Essence Porcher
Summary
Experienced Referral Management Specialist with a strong background in insurance verification, patient eligibility, and authorization processes. Adept at managing patient information, processing claims, and ensuring compliance with healthcare regulations. Proven ability to streamline administrative processes and deliver exceptional customer service.
Overview
5
5
years of professional experience
Work History
Referral Management Specialist
Medical University Of South Carolina
Remote
02.2022 - 09.2024
- Verified insurance information and patient eligibility for referrals and medical services.
- Coordinated with insurance companies to obtain authorizations and resolve issues related to patient coverage.
- Processed and tracked referrals, ensuring timely and accurate handling of patient requests and insurance claims.
- Maintained detailed and accurate patient records, adhering to compliance standards and regulations.
- Communicated effectively with patients, providers, and insurance companies to ensure seamless service delivery and issue resolution.
Customer Service Consultant
Pearl Interactive Network
Remote
04.2021 - 01.2022
- Provided high-quality customer service by addressing inquiries, resolving issues, and offering support related to the COVID-19 vaccination.
- Managed a high volume of customer interactions through various channels, including phone, email, and in-person, while maintaining a positive customer experience.
- Accurately recorded and updated customer information in CRM systems, ensuring data accuracy and confidentiality.
Patient Access Representative
Coastal Pediatric Associates
Charleston, SC
04.2019 - 04.2021
- Provided exceptional customer service by addressing patient inquiries regarding insurance benefits, billing questions, and appointment scheduling.
- Accurately entered and updated patient information in the healthcare management system, maintaining data integrity and confidentiality.
- Processed and tracked referrals, authorizations, and claims, ensuring timely and accurate completion.
Education
Some College (No Degree) - Mangement
Coastal Carolina University
Conway, SCSkills
- Insurance Verification
- Teamwork and Collaboration
- Project Management
- Attention to Detail
- Data Analysis
- Time Management
Timeline
Referral Management Specialist
Medical University Of South Carolina
02.2022 - 09.2024
Customer Service Consultant
Pearl Interactive Network
04.2021 - 01.2022
Patient Access Representative
Coastal Pediatric Associates
04.2019 - 04.2021
Some College (No Degree) - Mangement
Coastal Carolina University
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