Open To Work
Kelli Wearn
Lakewood,WA
Summary
Dynamic healthcare professional with extensive experience at Virginia Mason Franciscan Health, excelling in patient access and referral coordination. Proven expertise in insurance verification and appointment scheduling, coupled with exceptional organizational skills. Enhanced patient satisfaction through streamlined processes and effective communication, contributing to improved departmental efficiency and compliance with healthcare regulations.
Overview
17
17
years of professional experience
Work History
Referral Coordinator
Virginia Mason Franciscan Health
10.2008 - Current
- Coordinated patient referrals, ensuring timely communication between providers and patients.
- Managed referral documentation, maintaining accuracy and compliance with healthcare regulations.
- Facilitated scheduling of appointments, optimizing patient flow and resource allocation.
- Trained new staff on referral processes and systems, enhancing team efficiency and performance.
- Collaborated with clinical teams to streamline referral workflows, improving turnaround times.
- Implemented best practices for managing complex referrals, reducing errors and enhancing patient satisfaction.
- Led initiatives to enhance electronic health record integration for seamless referral management.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Scheduled appointments with specialists on behalf of clients.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care.
- Enhanced patient satisfaction with timely coordination of referrals and appointments.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
- Assisted with completion of referral forms and verified data accuracy and completion
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Streamlined referral process by implementing efficient tracking and communication systems.
- Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
- Contributed to practice growth by maintaining positive relationships with both patients and referring providers.
- Improved departmental workflow by assisting colleagues with tasks such as appointment scheduling or insurance verification when needed.
- Supported clinical team in managing complex cases through effective coordination of multiple referrals and appointments.
- Assisted with staff training initiatives related to the referral process, sharing expertise gained from professional experience.
- Developed strong relationships with healthcare providers to ensure broad network of specialists for patient referrals.
- Contributed to development of referral policies and procedures, ensuring compliance with healthcare regulations.
- Coordinated with insurance companies to verify coverage, facilitating smoother patient experience.
- Implemented tracking system for referral outcomes, enabling continuous improvement of referral process.
Patient Access Representative
Virginia Mason Franciscan Health
10.2008 - Current
- Managed patient registration processes, ensuring accuracy and compliance with healthcare regulations.
- Coordinated insurance verification to expedite patient access and minimize billing discrepancies.
- Assisted patients in navigating healthcare services, enhancing overall patient experience and satisfaction.
- Streamlined appointment scheduling procedures, reducing wait times for patients and improving service efficiency.
- 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.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
Education
No Degree - Computer Information Systems
Clover Park Technical College
Lakewood, Washington, WASkills
- Pre-authorizations
- Insurance verification
- Medical terminology
- Patient scheduling
- Multi-line phone proficiency
- Medical terminology knowledge
- Data entry proficiency
- Appointment scheduling
- Follow-up coordination
- Accurate documentation
- Scheduling software
- HIPAA regulations
- Notetaking and documentation
- Database management
- Physician authorizations
- Record preparation
- Google suite proficiency
- Caseload management
- Multi-line telephone operation
- Organizational growth
- Healthcare systems
- Referring physician communication
- Diagnostic appointments
- Insurance precertification processes
- Outbound calls
- Appointment reminders
- Electronic patient charts
- Referral tracking
- HIPAA guidelines
- Epic systems
- Utilization management
- Critical thinking
- Records maintenance
- Schedule management
- Patient care assessment
- Electronic medical record software
- Health information systems
Patient check-in
Patient registration
HIPAA compliance
Customer service
Multitasking and organization
Phone and email etiquette
Registration and admissions
Healthcare systems navigation
Strong empathy
Problem-solving
Team collaboration
Money handling
Quality assurance
Relationship building
Eligibility determination
Payment processing
Conflict resolution
Information collection
Referral coordination
Fee collection
Friendly and outgoing
Customer follow-up
Verbal and written communication
Electronic health records
Data entry
Policy understanding
Privacy regulations knowledge
Health insurance knowledge
Patient identity verification
Registration and scheduling
Attention to detail
Caring and empathetic
Medical insurance
Calm and effective under pressure
Insurance authorizations
Punctual and hardworking
Patient documentation
Insurance verifying
Administrative and office support
Resolving problems
Multi-line telephone systems
Data collection
Gathering information from patients
Insurance forms processing
Patient confidentiality and data security
Work Preference
Work Type
Full TimeLocation Preference
On-SiteRemoteTimeline
Referral Coordinator
Virginia Mason Franciscan Health
10.2008 - Current
Patient Access Representative
Virginia Mason Franciscan Health
10.2008 - Current
No Degree - Computer Information Systems
Clover Park Technical College