Eve Ann Murphy
San Antonio,Texas
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
6
6
years of professional experience
Work History
Referral Specialist
TEXAS CARDIAC AND VASCULAR SPEALIST
San Antonio, TX
11.2023 - Current
- Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
- Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Researched and responded to inquiries from providers regarding pending in a timely manner.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Collaborated with team members to ensure the accuracy of referral data entered into the system.
- Identified potential problems with referrals before submitting them to insurers and worked with providers to resolve those issues quickly.
- Tracked referral request progress and resolved issues to maintain smooth processing.
- Managed and obtained insurance authorizations for patient referrals from physicians.
Referral Coordinator
PVA
San Antonio, Texas
02.2021 - 11.2023
- I was currently responsible for obtaining authorizations/referrals for all with an HMO plan for office visit as well I obtained prior auth for the Cath lab procedures. I was also responsible for verifying patients benefits for there scheduled visit or procedure. I would also obtain referral/authorizations for cardiology office visits, echo, nuclear stress test and surgeries.
- Reviewed medical records to determine if additional services are needed prior to making a referral.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
Front Desk Receptionist/Referral Coordinator
Heart and Vascular Associates
San Antonio, TX
10.2017 - 02.2021
- Greeted customers warmly and made them feel welcome.
- Assisted with scheduling appointments for clients and visitors.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Provided administrative support such as filing documents, photocopying and scanning materials.
- Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
- Managed and obtained insurance authorizations for patient referrals from physicians.
- Gathered and verified insurance requirements to meet payer requirements.
- Developed productive working relationships with numerous insurance company representatives.
- Performed additional office duties, handling patient service inquiries and receiving payments.
Education
Computer Programming -
Computer Made Simple
San Antonio05.1999
Administrative Assistance - Medical Secretary
Career Point College
San Antonio, TX03.1991
Skills
- Insurance Verification
- Allscritps
- Phreesia
- Eclinicalsworks
- Referral Tracking
- Availity
- Novitas
- HIPAA Regulations
- Referral Verification
- Documentation Review
- Cash Handling
- Outpatient Procedures
- Organization and Time Management
- Co-Payment Collection
- Patient Referral
Timeline
Referral Specialist
TEXAS CARDIAC AND VASCULAR SPEALIST
11.2023 - Current
Referral Coordinator
PVA
02.2021 - 11.2023
Front Desk Receptionist/Referral Coordinator
Heart and Vascular Associates
10.2017 - 02.2021
Computer Programming -
Computer Made Simple
Administrative Assistance - Medical Secretary
Career Point College
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