Kristine Myers
Rockford,MI
Summary
Experienced Referral Specialist with a proven track record in patient education and insurance authorization. Skilled in effective communication, problem-solving, and enhancing continuity of care.
Overview
30
30
years of professional experience
Work History
Referral Specialist
University of Michigan Health-West
Rockford, MI
11.1996 - Current
- Coordinated patient referrals between healthcare providers and specialists to enhance continuity of care.
- Managed appointment scheduling to ensure seamless transitions for patients.
- Maintained accurate records of referrals within electronic health system for optimal tracking.
- Communicated referral processes and requirements effectively to patients, ensuring clarity.
- Resolved patient inquiries related to referral statuses promptly.
- Collaborated with insurance representatives to verify coverage and benefits.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Tracked progress of each referral throughout its lifecycle from submission through authorization or denial notification.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Managed and obtained insurance authorizations for patient referrals from physicians.
- Collaborated with team members to ensure the accuracy of referral data entered into the system.
- Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
- Identified potential problems with referrals before submitting them to insurers and worked with providers to resolve those issues quickly.
Education
Registered Medical Assistant - Healthcare
Grand Rapids Educational Center
Grand Rapids, MI11-1996
Skills
- Referral coordination
- Insurance authorization
- Pre-authorizations
- Coverage verification
- Appointment scheduling
- Continuity of care
- Electronic health records
- Data integrity
- Compliance adherence
- Benefits verification
- Precertification processes
- Issue resolution
- Clear communication
- Patient instruction
- Patient support
- Health service coordination
- Teamwork
- Detail orientation
- Medical terminology
- Patient confidentiality
- Healthcare industry
Work Preference
Work Type
Part TimeLocation Preference
RemoteTimeline
Referral Specialist
University of Michigan Health-West
11.1996 - Current
Registered Medical Assistant - Healthcare
Grand Rapids Educational Center