Referral professional prepared to leverage in-depth knowledge of client referrals and coordination. Known for effectively managing complex referral processes and ensuring seamless client experiences. Focused on team collaboration, adaptability, and achieving consistent results. Skilled in communication and problem-solving, bringing reliability and responsiveness to changing needs.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Referral Specialist
Resource Care Cross Plains Tx
07.2019 - 08.2025
Gather proper documentation to input referral- Obtain insurance authorizations-Schedule appointments as needed
Request consultation notes for follow up once patients are seen
Release of information. Updating EHR with incoming records.
Called insurance companies to get precertification and other benefits information on behalf of patients.
Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
Streamlined referral processes for increased efficiency, resulting in timely appointments for patients.
Verified insurance benefits and eligibility for [Type] procedures before referring clients.
Promoted clear communication between primary care providers and specialists through detailed documentation and follow-up calls.
Developed strong relationships with external healthcare facilities, fostering a collaborative approach to patient care coordination.
Built professional relationships with service providers.
Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Scheduled appointments with specialists on behalf of clients.
Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
Enhanced patient satisfaction by promptly addressing inquiries and resolving issues related to referrals.
Ensured continuity of care by regularly updating patient records with recent test results or changes in medical history.
Acted as a liaison between referring physicians and specialists, establishing trust and rapport through professionalism.
Reduced wait times for specialist appointments by diligently following up on pending referrals.
Provided ongoing training for new Referral Specialist staff members, ensuring consistent quality service delivery across the team.
Supported healthcare team members by providing detailed patient information for seamless transitions between providers.
Contributed to the development of referral policies and procedures, enhancing departmental operations.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Linked families to relevant community support to meet non-medical needs.
Conducted regular audits of referral records to maintain compliance with industry regulations and company standards.
Processed referral requests from patients, doctors and other health care professionals.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Answered phone calls and messages for [Number]-physician [Type] medical facility, scheduling appointments, and handling patient inquiries.
HIM Coder/Medical Records Clerk
Eastland Memorial Hospital
02.2017 - 07.2019
Outpatient coding Labs, Radiology and Emergency Room.
Responsible for scanning charts to patient's electronic medical record.
Responsible for safeguarding all patient records and stay HIPAA compliant.
Respond to requests for patient records by patients and other external sources appropriately under HIPAA guidelines.
Education
High School -
Barbers Hill High School
Mont Belvieu, Tx
01.1993
undefined
Texas State Technical College
Abilene, Tx
01.2018
Skills
Insurance verification
Data entry proficiency
Pre-authorizations
Medical terminology
Follow-up skills
Healthcare industry
Multi-line telephone operation
Medical terminology knowledge
Physician reports
Referral tracking
Referring physician communication
Outbound calls
Insurance authorizations
Organization and time management
HIPAA compliance
Problem-solving
Data entry
Adaptable and flexible
Certification
Medical Office Specialist Cert I
Timeline
Referral Specialist
Resource Care Cross Plains Tx
07.2019 - 08.2025
HIM Coder/Medical Records Clerk
Eastland Memorial Hospital
02.2017 - 07.2019
undefined
Texas State Technical College
High School -
Barbers Hill High School
Section name
Prior to getting my Certification in 2018 I was a Mother and Homemaker.
Provider Appeal & Written Specialist at Health Care Services Corporation (Blue Cross Blue Shield of TX, IL, MT, NM, OK)Provider Appeal & Written Specialist at Health Care Services Corporation (Blue Cross Blue Shield of TX, IL, MT, NM, OK)
Vice President Data & Analytics Solutions at HEALTH CARE SERVICE CORPORATION (BLUE CROSS BLUE SHIELD OF IL, TX, MT, NM, OK)Vice President Data & Analytics Solutions at HEALTH CARE SERVICE CORPORATION (BLUE CROSS BLUE SHIELD OF IL, TX, MT, NM, OK)