Detail-oriented Referral Coordinator skilled in insurance verification, patient scheduling, and clinical documentation. Committed to maintaining HIPAA compliance and enhancing patient relations.
Overview
2
2
Languages
5
5
years of professional experience
Work History
Referral Coordinator
Sacramento County Health Center
08.2026 - Current
Utilized the Epic EMR system to manage patient records efficiently while maintaining HIPAA.
Processed patient referrals to ensure timely patient care.
Prepared and submitted authorization requests to the corresponding IPA.
Applied experience across Medicare and Medishare coverage requirements.
Monitored referral statuses by providing updates to patients and healthcare staff as needed.
Supported training initiatives for new staff on referral processes and best practices.
Responded to patient inquiries to offer timely updates regarding referral status.
Called insurance companies to get precertification and other benefits information on behalf of patients.
Managed scheduling for appointments, optimizing workflow for healthcare providers.
Medical Assistant /Referral Coordinator
Roseville Pediatric Medical Group
10.2023 - 08.2026
Verified patient insurance coverage by running eligibility checks to confirm active coverage.
chart preparation included adding all PHI to patient top sheet for rooming patients
Checked in patients, collected co-pays, arranged follow-up appointments, and distributed age-appropriate paperwork.
Recorded pediatric vitals spanning ages from newborn to 21 years old.
Administered subcutaneous and intramuscular vaccinations.
assisted with minor procedures and tray setup
Ear lavage, nebulizar treatment.
sanitized patient rooms after patient care.
High call volume managed with timely patient support. Appointment scheduling completed with accurate coordination. Medication refill requests and advice requests routed to PCP.
Prepared prior authorization request for insurance provider and delivered authorization to approved specialist.
Provided patient referral information accurately and on time
Assisted scheduling specialist appointments as needed.
Packer and Residuals
Target Warehouse
09.2022 - 05.2023
Maintained accurate labeling and bundling of items to comply with established quality standards.
scanned and sorted boxes on conveyor belt to ensure correct item placement for shipment to designated stores.
audited boxes before shipping to prevent errors and lower risk of missing items for stores.
Ensured accurate zone assignment and item quantities by scanning boxes through a computerized system for the next processing stage.
Caregiver
Craig Cares - Sacramento Senior Home Care
06.2022 - 08.2022
Monitored patient health status, reporting changes to nursing staff promptly.
Administered medications as prescribed, maintaining accurate medication records.
Assisted residents with daily living activities, ensuring comfort and dignity.
Distributed medications according to prescriptions, ensuring accurate medication records.
Quality Coach
Amazon
05.2021 - 07.2022
Analyzed performance data to identify trends and recommend process improvements.
Conducted regular audits to ensure compliance with quality benchmarks and safety protocols.
Mentored team members to enhance quality assurance practices and operational standards.
Developed training materials for new hires to promote adherence to quality guidelines.
Education
Medical Assistant -
Campus - Formally Known As MTI
Sacramento, CA
08.2023
Skills
Prior authorizations
Insurance verification
Medical terminology
HIPAA regulations
Patient scheduling
Vital signs monitoring
Immunizations
Clinical documentation
Healthcare systems
Data entry proficiency
Multi-line phone proficiency
Caseload management
Employee training program
Patient relations
Bilingual
Basic life support for health care providers (BLS)
Prior Authorization Coordinator & Referral Specialist at Community Health Center of the New River ValleyPrior Authorization Coordinator & Referral Specialist at Community Health Center of the New River Valley
Eligibility/Billing Specialist & Referral Coordinator at NY Cancer & Blood SpecialistsEligibility/Billing Specialist & Referral Coordinator at NY Cancer & Blood Specialists