Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kristine Lamb

Charlotte,NC

Summary

Referral Specialist offering background coordinating and managing patient referral process. Gifted at obtaining required documentation, answering patient questions and communicating with insurance providers. Mastery of medical and insurance terminology and abbreviations.

Motivated high school student with a track record of academic excellence looking for part-time work. Intends to develop professional work experience utilizing excellent communication and time management skills.

Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

2025
2025
years of professional experience

Work History

Patient Service Specialist

Atrium Health Pineville
Pineville, NC28210
03.2023 - Current
  • Greeted patients upon arrival and verified patient information.
  • Provided assistance with completing paperwork, such as insurance forms and medical history.
  • Answered incoming calls and responded to inquiries in a timely manner.
  • Verified patient coverage prior to appointment scheduling.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Reviewed eligibility responses to assess patient benefit level and prepare estimates.
  • Explained policies, procedures and services to patients.
  • Obtained informed consent and payment documentation from patients and filed in system.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Verified patients' insurance and payment methods during admissions or check-in processes.
  • Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.

Referral Specialist

physicans East
Greenville, NC
06.2021 - 01.2023

Front desk receptionist, phone customer call operator, scheduling appointments, insurance verification and editing, diagnostic scheduling, coordinating outside referrals to other specialists and diagnostic services.

  • Answered questions and resolved concerns raised by both patients and specialists.
  • Managed and obtained insurance authorizations for patient referrals from physicians.
  • Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
  • Verified documents and associated records to catch and resolve discrepancies.
  • Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
  • Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for [Area of expertise] services.

Clinical Referral Specialist

Yale New Haven Health System
New Haven, CT
04.2002 - 01.2021
  • Assisted patients by answering questions and providing information regarding referrals.
  • Collected required signatures to initiate referral process.
  • Managed up to [Number] patient referrals daily through multi-line telephone system.
  • Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
  • Compiled, recorded, or coded data from referrals or surveys using computer or specified form.
  • Performed additional office duties, handling patient service inquiries and receiving payments.
  • Entered confidential patient information and updated electronic records in database.
  • Contacted patients to confirm or reschedule appointments to minimize no-show appointments.
  • Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
  • Identified and resolved inconsistencies in patient responses by means of appropriate questioning or explanation.
  • Managed and obtained insurance authorizations for patient referrals from physicians.
  • Answered questions and resolved concerns raised by both patients and specialists.
  • Reviewed demographic, clinical and insurance information before sending to referred specialists.
  • Obtained PA for services such as diagnostic imaging.
  • Tracked referral request progress and resolved issues to maintain smooth processing.
  • Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for Breast Oncology services, Endocrinology Services thoracic oncology, and GYN oncology services.

Patient Services Coordinator

Novant Health, Inc
Charlotte, North Carolina
  • Provided directions and information to patients and families, enhancing their hospital experience.
  • Taught volunteers how to relate to guests, uphold patients' rights and respond to specific issues.
  • Facilitated patient registration, verifying all required documentation is collected and filed properly.
  • Facilitated communication between clinical staff members to ensure continuity of care.
  • Processed insurance verifications and authorizations to ensure coverage of services.
  • Assembled registration paperwork and placed identification bands on patient.
  • Handled high volume of incoming calls, providing exceptional customer service to patients and families.
  • Answered questions from patients regarding their accounts and billing inquiries.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
  • Utilized hospital systems to update patient records, ensuring accuracy and completeness.
  • Monitored waiting areas to ensure a comfortable and safe environment for patients and visitors.
  • Greeted patients and visitors in a friendly and professional manner.
  • Documented patient counters in hospital system and initiated follow-up actions.
  • Processed referrals for specialty care services as needed.
  • Oversaw patient registrations by collecting information, verifying benefits and submitting paperwork.

Education

High School Diploma -

Hamden High School
Hamden, CT
06.1987

Some College (No Degree) - Basic Electronic Technology

Greater New Haven State Technical College
New Haven, CT

Skills

  • Anatomy and Physiology Terms
  • Multi-Line Phone Proficiency
  • Insurance Precertification Processes
  • Accurate Documentation
  • Customer Service
  • Appointment Scheduling
  • Epic Systems
  • Taking Client Histories
  • Patient Scheduling
  • Insurance Authorizations
  • Patient Health Information Access
  • Patient Referral
  • Scheduling Tests and Procedures
  • Data Entry
  • Cash Handling
  • HIPAA Compliance

Timeline

Patient Service Specialist

Atrium Health Pineville
03.2023 - Current

Referral Specialist

physicans East
06.2021 - 01.2023

Clinical Referral Specialist

Yale New Haven Health System
04.2002 - 01.2021

High School Diploma -

Hamden High School

Some College (No Degree) - Basic Electronic Technology

Greater New Haven State Technical College

Patient Services Coordinator

Novant Health, Inc
Kristine Lamb