Jessica Eades
Uvalde,TX
Summary
I am a proud 15-year veteran at the Uvalde Memorial Hospital. I currently work as a resourceful referral and authorization coordinator known for high productivity and efficient task completion. I specialize in insurance verification, patient communication, and regulatory compliance. My top priority is to create a smooth workflow with effective coordination within healthcare settings without compromising accuracy. I am passionate about meeting the needs of health care patients as well as those apart of my team.
Overview
22
22
years of professional experience
Work History
Referrals and Authorization Coordinator
Uvalde Memorial Hospital - Rehab Department
Uvalde, TX
05.2024 - Current
- Managed workflow processes for authorization requests, including routing documents, and tracking progress.
- Tracked referral request progress and resolved issues to maintain smooth processing.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Managed time effectively to ensure tasks were completed on schedule, and deadlines were met.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Resolved issues arising during the referral process, including insurance denials and appointment scheduling conflicts.
- Reviewed referral details and expectations with providers and patients, and requested new referrals when necessary.
- Resolved escalated patient complaints relating to denied or delayed referrals promptly.
- Provided exceptional customer service, addressing patient inquiries and concerns with empathy and professionalism.
- Worked closely with financial counselors to guide patients on financial obligations and decision-making.
- Gathered and verified insurance requirements to meet payer requirements.
- Highly organized, detail-oriented, and thrives in a fast-paced, intense environment.
- Implemented strategies to improve the efficiency of the authorization process.
- Reviewed and approved authorization requests according to established criteria.
- Analyzed data from various sources to ensure the accuracy of authorizations.
- Processed incoming authorization requests, and updated customer accounts accordingly.
- Collaborated with other departments within the organization to ensure the timely completion of authorizations.
- Monitored compliance with regulations concerning authorization processes.
- Assisted customers with questions or problems related to their authorization requests.
- Provided guidance and direction on how to complete authorization forms correctly.
Admissions Clerk
Uvalde Memorial Hospital - UMSA Orthopedics
Uvalde, Texas
04.2010 - Current
- Completed relevant insurance and other claim forms.
- Managed sensitive information with discretion and in compliance with confidentiality policies.
- Coordinated communications between medical staff, hospital administration, and other departments.
- Answered telephones, directed calls, and took messages.
- Organized files, developed spreadsheets, faxed reports and scanned documents to improve organizational workflow.
- Resolved customer complaints promptly and professionally.
- Established strong working relationships with other departments across the clinic/hospital to ensure smooth flow of operations.
- Trained new hires on proper front desk operations and provided ongoing coaching to ensure job performance excellence.
- Implemented departmental policies and standards in conjunction with management to streamline internal processes.
- Managed office personnel schedules and implemented coverage for increased work demands or unexpected absences.
Daycare Teacher
Alphabet Club
Uvalde, TX
01.2003 - 01.2009
- Observed children for signs of illness, injury, emotional disturbance, learning disorders, and speech problems.
- Introduced learning activities and imaginative play to teach children to explore.
- Implemented behavior management strategies to encourage appropriate behaviors in the classroom setting.
- Assisted with toilet training and diaper changing when necessary.
- Created and maintained a clean, organized, and stimulating environment conducive to learning.
- Maintained supplies inventory for the classroom including art materials and books.
- Maintained accurate records of children's attendance, progress, and health concerns.
- Demonstrated excellent organizational skills while managing multiple tasks simultaneously.
- Communicated with parents regularly to maintain student progress, schedule meetings, and increase overall student happiness.
Education
Associate of Arts - Foundation in Business
University of Phoenix
Tempe, AZ05-2012
High School Diploma -
Brownfield High School
Brownfield, TX05-1999
Skills
- Referral and Authorization coordination
- HIPAA compliance
- Patient advocacy
- Customer service
- Meditech 60 Software
- Nexgen Software
- Expanse
- PerfectServe
Timeline
Referrals and Authorization Coordinator
Uvalde Memorial Hospital - Rehab Department
05.2024 - Current
Admissions Clerk
Uvalde Memorial Hospital - UMSA Orthopedics
04.2010 - Current
Daycare Teacher
Alphabet Club
01.2003 - 01.2009
Associate of Arts - Foundation in Business
University of Phoenix
High School Diploma -
Brownfield High School