Michelle Gordon
Springfield,MO
Summary
Detail-oriented healthcare coordinator skilled in managing patient referrals and ensuring compliance with insurance verification and prior authorization. Excels in maintaining accurate electronic health records and optimizing scheduling systems. Communicates effectively with healthcare professionals and patients to enhance care coordination while adhering to HIPAA regulations in all aspects of patient information management.
Overview
10
10
years of post-secondary education
38
38
years of professional experience
Work History
Referral Coordinator
Mercy Hospital
Springfield, MO
09.2024 - Current
- Coordinated patient referrals within Mercy Hospital provider network and specialty services.
- Verified insurance coverage and prior authorization requirements for incoming referrals.
- Scheduled specialist appointments using Mercy Hospital scheduling systems and calendars.
- Communicated with physicians, nurses, and patients about referral status and next steps.
- Updated electronic medical records with referral details and authorization information.
Patient Access Representative
Mercy Hospital
Springfield, MO
05.2021 - 09.2024
- Verified insurance eligibility and benefit details for patient access workflows
- Verified insurance coverage for services provided by the facility.
- Registered patients in Mercy Hospital admissions and outpatient departments
- Collected demographic, contact, and guarantor information during intake
- Collected co-pays and other payments from patients at time of service.
- Updated electronic health records with accurate patient access data
- Applied HIPAA privacy and security regulations while handling patient information.
Surgery Scheduler
Mercy Eye Specialist
Springfield, MO
09.2013 - 05.2021
- Coordinated pre-op testing, clearance, and follow-up visits with clinic staff to streamline patient readiness for surgery.
- Verified insurance coverage and obtained surgical authorizations to facilitate surgery scheduling and minimize delays.
- Scheduled surgeries for Mercy Eye Specialist patients, ensuring timely procedures and optimal patient flow.
Optical Manager
The Vision Clinic
Springfield, MO
08.1998 - 09.2013
- Managed patient eyewear orders, fittings, and frame adjustments.
- Reviewed prescriptions and verified lens specifications with vendors.
- Monitored frame inventory and reordered merchandise for clinic needs.
- Supervised optical clinic staff and daily dispensary operations.
Lab Manager
LensCrafters
Springfield, MO
05.1988 - 08.1998
- Managed LensCrafters optical laboratory daily workflow and staffing
- Oversaw lens edging, mounting, and finishing processes
- Inspected eyewear orders for accuracy, fit, and quality
Education
Bachelor of Science - Psychology
Missouri State University
Springfield, MO 08.1988 - 12.1998
Skills
- Referral coordination
- Prior authorization
- Insurance verification
- Pre-authorizations
- Referral tracking
- Appointment scheduling
- Medical scheduling
- Care coordination
- Scheduling systems
- EHR documentation
- Electronic patient charts
- Insurance precertification processes
- Follow-up coordination
- Referring physician communication
- Medical billing
- Database management
- Data entry proficiency
- Attention to detail
- Time management
- Problem solving
- Team collaboration
- Effective communication
- Interpersonal skills
- HIPAA compliance
- Healthcare systems
- Multi-line phone proficiency
- Multi-line telephone operation
- Notetaking and documentation
- Organizational development
- Employee work scheduling
- Referral wait list management
- Inventory management
- Medical terminology
- Medical terminology knowledge
Timeline
Referral Coordinator
Mercy Hospital
09.2024 - Current
Patient Access Representative
Mercy Hospital
05.2021 - 09.2024
Surgery Scheduler
Mercy Eye Specialist
09.2013 - 05.2021
Optical Manager
The Vision Clinic
08.1998 - 09.2013
Bachelor of Science - Psychology
Missouri State University
08.1988 - 12.1998
Lab Manager
LensCrafters
05.1988 - 08.1998