KELLI LEE
Ellenboro,NC
Summary
Dynamic Referral Specialist with a proven track record at Gibbs Infusion Center, excelling in insurance verification and patient coordination. Adept at streamlining referral processes, enhancing efficiency, and fostering strong relationships with healthcare providers. Recognized for exceptional communication skills and attention to detail, ensuring optimal patient care and satisfaction.
Overview
23
23
years of professional experience
2
2
Certifications
Work History
Referral Specialist
Gibbs Infusion Center
05.2024 - Current
- 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 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.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Patient Access Representative
Gibbs Cancer Center/Spartanburg Medical Center
Gaffney, SC
01.2020 - 05.2024
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Facilitated smooth billing processes by verifying insurance eligibility, obtaining authorizations, and accurately entering claim details into the system.
- Developed proficiency in various healthcare software programs for accurate documentation of patient encounters and streamlined workflows within the department.
- Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
- Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
Shift Leader / Skill Trainer of Cash Sales
Cracker Barrel Old Country Store
Gaffney, SC
01.2013 - 01.2023
- Maintained regular communication with the Retail Manager concerning daily operations, sales performance, and key performance Indicators (KPIs).
- Liaise with the General Manager, Associate Managers, and Corporate in the absence of the Retail Manager.
- Managed the collection of payments for meals and merchandise, greet guests, oversee inventory stocking, provide guest assistance, conduct inventory cycle counts, and facilitate new employee training.
- Assisted in the replenishment of visual displays and adherence to planograms.
- Trained new employees and delegated daily tasks and responsibilities.
- Completed cash and credit card transactions accurately using POS software.
- Collaborated with other shift leaders to maintain consistent standards across all shifts, promoting a cohesive workplace culture.
Branch Office Coordinator
Shelby Eye Center
Gaffney, SC
01.2003 - 01.2020
- Managed patient greetings, coordinated check-in procedures, processed payments, verified and filed insurance information, and scheduled appointments for the office and two physicians.
- Arranged and scheduled surgeries, MRI, and CT scans at both the office and hospital.
- Additionally, verified insurance coverage for surgical procedures.
- Improved branch efficiency by streamlining office processes and implementing new software solutions.
- Enhanced employee morale by organizing team-building events, fostering a positive work environment conducive to collaboration and innovation.
- Managed daily operations for a smooth functioning of the branch, resulting in higher productivity and customer satisfaction.
- Conducted performance evaluations of employees under my supervision, offering constructive feedback that promoted professional development opportunities.
Education
High School Diploma -
Chase High School
Forest City, NCSome College (No Degree) - Medical Office Technology
Isothermal Community College
Spindale, NCSkills
- MS Office (Word/Excel/Outlook)
- ICD-10 coding
- CPR certification
- 10-key processing
- Insurance verification
- Data entry proficiency
- Medical terminology
- Pre-authorizations
- Database management
- Google suite proficiency
- Appointment scheduling
- Physician authorizations
- Patient confidentiality
- Multi-line telephone operation
- HIPAA regulations
- Notetaking and documentation
- Caseload management
- Administrative support
- Customer service
- Clinical support
- Computer proficiency
- Healthcare systems navigation
- Payment processing
- Referral management
- Patient coordination
- Healthcare documentation
- Customer relationship management
- Workflow optimization
- Team collaboration
- Effective communication
- Problem solving
- Attention to detail
- Time management
- Training development
- Appointment reminders
- Follow-up skills
- Patient scheduling
- Insurance precertification processes
- Organizational growth
- Referring physician communication
- Medical terminology knowledge
- Diagnostic appointments
- Referral wait list management
- Healthcare systems
- Referral tracking
- Follow-up coordination
- Multi-line phone proficiency
- MS office expertise
- Medical scheduling
- Appointment setting
- Time management abilities
- Telephone etiquette
- Organizational skills
- Communication
- Written communication
- Referral verification
- File maintenance
- Documentation review
- Employee scheduling
- Heartsaver CPR AED
- Office equipment operation
- Current procedural terminology (CPT)
- Verbal and written communication
- Relationship building
Languages
English
Full Professional
Certification
CHAA
References
References available upon request.
Timeline
Referral Specialist
Gibbs Infusion Center
05.2024 - Current
Patient Access Representative
Gibbs Cancer Center/Spartanburg Medical Center
01.2020 - 05.2024
Shift Leader / Skill Trainer of Cash Sales
Cracker Barrel Old Country Store
01.2013 - 01.2023
Branch Office Coordinator
Shelby Eye Center
01.2003 - 01.2020
High School Diploma -
Chase High School
Some College (No Degree) - Medical Office Technology
Isothermal Community College