Summary
Overview
Work History
Education
Skills
Timeline
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Michelle Smith

Shelton

Summary

Accomplished Referral Coordinator with expertise in pre-authorizations and insurance verification at CommonSpirit Health. Enhanced patient satisfaction by streamlining referral processes and maintaining HIPAA compliance. Demonstrated critical thinking and adaptability. Strong communicator, fostering collaboration between healthcare providers and patients for optimal care delivery.

Overview

15
15
years of professional experience

Work History

Referral Coordinator

CommonSpirit Health
08.2017 - Current
  • Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
  • Scheduled appointments with specialists on behalf of clients.
  • Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
  • Processed referral requests from patients, doctors and other health care professionals.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
  • Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
  • Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Streamlined referral process by implementing efficient tracking and communication systems.
  • Supported clinical team in managing complex cases through effective coordination of multiple referrals and appointments.

Patient Access Representative

Conifer Health
02.2015 - 08.2017
  • Ensure compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
  • Assisted with administrative tasks such as filing, data entry, and report generation to support streamlined office operations.
  • Supported medical staff by coordinating diagnostic testing appointments, lab results retrieval, and necessary referrals in a timely manner.
  • Trained new hires on department procedures, policies, and software systems, ensuring consistent quality service delivery from all team members.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
  • Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.

Referral Coordinator

Kitsap Pulmonary and Sleep
06.2010 - 02.2015
  • Enhanced patient satisfaction with timely coordination of referrals and appointments.
  • Assisted with completion of referral forms and verified data accuracy and completion
  • Responded to patient inquiries to offer timely updates regarding referral status.
  • Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
  • Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
  • Supported healthcare providers with timely access to patient referral information, aiding in better clinical decision-making.
  • Developed strong relationships with healthcare providers to ensure broad network of specialists for patient referrals.
  • Played key role in integration of new electronic health record system, focusing on referral management module.

Education

High School Diploma -

Shelton High School
Shelton, WA
06-2002

Skills

  • Pre-authorizations
  • Insurance verification
  • Medical terminology
  • Patient scheduling
  • HIPAA regulations
  • Electronic patient charts
  • Epic systems
  • Critical thinking

Timeline

Referral Coordinator

CommonSpirit Health
08.2017 - Current

Patient Access Representative

Conifer Health
02.2015 - 08.2017

Referral Coordinator

Kitsap Pulmonary and Sleep
06.2010 - 02.2015

High School Diploma -

Shelton High School

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Michelle Smith