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. I am always eager to learn and grow.
Overview
7
7
years of professional experience
Work History
Area Sales Manager
Enhabit Home Health and Hospice
Brownwood, TX
05.2023 - Current
Planned, developed and implemented sales strategies in an assigned region.
Conducted market research to identify customer needs and trends.
Identified new business opportunities within the region through networking activities.
Maintained relationships with existing clients to ensure their satisfaction with products and services offered.
Resolved customer complaints in a timely manner while ensuring high levels of customer satisfaction.
Implemented innovative approaches for increasing brand awareness among target audience.
Lead Referral Specialist
AccelHealth
Brownwood, TX
04.2017 - 04.2023
Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
Researched and responded to inquiries from providers regarding pending or denied referrals in a timely manner.
Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
Collaborated with team members to ensure the accuracy of referral data entered into the system.
Provided support to referring physicians in obtaining pre-authorization for services as necessary.
Created reports summarizing referral activity on a weekly basis for management review.
Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
Developed strategies for improving efficiency within the department while maintaining high standards of customer service.
Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
Reviewed demographic, clinical and insurance information before sending to referred specialists.