James Wilson
Fairmont,WV
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
16
16
years of professional experience
1
1
Certification
Work History
Referral Coordinator
WVU Medicine
Morgantown, WV
03.2024 - Current
- Assisted in the development of referral processes and procedures.
- Maintained accurate records of all referrals, including contact information and follow-up activities.
- Resolved conflicts between referring physicians and receiving providers.
- Participated in regular meetings to discuss referral strategies, network expansion, and program performance metrics.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Answered questions and resolved concerns raised by both patients and specialists.
- Managed daily patient referrals daily through multi-line telephone system.
Hospitality Manager
Muriales Italian Kitchen
Fairmont, WV
03.2009 - 03.2024
- Increased customer service ratings significantly through personable service.
- Scheduled work hours for 50 employees to achieve adequate manpower coverage.
- Tracked guest satisfaction surveys to recognize trends and create action plans for improving guest services.
- Filed incident reports and handled inappropriate behavior to document problems and disturbances.
- Coached and developed associates to improve soft skills and recovery techniques.
- Handled guest complaints and offered complimentary services to maintain high guest satisfaction rates.
- Hired and trained new employees, demonstrating best methods for serving clients and guests.
- Participated in financial activities such as setting room rates, establishing budgets and allocating funds to departments.
- Booked large groups for weddings, seminars, conferences and other events, providing best available room rates.
- Offered appropriate reservation options based on expected attendees when coordinating events.
- Boosted hotel quality and service scores from by motivating and supporting guest services and housekeeping employees.
Patient Access Specialist
WVU Medicine Children's
Morgantown, WV
09.2022 - 06.2023
- Collected and validated patient demographics and insurance information.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Prepared patient identification band and completed admissions papers.
- Performed patient pre-admission, admission, transfer and discharge activities.
Clinical Associate
Ruby Memorial Hospital
Morgantown, WV
03.2017 - 04.2019
- Sanitized, restocked and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications and other physician instructions.
- Assisted patients with basic care needs.
- Equipped patients with assistance required for basic care.
Education
Bachelor of Science - Biology
WVU
Morgantown, WVAssociate of Science - Health Sciences
Pierpont Community And Technical College
Fairmont, WVSkills
- Medical Histories and Vital Statistics
- Diagnostic Codes
- Electronic Health Records Systems
- Hospital Security
- Team Leadership
- Solution Implementation
- Verifying Eligibility
- Payment Processing
- Co-Payment Collection
- Patient Interviewing
- Front Desk Operations
- Customer Satisfaction
- Medical Terminology
- Patient Registration
- Multi-Line Telephone Systems
- Patient Contact
- EMR Updating
- Punctual and Hardworking
- Educate Patients
- Patient Rights
- Improve Patient Care
- Account Inquiries
- Guest Account Management
- Client Relationship Management
- Customer Rapport
- Marketing
Certification
- Medical Terminology
- CNA
- BLS
Timeline
Referral Coordinator
WVU Medicine
03.2024 - Current
Patient Access Specialist
WVU Medicine Children's
09.2022 - 06.2023
Clinical Associate
Ruby Memorial Hospital
03.2017 - 04.2019
Hospitality Manager
Muriales Italian Kitchen
03.2009 - 03.2024
Bachelor of Science - Biology
WVU
Associate of Science - Health Sciences
Pierpont Community And Technical College