Medical Center
Wilmington, NC
08.2021 - 02.2022
- Assisted physicians with clinical procedures such as suturing, drawing blood, and administering injections.
- Performed patient intake, including taking vital signs and medical histories.
- Assisted in scheduling appointments for patients over the phone or via email communication.
- Performed laboratory specimen collections such as urine samples or throat swabs according to established standards.
- Ensured accuracy of all documents related to patient visits including consent forms, discharge instructions and follow-up appointments.
- Educated patients about medications, procedures and physician's instructions.
- Incorporated outside records into charts and EHR.
- Changed dressings on wounds to prevent infection and check for healing.
Pharmacy Technician
Giant Eagle
Boardman, Ohio
01.2010 - 06.2012
- Assisted pharmacists in preparing and dispensing medications for customers.
- Maintained inventory by restocking shelves and organizing pharmaceutical supplies.
- Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
- Checked expiration dates on medications to ensure that only unexpired products were dispensed.
- Assisted pharmacist with clearing high volume of prescriptions and responded to customer questions.
- Refilled medications, offered insight into over-the-counter products and verified insurance benefits.
- Received payment from customers and processed credit card transactions when necessary.
- Kept accurate records of controlled substances received and dispensed in accordance with DEA regulations.
Surgical Technologist
Sharon Regional Hospital
Sharon, PA
06.2001 - 05.2004
- Maintained operating room cleanliness and adhered to infection control protocols.
- Assisted surgeons during procedures by preparing instruments and sterile supplies.
- Managed inventory of surgical supplies, ensuring availability for upcoming surgeries.
- Set up equipment, tools, and supplies for procedures and organize instruments as directed in surgeons' preference cards.
- Assisted surgeon by passing instruments and sterile supplies throughout operation.
- Observed aseptic technique and infection control protocols at all times.
- Assisted in the application of wound dressings, casts, and other medical devices.
- Monitored sterilization process for surgical instruments or equipment used during procedures.
Flight Operations Manager
US Army
Fort Bragg, NC
07.1986 - 12.1998
- Coordinated flight schedules and operations for military aircraft missions.
- Collaborated with ground control to optimize flight routes and reduce delays.
- Organized the scheduling of pilots, crew members, and maintenance personnel.
- Monitored all flight activity, including tracking arrival times, departures, and cancellations.
- Maintained communication between air traffic control personnel and cockpit crew members.
- Coordinated with other departments on related matters such as ground transportation services, catering services.
- Coordinated changes to flight itineraries with appropriate air traffic control agencies.
- Created and maintained flight and events logs, aircrew flying records and records of incoming and outgoing flights.
- Acted as emergency management leader to address medical emergencies and flight operation obstacles.
Education
Certification - Medical Assistant
Miller-Motte Technical College
NC03-2018
Some College (No Degree) - Liberal Arts
Fayetteville Technical Community College
Fayetteville, NCCertification - Surgical Technology
Choffin Career And Technical Center
Youngstown, OHSkills
- Medical coding and insurance authorization
- Patient advocacy and referral coordination
- Database management
- Healthcare compliance
Timeline
Medical Referral Specialist
Elevance Health
02.2023 - 07.2025
Certified Clinical Medical Assistant
New Hanover Regional Medical Center
08.2021 - 02.2022
Pharmacy Technician
Giant Eagle
01.2010 - 06.2012
Surgical Technologist
Sharon Regional Hospital
06.2001 - 05.2004
Flight Operations Manager
US Army
07.1986 - 12.1998
Certification - Medical Assistant
Miller-Motte Technical College
Some College (No Degree) - Liberal Arts
Fayetteville Technical Community College
Certification - Surgical Technology
Choffin Career And Technical Center
Similar Profiles
Brittany OwensBrittany Owens
Customer Service Representative at Elevance HealthCustomer Service Representative at Elevance Health
Arthur LeeArthur Lee
Data Entry Specialist at Elevance HealthData Entry Specialist at Elevance Health
Rachael LeeRachael Lee
Customer Service Representative III at Elevance HealthCustomer Service Representative III at Elevance Health
Rikki RamirezRikki Ramirez
Prior Authorization Specialist at Elevance HealthPrior Authorization Specialist at Elevance Health
Lauren StrnadLauren Strnad
Substitute Teacher, K-Eighth Grade at ESS/ Pender County SchoolsSubstitute Teacher, K-Eighth Grade at ESS/ Pender County Schools