Erlinda Torres
Kingsburg,CA
Summary
Substantial Referral Specialist known for high productivity and efficient task completion. Extensive skills in patient coordination, insurance verification, and time management. Mastery at problem-solving, and maintaining patient satisfaction. Enthusiastic team player with warm, positive attitude intrigued in cultivating with patients and ensuring company growth and achievement.
Overview
9
9
years of professional experience
Work History
Referrals Specialist
Valley Health Team
Kerman, Ca
07.2018 - Current
- Communicated effectively with patients regarding referral processes and requirements.
- Tracked authorization statuses using electronic databases and manual filing systems to maintain up-to-date patient records.
- Managed referral tracking and follow-up using electronic health records systems.
- Processed patient authorization requests efficiently and accurately.
- Communicated authorization decisions clearly to patients and providers.
- Monitored referral outcomes to facilitate timely patient care delivery and improve overall patient satisfaction.
- Communicated regularly with patients regarding their care plans following a referral.
- Researched patient eligibility, coverage information, and benefit levels.
- Reviewed data obtained from referring physicians for completeness and accuracy.
- Documented all interactions in the electronic health record system meticulously.
- Adhered to HIPAA regulations when handling confidential patient information.
- Handled patient referrals via a multi-line telephone system each day.
- Participated in regular meetings to strategize on referral processes, expand network, and assess program performance.
- Performed additional office duties, handling patient service inquiries and receiving payments.
Referral Specialist
Adventist Health
Kerman, California
01.2017 - 01.2018
- Coordinated patient referrals to specialists and ensured timely communication.
- Managed referral processes using electronic health record systems to streamline patient care.
- Facilitated referral processes by effectively communicating with healthcare providers.
- Verified insurance coverage and eligibility for referred services to ensure patient access.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Assisted patients with appointment scheduling and follow-up procedures.
- Supported patients by answering questions regarding referral procedures and appointments.
- Responded to inquiries regarding referral status and procedures promptly.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Updated referral documentation to ensure compliance with policies and regulations.
Education
Tranquillity High School
Tranquillity, CASkills
- Referral Management
- Insurance Verification
- EHR Systems
- Medical Terminology Knowledge
- Patient Communication
- Problem Solving
- Decision Making
- Strategic planning
- Advanced Oral and Written Communication Skills
Languages
Spanish
Professional
Accomplishments
- Employee of the Month
References
References available upon request.
Timeline
Referrals Specialist
Valley Health Team
07.2018 - Current
Referral Specialist
Adventist Health
01.2017 - 01.2018
Tranquillity High School