FLOR YESENIA HERNANDEZ
Oak Lawn,IL
Summary
Referral Specialist coordinating and managing the patient referral process with expertise in obtaining documentation and resolving patient inquiries. Bilingual in Spanish, proficient in medical and insurance terminology, and experienced in collaborating with insurance providers. Successfully organized team events and maintained effective communication across departments.
Overview
23
23
years of professional experience
Work History
Referral Specialist
Rush Lake Street Family Physician
Oak Park, IL
02.2012 - Current
- Coordinated and managed patient referral process to streamline patient care.
- Executed eligibility checks using Avality to confirm patient insurance coverage and facilitate timely referrals.
- Oversaw appeal process for denied insurance claims, ensuring accurate resolutions and minimizing delays in patient access to care.
- Gifted at obtaining required documentation, answering patient questions and communicating with insurance providers.
- Mastery of medical and insurance terminology and abbreviations.
- Provided bilingual support in Spanish to enhance communication with Spanish-speaking patients.
- Utilized Eznet and GuideHealth systems to manage patient information and referrals.
- Manage patient check in and out.
- Supervisor for front staff.
- Managed phones.
- Exceeded customer satisfaction by finding creative solutions to problems.
- Updated and maintained databases with current information.
- Organized team events to promote a positive work environment.
- Maintained calendars of upcoming events, meetings and deadlines.
- Coordinated with other departments to ensure projects were completed on time and within budget.
- Completed day-to-day duties accurately and efficiently.
Coordinator
DCFS
Chicago, Illinois
09.2003 - 05.2012
Education
Business Administration -
Everest College
Burr Ridge, IL06-2006
Skills
- ECW
- EPIC
- EMD
- Run eligibility
- Avality
- Manage patient check in and out
- Supervisor for front staff
- Appeal process
- Eznet
- Guidehealth system
- Organized team events
- Maintained calendars
- Coordinated with other departments
- Managed phones
- Exceeded customer satisfaction
- Updated and maintained databases
- Completed day-to-day duties
Timeline
Referral Specialist
Rush Lake Street Family Physician
02.2012 - Current
Coordinator
DCFS
09.2003 - 05.2012
Business Administration -
Everest College