Detail-oriented Referral Coordinator with a track record of managing patient referrals and appointments efficiently. Skilled in streamlining workflows to enhance patient-centric service and improve referral processing times.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Referral Coordinator
OptumHealth
Winter Garden
08.2023 - 08.2025
Coordinated patient referrals to specialists within the OptumHealth network.
Managed appointment scheduling for patients and providers efficiently.
Communicated with healthcare providers to ensure timely referral processing.
Maintained accurate patient records using electronic health record systems.
Assisted patients in understanding referral procedures and next steps.
Collaborated with clinical staff to streamline referral workflows and minimize delays.
Monitored referral status and followed up on outstanding requests regularly.
Scheduled patients according to availability, urgency and insurance authorization guidelines.
Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
Reviewed demographic, clinical and insurance information before sending to referred specialists.
Answered questions and resolved concerns raised by both patients and specialists.
Clinical Scheduler
Cardiovascular Interventions
Orlando
03.2022 - 07.2023
Scheduled patient appointments using electronic health record systems.
Coordinated communication between patients and healthcare providers.
Resolved scheduling conflicts efficiently with minimal disruption.
Maintained accurate patient records and appointment logs consistently.
Developed strategies for improving office efficiency through better utilization of resources.
Worked closely with clinical staff members to provide efficient service delivery throughout the organization.
Generated reminder letters and calls for upcoming appointments as well as follow-up calls after visit completion.
Coordinated patient appointments and scheduling of medical tests, treatments, and procedures.
Processed cancellations and rescheduling requests promptly while maintaining high customer satisfaction levels.
Responded to inquiries regarding appointment availability and provided accurate information about services offered.
Claim Specialist II
Florida Department of Economic Opportunity
Orlando
03.2020 - 06.2023
Reviewed and processed claims for unemployment benefits efficiently.
Communicated with claimants to clarify documentation and resolve issues.
Maintained accurate records of claims and correspondence in the system.
Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
Documented specific claims by completing and recording forms, reports and logs.
Clinical Support Specialist
AdventHealth Orlando
Orlando
11.2018 - 03.2020
Provided patient support by answering inquiries and addressing concerns promptly.
Coordinated communication between patients and medical staff to ensure clarity.
Managed appointment scheduling to optimize clinic workflow and patient access.
Maintained accurate electronic health records using hospital management systems.
Educated patients on treatment plans, medications, and follow-up procedures effectively.
Maintained accurate documentation of patient visits and treatments.
Answered phones promptly in a professional manner while providing excellent customer service.
Performed administrative duties such as scheduling appointments, verifying insurance coverage, and updating medical records.
Insurance Verification Specialist
Aetna Mental Health
Orlando
07.2016 - 11.2018
Verified insurance coverage for patient services and procedures.
Communicated with insurance providers to confirm eligibility and benefits.
Managed patient information in electronic health record systems.
Updated patient and insurance data and input changes into company computer system.
Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
Entered data in EMR database to record payer, authorization requirements and coverage limitations.