- Volunteer Work
- Singing
- Passionate about balancing physical health with mental and emotional wellness
Erica Laird
San Antonio,Texas
Summary
Accomplished Referral Coordinator at Humana Military, adept in insurance verification and patient communication. Enhanced patient satisfaction by streamlining referral processes, ensuring accurate documentation, and maintaining HIPAA compliance. Leveraged strong organizational skills to reduce administrative errors, facilitating seamless healthcare transitions and improving service efficiency.
Experience in managing patient referrals and ensuring seamless transitions within healthcare systems. Expertise in medical terminology, insurance processes, ICD-10 and CPT codes. Proven ability to collaborate effectively with team members, adapt to changing needs, and drive successful outcomes. Strong skills in communication, problem-solving, and consistently fostering trust and reliability. Valued for being detail-oriented with exceptional interpersonal skills.
Overview
22
22
years of professional experience
Work History
Referral Coordinator 2
Humana Military
09.2004 - 05.2025
- Demonstrated strong attention to detail and organizational skills in managing a high volume of 60 referrals per day while maintaining exceptional levels of patient care.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- 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.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
- Assisted with completion of referral forms and verified data accuracy and completion
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Streamlined referral process by implementing efficient tracking and communication systems.
- Attended continuing education courses to stay current on referral processes and best practices.
- Reduced administrative errors by meticulously reviewing and processing referral requests.
- Engaged in professional development activities to stay informed about best practices in referral coordination.
- Communicated with patients, ensuring that medical information was kept private.
Claim Specialist II
KCI USA, Inc.
03.2003 - 09.2004
- Managed approximately 40 claims daily effectively by prioritizing tasks and maintaining excellent organizational skills.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Verified client information by analyzing existing evidence on file.
- Streamlined claims processing procedures, significantly reducing turnaround times and improving client satisfaction.
- Enhanced data integrity and security in claim management systems, protecting sensitive information from potential breaches.
Education
Bachelor of Science - Psychology
Angelo State University
San Angelo, TX08.2000
Skills
- Insurance verification
- Medical terminology
- Multi-line phone proficiency
- Medical terminology knowledge
- Data entry proficiency
- Accurate documentation
- HIPAA regulations
- Notetaking and documentation
- Healthcare systems
- Insurance precertification processes
- Referring physician communication
- HIPAA guidelines
Interests
Timeline
Referral Coordinator 2
Humana Military
09.2004 - 05.2025
Claim Specialist II
KCI USA, Inc.
03.2003 - 09.2004
Bachelor of Science - Psychology
Angelo State University
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