Dynamic professional with a proven track record at Mercy Hospital. Experienced with managing patient referrals and coordinating communication between healthcare providers. Uses organizational skills to streamline referral processes and enhance patient care. Strong understanding of healthcare systems and adept at multitasking in fast-paced environments.
Overview
21
21
years of professional experience
Work History
Referral Coordinator
Mercy Hospital Springfield
01.2015 - Current
Verified eligibility and compliance with authorization requirements for service providers.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Tracked referral submission during facilitation of prior authorization issuance.
Collaborated with therapist to obtain necessary clinical information for prior authorization submissions.
Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Provided training to new staff members on the intricacies of various insurance plans and their specific prior authorization requirements.
Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.
Real Estate Sales Agent
Keller Williams
11.2003 - 02.2005
Attended industry conferences and workshops to stay informed about current real estate trends and best practices.
Wrote listings detailing and professionally highlighting property features to increase sales chances.
Reviewed and executed confidential documents, contracts and disclosures.
Studied property listings, interviewed prospective clients, accompanied clients to properties and discussed condition of sales.
Negotiated between buyers and sellers of properties with efficiency and transparency to maximize profits and maintain satisfaction of clients.