Madison Jones
Pamplico,SC
Summary
Responsible professional enthusiastic about supporting best practices in hospital operations, compliance and healthcare management. Demonstrated strengths in multi-area management, quality assurance, and service. Resourceful professional and collaborative team player.
Overview
5
5
years of professional experience
2021
2021
years of post-secondary education
1
1
Certification
Work History
Patient Care Advocate
Hope Health
Florence , SC
01.2024 - 09.2025
- Coordinated patient referrals to specialists and managed communication between providers.
- Verified insurance coverage and eligibility for referred patients to ensure compliance.
- Maintained accurate patient records in the electronic health record system for efficient tracking.
- Assisted patients in completing necessary paperwork for referrals and appointments.
- Collaborated with healthcare teams to streamline referral processes and enhance patient care.
- Educated patients about referral procedures and answered questions regarding next steps.
- Monitored referral status and followed up with patients to ensure timely appointments.
- 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.
- Entered confidential patient information and updated electronic records in database.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Tracked referral request progress and resolved issues to maintain smooth processing.
- Tracked progress of each referral throughout its lifecycle from submission through authorization or denial notification.
- Gathered and verified insurance requirements to meet payer requirements.
- 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.
- Resolved escalated patient complaints relating to denied or delayed referrals promptly.
- Educated patients on how their health plan works so they can make informed decisions about their care options.
- Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
- Provided support to referring physicians in obtaining pre-authorization for services as necessary.
- Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Verified documents and associated records to catch and resolve discrepancies.
- Answered questions and resolved concerns raised by both patients and specialists.
- Compiled, recorded, or coded data from referrals or surveys using computer or specified form.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Provided exceptional customer service, addressing patient inquiries and concerns with empathy and professionalism.
- Managed patient referral process from initial consultation to specialist appointment, ensuring timely access to necessary medical services.
- Ensured compliance with healthcare regulations and policies related to patient referrals and data privacy.
- Scheduled and confirmed patient appointments and consultations.
- Analyzed referral data to identify patterns and recommend changes to referral policies and practices.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Clerical Associate
McLeod Regional Medical Center
Florence, South Carolina
04.2020 - 10.2022
- Managed patient records and ensured accurate data entry in electronic systems.
- Assisted medical staff with administrative tasks and coordinated office schedules.
- Processed incoming correspondence and directed inquiries to appropriate departments.
- Supported billing processes by verifying insurance information and patient details.
- Collaborated with team members to streamline clerical procedures and improve efficiency.
- Scheduled appointments for patients while ensuring compliance with confidentiality standards.
- Scanned documents into digital format for storage purposes.
- Answered customer inquiries via phone and email.
- Proofread all documents created before sending them out for review.
- Inputted data into spreadsheets for record keeping.
- Answered and directed phone calls to appropriate staff members.
- Maintained confidentiality of sensitive information and documents.
- Collected and entered payment data into system, maintaining complete confidentiality and accuracy.
- Answered telephones, directed calls, and took messages.
- Collaborated with physicians to ensure optimal patient care.
- Managed all incoming correspondence related to patient care.
- Collaborated with other healthcare professionals to ensure effective patient care.
- Assisted nursing staff with patient care needs and daily activities.
- Developed relationships with healthcare providers to ensure quality patient care.
- Processed patient intake forms and ensured accuracy of data entry.
- Managed patient records and updated information in electronic health systems.
- Assisted in scheduling appointments and coordinating with medical staff.
- Communicated with patients regarding inquiries and provided necessary information.
- Supported billing processes by verifying insurance details and payment records.
- Directed clients and guests to correct departments, rooms, and staff members.
- Supported patients with daily activities such as bathing, dressing, and mobility.
- Documented patient information accurately in electronic health records systems.
- Educated patients and families on health maintenance and wellness strategies.
- Responded promptly to patient calls for assistance or emergencies as needed.
Education
South Florence High School
Florence , SCSkills
- Customer service
- Referral coordination
- Patient advocacy
- Insurance verification
- Electronic health records
- Data entry accuracy
- Regulatory compliance
- Patient education
- Healthcare collaboration
- Appointment scheduling
- Conflict resolution
- Documentation management
- Communication skills
- Problem solving
- Confidentiality maintenance
- Claims processing
- Verbal and written communication
- Multitasking
- Scheduling
- HIPAA compliance
- Medical terminology
- Patient care
- Care planning
- Empathy display
- First aid and safety
- Relationship building
- Organizational skills
- Documentation
- Appointment reminders
- Referral management
- Communication
- Critical thinking
- Attention to detail
- Good Telephone Etiquette
- Problem-solving
- Excellent communication
- Data management
- Analytical and critical thinking
- Vital signs monitoring
- Clinical documentation
- Maintaining confidentiality
- Compassion and empathy
- Active listening
- Emotional support
- Flexibility and adaptability
- Basic life support
- Recording vital signs
- Patient-focused care
- Collecting vital signs
- Collecting specimens
- Emotional regulation techniques
- De-escalation techniques
- Excellent customer service skills
- Suicide prevention
- Mental health first aid
Certification
- CPR/BLS Certification
- Mental Health First Aid Certification
References
References available upon request.
Timeline
Patient Care Advocate
Hope Health
01.2024 - 09.2025
Clerical Associate
McLeod Regional Medical Center
04.2020 - 10.2022
South Florence High School