LAURA FILLBRANDT

Detail-oriented professional with experience in processing claims and recoveries for diverse medical groups. Supervised front office operations, managed high-volume calls, and ensured accurate claim processing for contracted and non-contracted providers. Trained new employees on Ez-Cap 6X Software, enhancing team efficiency.

Referral Coordinator-

1. Processed referrals at a PCP level.

2. Built a relationship with the contracted medical group's

3. Submitted referral's with the correct ICD-10 code along with the correct CPT codes along with the notes from the provider to justify the referral request ( Example ) Labs,Plain X-ray, CT scan versus an MRI, also notes from a hospital discharge.

4. I communicate with the patient to check the history of the specialist they are seeing now if the provider is non contracted i would reach out to the medical group to see if an LOA could be processed as continuity of care versus the patient seeing the specialist in the network first.

5. My passion has always been about giving back and making sure that the patient's are directed to the correct specialist.

6. Logging of referrals processed for audit purposes with the medical group versus the health plan.

7. Documentation is very important for every call, every referral, along with the patient care.