Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

LUCY REYNA

Diboll,TX

Summary

Adept at optimizing patient care through efficient referral coordination, I leveraged my expertise in insurance verification and patient scheduling at Cathcart Medical Clinic to enhance service delivery. My proactive approach and strong communication skills ensured seamless collaboration with healthcare professionals, significantly improving referral processing times. Achievements include developing comprehensive care plans, underpinned by a solid foundation in HIPAA regulations and database management.

Overview

Work History

Referral Coordinator

Cathcart Medical Clinic
  • Evaluated patient needs, provider availability, and insurance coverage for optimal scheduling.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Scheduled appointments with specialists on behalf of clients.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Monitored referrals to foster timely completion and followed up with physicians to facilitate.
  • Attended continuing education courses to stay current on referral processes and best practices.
  • Processed referral requests from patients, doctors and other health care professionals.
  • Assisted with completion of referral forms and verified data accuracy and completion
  • Developed and maintained strong working relationship with referral sources to streamline processing.
  • Facilitated referrals to other healthcare providers and resources to bridge service gaps.
  • Responded to patient inquiries to offer timely updates regarding referral status.
  • Communicated with patients, ensuring that medical information was kept private.
  • Scheduled surgeries, managed pre-certifications and verified insurance coverage.
  • Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
  • Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
  • Created customized care plans, working with hospital staff and families to assess and meet individual needs.

Education

Geaduate -

Diboll High School
Diboll, TX
1998

Skills

  • Patient records oversight
  • Multi-line telephone operation
  • Multi-line phone proficiency
  • Insurance precertification processes
  • Notetaking and documentation
  • Database management
  • Insurance verification
  • Record preparation
  • Diagnostic appointments
  • Accurate documentation
  • Referral tracking
  • Scheduling software
  • Electronic patient charts
  • Physician authorizations
  • Patient scheduling
  • Medical scheduling
  • HIPAA regulations
  • Referring physician communication
  • Referral wait list management
  • Pre-authorizations
  • Data entry proficiency
  • Appointment scheduling

Languages

Spanish
Professional Working

Timeline

Referral Coordinator

Cathcart Medical Clinic

Geaduate -

Diboll High School
LUCY REYNA