Holly Clark
Oxford
Summary
Dynamic healthcare professional with extensive experience at United Health Services, excelling in insurance verification and referral management. Proven ability to enhance patient access and streamline processes, leveraging EPIC charting and strong communication skills. Committed to improving patient outcomes through efficient scheduling and prior authorization expertise.
Overview
12
12
years of professional experience
Work History
Referral Coordinator
United Health Services
Norwich
07.2025 - Current
- Managed patient referrals, ensuring timely access to healthcare services.
- Processed referral documentation accurately using electronic health record systems.
- Scheduled patients based on availability, urgency, and insurance authorization guidelines.
- Assisted in developing referral processes to enhance efficiency and effectiveness.
- Monitored patient progress throughout the referral process to improve outcomes.
- Participated in meetings to discuss referral strategies, network expansion, and performance metrics.
- Collaborated with providers to gather clinical information for prior authorization requests.
- Submitted prior authorization requests electronically or by phone to payers.
Medical Receptionist
United Health Services
Norwich
12.2024 - Current
- Managed patient check-ins within EPIC by verifying insurance coverage, collecting payments, and updating accounts accordingly.
- Managed phone communications, ensuring efficient response.
- Ensured consistency across documentation by routinely refreshing patient demographic information.
- Arranged future appointments and diagnostic procedures during patient check out.
- Documented orders and referrals, ensuring correct use of ICD-10-CM and CPT codes.
- Managed referral work queues for both inbound and outbound processes.
- Confirmed, rescheduled, and recalled appointments based on work lists.
Medical Receptionist
United Health Services
Oxford
09.2023 - 12.2024
- Managed multi-line phone system for various clinics.
- Streamlined referral workflow via EPIC system, ensuring all necessary details were incorporated.
- Processed and tracked prior authorizations across multiple insurance companies for diagnostic imaging.
- Validated insurance details, updated demographics, and managed co-pay collections.
Ophthalmic Dispensing Technician Apprentice
Chenango Eye Associates
Norwich
04.2023 - 08.2023
- Collected and assessed data for precise optical analysis.
- Dispensing prescription glasses.
- Managed billing and payment transactions effectively.
- Oversaw stock levels and frame supplies.
- Coordinated patient referrals efficiently.
Ophthalmic Assistant
Guthrie
Binghamton
01.2023 - 04.2023
- Conducted advanced ophthalmic workups, procedures, measurements, and tests.
- Emphasized patient-centered care, teamwork, and excellence in daily tasks.
- Collected extensive information on present health issues.
- Analyze patient data and medical records.
- Managed charting and sending documents efficiently through the EPIC system.
Ophthalmic Dispensing Technician Apprentice
Southern Tier Optical
Johnson City
08.2022 - 11.2022
- Styled frames and took measurements for new prescriptions.
- Performed adjustments, repairs, and final inspections on glasses.
- Tracked progress by establishing data management systems in Excel.
Optical Assistant
Visionworks
Binghamton
12.2019 - 08.2021
- Coordinated schedules for appointments.
- Verified insurance before appointments.
- Conducted pre-screening evaluations and compiled patient medical histories.
- Handled remote patient examinations.
- Led contact lens insertion training sessions.
- Directed procurement process for contact lenses.
Medical Receptionist
United Health Services Hospitals
Johnson City
11.2018 - 12.2019
- Managed patient check-ins and radiology testing.
- Handled STAT results efficiently and informed offices upon completion.
- Importing patient studies from other facilities into the PACS computer system.
- Facilitated seamless communication with patients and medical professionals.
Patient Access Representative
Our Lady of Lourdes Regional Medical Center
Binghamton
07.2018 - 11.2018
- Used proper ICD-9 and CPT codes to input lab orders into the system.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Completed registration procedures for patients, expertly inputting information to meet provider, facility, and legal requirements.
Customer Service
Wegmans
Johnson City
04.2014 - 07.2018
- Executed outstanding customer assistance.
- Completed classes focused on delivering 'Incredible Customer Service'.
- Secured number one sales position during product demonstrations across Southern Tier Division.
- Reviewed and interpreted income versus expenditure analysis.
- Trained new employees in the department.
- Coordinated production processes for peak calendar revenue period.
Education
Some College (No Degree) - Medical Coding and Reimbursement
Bryant & Stratton College
Buffalo, NY04-2026
High School Diploma -
Johnson City Senior High School
Johnson City, NY01.2014
Skills
- Insurance verification
- Multi-line phone management
- Medical terminology
- EPIC charting
- ICD-10 coding
- CPT coding
- Referral management
- Medical coding
- Patient scheduling
- Prior authorization expertise
References
Available upon request.
Timeline
Referral Coordinator
United Health Services
07.2025 - Current
Medical Receptionist
United Health Services
12.2024 - Current
Medical Receptionist
United Health Services
09.2023 - 12.2024
Ophthalmic Dispensing Technician Apprentice
Chenango Eye Associates
04.2023 - 08.2023
Ophthalmic Assistant
Guthrie
01.2023 - 04.2023
Ophthalmic Dispensing Technician Apprentice
Southern Tier Optical
08.2022 - 11.2022
Optical Assistant
Visionworks
12.2019 - 08.2021
Medical Receptionist
United Health Services Hospitals
11.2018 - 12.2019
Patient Access Representative
Our Lady of Lourdes Regional Medical Center
07.2018 - 11.2018
Customer Service
Wegmans
04.2014 - 07.2018
Some College (No Degree) - Medical Coding and Reimbursement
Bryant & Stratton College
High School Diploma -
Johnson City Senior High School