ELIZABETH REYNOLDS
Detroit,Michigan
Overview
8
8
years of professional experience
Work History
Medical Referral Specialist
Oak Street Health
Detroit, MI
05.2023 - Current
- Adhered to HIPAA regulations when dealing with confidential patient information.
- Assessed potential referral delays due to lack of prior authorization from insurance carriers.
- Advised referring physicians on changes made to insurance policies that may affect their ability to refer patients.
- Called insurance companies to confirm coverage of procedures and services requested by referring physician.
- Collaborated with clinical staff to ensure accuracy of all documentation associated with referrals.
- Ensured that all referral activities were compliant with applicable regulations.
- Facilitated communication between relevant parties involved in the referral process.
- Monitored status updates on referred cases from third party vendors.
- Processed authorization requests from referring physicians in a timely manner.
- Verified insurance eligibility prior to performing tests in order to ensure timely payment from providers.
Information Referral Specialist Coordinator
Wayne Metropolitan Community Action Agency
Wyandotte, MI
04.2021 - 12.2022
- Served as the first point of contact for escalated issues and for clients requiring a higher degree of expertise or discretion to resolve their specific issues.
- Audited files to ensure compliance.
- Trained new employees and provide technical assistance to problems.
- Provided support in various capacities to other Wayne Metro departments to achieve departmental/organizational goals.
- Maintained a positive attitude towards assigned work, clients, and staff, and a willingness to work with others.
Customer Service Representative
Robert Half (UIA)
Detroit, MI
07.2020 - 01.2021
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Answered 70+ inbound calls per day and directed to designated individuals or departments.
- Documented conversations with customers to track requests, problems and solutions.
- Evaluated customer account information to assess current issues and determine potential solutions.
Direct Service Specialist
Robert Half (Wayne Metro Com. Action Agency)
Detroit, MI
05.2020 - 07.2020
- Interviewed clients to obtain information to make eligibility determinations.
- Processed clients for assistance and verified documentation.
- Reviewed an evaluated clients' circumstances to determine if they meet program eligibility
requirements. - Maintained accurate files by processing application, keeping case files current and responding to client inquires and complaints.
Speciman Processor
Robert Half (St. John Hosp. Lab)
Grosse Pointe, MI
07.2019 - 09.2019
- Cleaned and sterilized lab area, tools and equipment.
- Complied with applicable laws and regulations, and company procedures and policies.
- Disposed of specimens more than seven days old.
- Verified, Labeled and numbering specimens, and preparing aliquots.
- Preformed data entry and tracked specimens.
- Prepared specimens for testing, analysis or shipment to outside laboratories.
Attendance Clerk
Advanced Educational Staffing
Southfield, MI
04.2019 - 06.2019
- Gathered attendance data for all classrooms and uploaded into school’s database daily
- Good time management and ability to meet deadlines
- Welcomed visitors to main office and asked questions in effort to determine how to best serve their needs
- Directed customer communication to appropriate department personnel, in addition to providing information to resolve inquiries and bolster customer satisfaction
- Managed and anticipated clerical needs of supervisor and school staff, including copying, faxing and file management
Registered Medical Assistant
Dr. Rebecca Williams PLLC
Southfield, MI
09.2016 - 07.2018
- Experienced in front and back offices, controlling patient flow, collecting payments and assisting in delivery of quality healthcare
- Checked patients in, collected and verified insurance information, compiled new patient forms, scheduled appointments and updated patient files
- Promoted continuity of care by accurately and completely communicating patient status to fellow caregivers
- Conducted patient interviews to gather health history, vital signs and information about current medical issues
- Partnered with healthcare and administrative staff to create patient-centered, inviting and supportive environment for patients and families
- Sterilized instruments and disposed of contaminated supplies in adherence to OSHA regulations
- Cleaned, restocked and prepared exam rooms and medical equipment
- Educated patients about medications, procedures and physician's instructions
- Contacted pharmacies to submit and refill patients' prescriptions
Education
Medical Billing And Coding Diploma -
Ross Medical Education Center
Warren, MI06.2023
Life Insurance License
Exam Fx
OnlineSkills
- Administrative Support
- Analytical
- Data Entry
- Detail-Oriented
- Insurance Verification
- Medical Terminology/Procedures
- Microsoft Office
- Performance Updates
- Preparing Specimens and Samples
- Phlebotomy
- Productivity Benchmarks
- Strong Interpersonal Skills
- Supervision & leadership
- Scheduling and calendar management
Timeline
Medical Referral Specialist
Oak Street Health
05.2023 - Current
Information Referral Specialist Coordinator
Wayne Metropolitan Community Action Agency
04.2021 - 12.2022
Customer Service Representative
Robert Half (UIA)
07.2020 - 01.2021
Direct Service Specialist
Robert Half (Wayne Metro Com. Action Agency)
05.2020 - 07.2020
Speciman Processor
Robert Half (St. John Hosp. Lab)
07.2019 - 09.2019
Attendance Clerk
Advanced Educational Staffing
04.2019 - 06.2019
Registered Medical Assistant
Dr. Rebecca Williams PLLC
09.2016 - 07.2018
Medical Billing And Coding Diploma -
Ross Medical Education Center
Life Insurance License
Exam Fx
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