Jennifer Martin
Alpine,CA
Summary
Skilled Referral Coordinator with 5 years experience obtaining prior authorizations for outpatient services for large pediatric medical facility. Recent completion of online medical coding program and have CPC (certified professional coder) License. Seeking entry level medical coding position with outpatient or inpatient medical facility.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Regional Referral Coordinator
Rady Children's Physician Management Services
San Diego, CA
03.2016 - Current
- Managed and obtained insurance authorizations for patient referrals for 10 pediatric physicians in San Diego and Riverside counties.
- Obtain prior authorization from HMO, Tricare, PPO, Medi-cal HMO insurance plans. Approximately 800 referrals processed per month.
- Assign correct CPT/IC-10-CM/HCPCS codes to obtain prior authorization for outpatient services, including specialist consultations, durable medical equipment, outpatient therapy services.
- Aided clinical team to support administrative needs for clinical referrals.
- Answered questions and resolved concerns raised by both patients and specialists.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Physical Therapy Aide
FunctionSmart Physical Therapy
San Diego, California
04.2013 - 03.2016
- Administer active or passive manual therapeutic exercises, therapeutic massage, or heat, light, sound, water, or electrical modality treatments, such as ultrasound.
- ·Schedule patient appointments with physical therapists and coordinate therapists' schedules using TheraOffice and Practice Fusion.
- Verify Insurance eligibility and obtain prior authorization for Physical therapy treatment
- Managed and ordered supplies to maintain inventory stock.
Education
UCSD Extension Program - Medical Coding
University of California - San Diego
La Jolla, CA08.2021
Criminal Justice
San Diego State University
San Diego, CA06.2012
Skills
- Certified Professional Coder, 2021
- Proficient in Microsoft Outlook
- Knowledge in ICD-10-CM, CPT, HCPCS code assignments
- Anatomy and physiology terms, Disease processes
- Insurance precertification processes
- Accurate documentation
- Diagnostic Codes
- Excellent customer service experience
- Knowledge of HIPAA regulations and patient confidentiality
- Referral Tracking
Certification
- Licensed Certified Professional Coder-Apprentice - 2021
- Active member of AAPC
Timeline
Regional Referral Coordinator
Rady Children's Physician Management Services
03.2016 - Current
Physical Therapy Aide
FunctionSmart Physical Therapy
04.2013 - 03.2016
UCSD Extension Program - Medical Coding
University of California - San Diego
Criminal Justice
San Diego State University
- Licensed Certified Professional Coder-Apprentice - 2021
- Active member of AAPC
Similar Profiles
Martha SilvaMartha Silva
Team Lead at Rady Children's Physician Management ServicesTeam Lead at Rady Children's Physician Management Services
Leah NoriegaLeah Noriega
Refund Specialist at Rady Children's Physician Management ServicesRefund Specialist at Rady Children's Physician Management Services
EVELIN MALDONADOEVELIN MALDONADO
Account Analyst at Rady Children's Physicians Management ServicesAccount Analyst at Rady Children's Physicians Management Services