Summary
Overview
Work History
Education
Skills
Work Availability
Quote
Timeline
BusinessAnalyst
Elizabeth Azar

Elizabeth Azar

O'Fallon,MO

Summary

Efficient Referral Coordinator with 8 years of increasing responsibility in healthcare industry. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. Interested in shifting career to Utilization management specialization.

Overview

9
9
years of professional experience

Work History

Referral Coordinator

SSM Health Heart And Vascular
St Peters, MO
05.2016 - 05.2023
  • Standardize workflow and streamline process for Authorization and referral team established in May 2014
  • Oversee review and processing of all prior authorizations and referrals, processing up to 40 authorizations per day and average 60 referrals per week.
  • Strong skills in utilizing insurance online IVR system, telephonic or written authorization information with clinical documentation.
  • Responsible for all St Louis Region cardiology diagnostic imaging, procedures and surgeries for SSM Health Heart and Vascular managing and working closely with 60+ providers.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
  • Provided leadership, guidance and support to staff members.
  • Analyzed trends and data to inform decision-making and program development.

Biller

SSM Heath Heart And Vascular
St. Peters, MO
05.2014 - 07.2016
  • Executed billing tasks and recorded information in company databases.
  • Kept all patient information secure and confidential in compliance with HIPPA guidelines.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
  • Communicated with insurance providers to resolve denied claims and resubmitted with turnover rate of 95%.
  • Provided thorough information about admissions policies, financial requirements and check-in procedures.
  • Coordinated scheduling for patient follow-up appointments in accordance with physician requests.
  • Proven ability to learn quickly and adapt to new situations.
  • Participated in team projects, demonstrating ability to work collaboratively and effectively.
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards.
  • Determined proper codes for medical records and patient services.

Education

High School Diploma -

Timberland High School
Wentzville, MO
05.2010

Skills

  • Epic/EMR/ HIPPA experience
  • MS Office Expertise
  • CPT Coding
  • Specialist Referrals
  • Physician Authorizations
  • Quality Patient Care
  • Multi-Line Phone Proficiency
  • Patient Scheduling
  • Specialty Care
  • Compassionate Communication
  • PET Scans
  • Medical Terminology
  • Tech-Savvy
  • Managing Office Supply Inventory
  • Administration
  • Employee Development

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Never let yesterday use up too much of today.
Will Rogers

Timeline

Referral Coordinator

SSM Health Heart And Vascular
05.2016 - 05.2023

Biller

SSM Heath Heart And Vascular
05.2014 - 07.2016

High School Diploma -

Timberland High School
Elizabeth Azar