Hard working and self-motivated Referral Coordinator with 10+ years of increasing responsibility in the medical industry. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. Highly organized with excellent time management skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Referral Coordinator
Healthy Partners
08.2019 - Current
Schedule appointments with specialists on behalf of clients.
Demonstrate strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
Maintain a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
Process referral requests from patients, doctors and other health care professionals.
Respond to patient inquiries to offer timely updates regarding referral status.
Serves as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
Manage electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
Develop and maintain a strong working relationship with referral sources to streamline processing.
Develop comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
Provide education and instruction to referral sources on referral processes.
Attend continuing education courses to stay current on referral processes and best practices.
Handle pre-op paperwork and medical clearances.
Help to answer phones and schedule appointments.
Dialysis Technician
American Renal Associates
09.2010 - 08.2019
Measured and recorded patients' pre-dialysis and post-dialysis vital statistics.
Set up and operated dialysis machines for patients receiving treatment for kidney failure.
Cleaned and connected fistulas, grafts and catheters to prevent infection.
Maintained a clean and safe environment through diligent adherence to infection control protocols.
Improved patient comfort by carefully and efficiently setting up dialysis machines and monitoring patients throughout treatments.
Started and ended reverse osmosis water systems and completed water quality monitoring tests.
Explained dialysis procedures and hemodialysis machine operation to patients prior to treatment to ease anxieties.
Increased patient satisfaction by providing compassionate support and addressing concerns throughout the dialysis process.
Safely transported, transferred and positioned patients on chairs for treatment.
Cleaned and sterilized instruments, equipment and surfaces.
Maintained accurate patient charts and medical records.
Authorization Specialist
Rayus Radiology
02.2007 - 09.2010
Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
Assisted in training new team members on company policies and procedures for handling authorization requests.
Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
Education
Emergency Medical Technology
Palm Beach State College
Lake Worth, FL
05.2003
Skills
Pre-authorizations
Insurance Verification
Medical Terminology
Multi-line phone proficiency
Patient Scheduling
Data entry proficiency
Organizational abilities
Certification
Licensed Emergency Medical Technichian
Certified in CPR
Woodbadge Leadership Training
Timeline
Referral Coordinator
Healthy Partners
08.2019 - Current
Dialysis Technician
American Renal Associates
09.2010 - 08.2019
Authorization Specialist
Rayus Radiology
02.2007 - 09.2010
Emergency Medical Technology
Palm Beach State College
Licensed Emergency Medical Technichian
Certified in CPR
Woodbadge Leadership Training
Similar Profiles
GINNY KNAPPGINNY KNAPP
Front Desk Administrator at Healthy PartnersFront Desk Administrator at Healthy Partners
Program Director, Geaux Get Healthy at Mayor's Healthy City Initiative (Healthy BR)Program Director, Geaux Get Healthy at Mayor's Healthy City Initiative (Healthy BR)