Joshua Tilton
Syracuse,UT
Summary
Dedicated professional with experience managing individualized needs in a fast-paced clinical environment. Proven ability to build meaningful relationships with patients and healthcare providers to ensure seamless and high-quality care. Skilled in coordinating treatment plans, scheduling appointments, and processing medical records. Adept at problem-solving and multitasking to streamline care coordination processes.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Referral Coordinator
Optum Primary Care - Wasatch Peak
12.2018 - Current
- Coordinate referrals by determining appropriate specialists and facilities based on patient needs, doctor recommendations, and insurance coverage
- Navigate patients' electronic health records to find clinical information that will be relevant to the referral
- These records are then submitted to specialists, as well as to insurance companies when submitting pre-certifications
- Understanding pre-certification protocol and insurance requirements to obtain authorization for patient procedures, such as radiology and cardiac procedures
- Follow up by obtaining medical records from providers and facilities we have referred to for patient coordination of care.
Receptionist/MA
Jasmer Health – Behavioral Health
04.2016 - 11.2018
- Provide a comfortable and supportive environment for patients throughout their treatment
- Coordinate patient care with other providers and healthcare facilities including submitting prior authorizations and obtaining lab results
- Collaborate with providers to assist with medication management as well as attend to any patient concerns
- Be able to navigate clinic billing software when entering insurance claims as well as have the ability to answer any billing questions.
Senior Area Operator
Fresenius Medical Care
04.2013 - 03.2016
- Supervise a team to consistently deliver quality products for use in the medical field
- Maintain and improve functionality of machinery by following best practices throughout the process
- Effectively communicate with coworkers and supervisors
- Proactively foresee and prevent potential problems
- Ensure a clean and safe work environment by maintaining cleanliness and eliminating unsafe work practices
- Follow cGMP through Standard Operating Procedures set forth by the company and the FDA.
Education
PC Repair and HTML -
Western Wyoming Community College
Business Tech -
Clearfield Job Corps Center
12.2004
Rock Springs High School
12.2000
Skills
- Insurance Verification
- HIPAA Regulations
- Medical terminology knowledge
- Pre-authorizations
- Follow-up Coordination
- Problem-solving abilities
- Analytical Thinking
- Electronic Medical Record Software
- Relationship Building
Certification
- 2007-01-01, A+ Certification
- 2018-01-01, Phlebotomy Certification
References
- Lynette Chowning, Previous Office Manager, (801) 336-8704
- Becky Wheeler, Assistant Office Manager, (801) 540-2003
- Adri Whiteside, Previous Co-worker, (801) 721-7678
- Sam Garong, Previous Co-worker, (801) 310-7622
Timeline
Referral Coordinator
Optum Primary Care - Wasatch Peak
12.2018 - Current
Receptionist/MA
Jasmer Health – Behavioral Health
04.2016 - 11.2018
Senior Area Operator
Fresenius Medical Care
04.2013 - 03.2016
PC Repair and HTML -
Western Wyoming Community College
Business Tech -
Clearfield Job Corps Center
Rock Springs High School
- 2007-01-01, A+ Certification
- 2018-01-01, Phlebotomy Certification
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