Melissa Husted
Reno,NV
Summary
Detail-oriented Referral Specialist with experience in healthcare. Provides effective communication between patients and medical professionals to ensure accurate referral processes and optimal patient care. Strong problem-solving skills and strong knowledge of medical terminology enhance collaboration with coworkers, patients, insurance companies, and medical offices.
Overview
14
14
years of professional experience
Work History
Referral Specialist
Renown Regional Medical Center
Reno, Nv
02.2019 - Current
- Submit authorization requests to multiple insurance companies to ensure timely processing of patient referrals.
- Verify insurance coverage and authorization requirements for specialty referrals.
- Engage with Therapy Departments to facilitate authorization processes for patient care. with Therapy Departments (PT, OT, ST, Wound Care) to obtain authorization for new and continuation of care for patients. Keep track of referral from submission to Approval or Denial.
- Coordinate referral routing through Epic and sending referrals to community offices.
- Review referral documentation for completeness and accuracy.
- Update patient records with referral status and scheduling notes.
- Answer phone calls and assist patient with any questions relating to referral, insurance.
- Reviewed referral requests for completeness and medical necessity.
Wound Care Technician
Renown Regional Medical Center
Reno
02.2013 - 02.2019
- Supported nurses and providers in conducting thorough wound assessments and preparing treatments to enhance patient care.
- Ensured sterile supplies, linens, and treatment room were consistently ready for wound care visits to promote effective patient outcomes.
- Monitored vital signs before and after treatment sessions.
- Maintained a safe environment for patients by following infection control protocols.
- Developed daily schedules for technicians to ensure optimal care delivery. each morning based on patient acuity to optimize care delivery.
- Assisted in the preparation of wound care supplies for treatments.
Education
Hug Highschool
Reno, NVSkills
- Prior authorization
References
References available upon request.
Timeline
Referral Specialist
Renown Regional Medical Center
02.2019 - Current
Wound Care Technician
Renown Regional Medical Center
02.2013 - 02.2019
Hug Highschool