JESSICA YOUNG
BEAUMONT
Summary
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.
Knowledgeable [Desired Position] with solid background in coordinating referral processes and ensuring seamless communication between patients and healthcare providers. Demonstrated success in managing patient information and facilitating timely referrals. Proven ability to utilize organizational and multitasking skills to enhance operational efficiency.
Overview
1
1
Language
16
16
years of professional experience
Work History
Referral Coordinator
Humana, Inc.
Beaumont
10.2016 - Current
- Provides a high level of customer service and has a limited number of patient complaints
- Referrals seen w/I 24 hours, stat addressed within 24 hours, moderate 72 hours, non or mild 5 days.
- All medical record request tracked and followed up on within 36 hours of request
- HIMS bucket - up to date. Stat records within 24 hours. All others within 7 days.
- Ensure that all email communication with 3rd parties is encrypted to ensure patient confidentiality
- Facilitated patient registration processes to ensure accurate data entry and compliance with healthcare regulations.
- Coordinated insurance verification and pre-authorization for patient services, enhancing operational efficiency.
- Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials.
- Trained new staff on system navigation and patient access protocols, fostering a supportive learning environment.
- Developed training materials for staff on updated systems and procedures, ensuring consistency in operations.
- Enhanced patient experience with empathetic communication and personalized assistance.
Senior Patient Access Representative-Referral Coordinator
UT PHYSICIANS
Houston & Beaumont, Texas
- Current
- Obtaining demographic, insurance and financial information from the patient.
- Time management, organization, communication skills
- Verifying eligibility and posting payments
- Handling incoming & outgoing referrals
- Answering telephone in timely manner
- Scheduling appointments and entering required information in computer system
- Explaining all required forms to patient or guarantor and obtaining necessary signatures
- Protecting the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options. Identifies alternative resources for financial reimbursement
Apollo Hospital
Woodlands, Texas
- 02.2016
- Answered telephone in a timely and professional manner
- Scheduled all patients for ancillary, surgical, and medical testing/procedures/admissions through the GoRev scheduling module
- Selected accurate insurance carrier plans and informed the patient or physician office staff of any carrier that is out of network or of any carrier that may result in a loss of revenue
- Informed the physician office staff or patient of any testing requirements according to the instructions and queries in the scheduling module
- Ensured that any edits performed in the scheduling module are also duplicated in the admissions module
- Maintained knowledge of the scheduling reports for the next day to ensure department readiness in the event of any unscheduled Meditech down-time
- Worked closely with the physician office staff to ensure that pre-cert/authorization numbers are entered in the scheduling or registration system
- Received incoming pre-cert mail and ensured that pre-cert/authorization numbers are entered in the scheduling or registration system
- Selected the correct patient medical record number consistently/ ICD-9 CODING FOR ER
Registration Specialist
North Cypress Medical Center
Cypress, Texas
- 03.2013
- Registered all patient types; securing all signatures necessary for treatments, release of information, etc.
- Collected deposits and co-pays
- Answered phones
- Insurance Verification
- PBX
- Charged Inpatient Room Rates
- Fixed account
ER Registrar
Conroe Regional Medical Center
Conroe, Texas
10.2010 - 03.2013
- Registered all patient types; securing all signatures necessary for treatments, release of information, etc. area to insure department standards are met.
- Processed patient charts according to paperwork flow needs and established productivity standards answer patient and visitor question
- Calculated and collected patient liable amounts
- Worked closely and professionally with nursing and ancillary departments in effort to maintain a teamwork approach
- Assisted in resolving patient concerns
- Maintained effectiveness of patient flow
- Assumed on-call responsibilities to insure adequate staffing and problem solving
- Collected deposits and copays
Education
Graduate - Medical Office Specialist
Texas School of Business
Graduate - General Studies
Kirbyville High School
Skills
- Advanced skills in MS Office, Meditech, HOST, DET, and Onesource Passport and STAR
- Knowledgeable in medical terminology and business communications; completed courses in Medical Transcription, Medical Coding, and Medical Office Procedures
- Excellent interpersonal communication skills; function well under pressure
- CITRIX, ALLSCRIPTS GECB
- Pre-authorizations
- Insurance verification
- Medical terminology
- Patient scheduling
- Follow-up coordination
- HIPAA regulations
- Referral tracking
- Insurance precertification processes
Languages
English
Timeline
Referral Coordinator
Humana, Inc.
10.2016 - Current
ER Registrar
Conroe Regional Medical Center
10.2010 - 03.2013
Graduate - General Studies
Kirbyville High School
Registration Specialist
North Cypress Medical Center
- 03.2013
Apollo Hospital
- 02.2016
Senior Patient Access Representative-Referral Coordinator
UT PHYSICIANS
- Current
Graduate - Medical Office Specialist
Texas School of Business