Mireya Russo
Hanford,CA
Summary
Referral Coordinator with a proven track record at Advent Health, excelling in insurance verification and pre-authorizations. Demonstrates expertise in accuracy and ensuring seamless patient appointments and referral processes. Known for exceptional organizational skills and a results-driven approach, significantly enhancing patient and staff satisfaction.
Overview
23
23
years of professional experience
Work History
Referral Coordinator
Advent Health
08.2008 - Current
- Processes referrals, verifies referrals are correctly ordered . Obtains benefit verification and necessary authorizations (referrals, pre-certification) prior to patient appointments.
- Use online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans.
- Serves as navigator and point of contact for patients and clinic staff,and support staff with questions, requests and concerns regarding the status of patient referrals.
- Obtain a Specialty appointment within time frame that patient and provider request.
Admitting Clerk
Adventist Medical Center Hanford
10.2001 - 12.2004
- registered patients for lab work and radiology services.
- Preregistered patients for surgery
- Verified insurance and took copays and any out of pocket payments prior to surgery
- switchboard operator
- Performs other job-related duties as assigned.
Education
No Degree - General Studies
West Hills College - Lemoore
Lemoore, CAHigh School Diploma -
Lemoore High School
Lemoore, CA06.1994
Skills
- Pre-authorizations
- Insurance Verification
- Medical Terminology
- Multi-line phone proficiency
- Data entry
- Referral process
- Appointment scheduling
Timeline
Referral Coordinator
Advent Health
08.2008 - Current
Admitting Clerk
Adventist Medical Center Hanford
10.2001 - 12.2004
No Degree - General Studies
West Hills College - Lemoore
High School Diploma -
Lemoore High School