Detail-oriented and organized professional with a strong commitment to reliability and trustworthiness. Proven ability to manage tasks efficiently while maintaining a compassionate approach in all interactions. Dedicated to delivering high-quality results and fostering positive relationships in the workplace.
Overview
19
19
years of professional experience
Work History
Referral Authorization Specialist and Community Health Worker
Baldwin Family Healthcare
Big Rapids, MI
07.2024 - Current
Secured authorizations for all ordered diagnostic tests to ensure timely processing.
Managed appeals for denied authorizations, ensuring continuity of patient care and timely access to necessary services.
Coordinated referrals to specialists, including behavioral health practitioners.
Facilitated referral management and diagnostic testing processes for healthcare providers.
Compiled documentation including office notes, lab results, and authorizations to facilitate seamless referral processes.
Documented interactions and followed up on referral statuses with patients and facilities.
Initiated calls to patients, facilities, and insurance companies to coordinate appointments and secure authorizations efficiently.
Provided resources for housing, food, shelter, utilities, and health insurance to multiple counties as a Certified Community Health Worker.
Scheduler
Renal Associates of West MI
Grand Rapids, MI
05.2023 - 07.2024
Scheduled new patient referrals and established patients for appointments with 12 nephrologists and 3 nurse practitioners.
Coordinated incoming calls to schedule appointments and accurately update patient records, ensuring seamless patient flow.
Maintained and updated patient charts in Epic with essential medical information and insurance details to support care continuity.
Recorded patient concerns and medication inquiries for effective communication to doctors and nurses, enhancing patient care.
Communicated schedule changes effectively across the organization.
Sales Consultant
Betten Baker Ford
Coopersville, MI
06.2022 - 05.2023
Guided customers through purchase processes, ensuring seamless transaction experiences.
Assisted customers in selecting vehicles that aligned with their individual needs and preferences, enhancing satisfaction.
Conducted product demonstrations to highlight vehicle features and benefits.
Executed cold calling campaigns to generate interest in vehicle offerings among potential clients.
Managed customer inquiries via phone, email, and in-person interactions.
Built rapport with clients, fostering long-term relationships and repeat business.
Collaborated with team members to devise effective sales strategies.
Provided detailed information on financing options and current promotions, facilitating informed purchasing decisions.
Referral Specialist
Hackley Community Care
Muskegon, MI
06.2020 - 05.2022
Facilitated seamless patient referrals from Hackley Community Care physicians, enhancing patient access to care.
Ensured timely access to healthcare services through effective patient referral coordination.
Coordinated documentation and scheduling processes to secure timely prior authorizations for procedures.
Coordinated follow-up calls to patients, facilities, and insurance companies for appointments and authorizations.
Oversaw accurate records of referrals and follow-ups, ensuring compliance verification and improving operational integrity.
Paraprofessional
Reeths-Puffer Schools
12.2019 - 05.2020
Implemented behavioral strategies to enhance student outcomes.
Utilized positive reinforcement techniques to effectively redirect negative behaviors and promote constructive classroom interactions.
Facilitated student engagement in classes, enhancing focus and participation during lessons.
Engaged with parents to provide updates on student progress and address individual learning needs.
Participated in professional development workshops to improve skills relevant to responsibilities.
Teacher Assistant
Wintersun schoolhouse
Muskegon, Michigan
11.2017 - 12.2019
Implemented educational games to boost student engagement and learning outcomes.
Facilitated daily activities that promoted exploration and learning for infants and toddlers, enhancing developmental milestones.
Maintained safety during daily activities while supervising children's play.
Communicated effectively with parents about children's progress and needs, fostering collaborative partnerships for better support.
Organized and maintained a clean, safe environment conducive to development.
Collaborated with team members to foster a supportive learning atmosphere.
Monitored children's health and reported concerns to appropriate staff promptly.
Developed and implemented individualized care plans that addressed each child's unique needs, supporting their growth and development.
Receptionist/Insurance Specialist
Mercy health sleep center
Muskegon, MI
11.2016 - 11.2017
Streamlined patient check-in and check-out processes, improving overall patient experience.
Processed insurance information and verified eligibility for services to ensure coverage.
Scheduled appointments and coordinated with insurance companies for timely authorizations.
Scheduled appointments and coordinated with healthcare professionals to optimize patient flow.
Managed multi-line phone system, ensuring timely call direction to appropriate departments.
Maintained accurate patient records, updating information regularly for compliance.
Documented patient interactions in charts to maintain comprehensive medical records.
Assisted in keeping reception area clean and organized for optimal visitor experience.
CNA - Certified Nursing Assistant
Mercy Health
Muskegon, MI
06.2007 - 10.2016
Monitored vital signs and reported changes to nursing staff.
Assisted patients with activities of daily living to enhance comfort and independence.
Facilitated patient ambulation and transfers using proper body mechanics.
Responded promptly to patient call lights and requests for assistance.
Provided emotional support and companionship to patients and families to foster a caring environment.
Documented patient information accurately in electronic health records.
Trained new staff on caregiving procedures and protocols to ensure consistent quality of care.
Ensured compliance with HIPAA regulations regarding confidentiality of information.
Education
High school diploma -
Orchard View High School
Muskegon, MI
01-2003
Skills
Authorization management
Referral coordination
Medical documentation
Patient scheduling
Healthcare communication
Insurance verification
Patient advocacy
Attention to detail
Effective communication
Time management
Microsoft office and outlook proficiency
Timeline
Referral Authorization Specialist and Community Health Worker