Mizzoidy Perez
Hollywood,FL
Summary
Detail-oriented Referrals Coordinator with expertise in managing patient flow, insurance verification, and HIPAA compliance. Proven ability to enhance referral processes and ensure timely service delivery.
Overview
2
2
Languages
11
11
years of professional experience
Work History
Referrals Coordinator
Miami Beach CHC
North Miami, Florida
11.2015 - Current
- Coordinated patient referrals to specialists and community health services, ensuring seamless access to necessary care.
- Verified insurance eligibility and benefits for all patient referrals accurately.
- Coordinated with healthcare providers to verify patient insurance coverage and obtain necessary pre-authorizations for treatments.
- Maintained patient confidentiality and ensured compliance with HIPAA regulations.
- Educated patients on referral procedures and available resources.
- Monitored referral status, facilitating timely service delivery and enhancing patient satisfaction.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Managed appointment scheduling and follow-up consultations to optimize patient flow.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Answered questions and resolved concerns raised by both patients and specialists.
- Coordinated with external agencies to process referrals swiftly.
- Performed data entry related to referrals into electronic health record systems.
- Reviewed data obtained from referring physicians for completeness and accuracy.
- Advised staff on appropriate protocols when making a referral.
- Compiled reports on referral activity and outcomes to support data-driven decision-making.
- Collaborated with internal departments to ensure smooth transitions for referred patients.
- Resolved conflicts between referring physicians and receiving providers.
- Conducted follow-up with patients and healthcare providers to ensure satisfaction and address any concerns post-referral.
- Communicated with patients with compassion while keeping medical information private.
Education
High School Diploma -
Miami Beach Senior High
Miami Beach, FL06-1996
Some College (No Degree) - Medical Billing Insurance And Coding
Everest University
Hialeah, FLSkills
- Referral management
- Insurance verification
- Pre-authorizations
- Precertification processes
- Appointment scheduling
- Electronic health records
- HIPAA compliance
- Patient education
- Follow-up coordination
- Telecommunication management
- Attention to detail
- Problem solving
- Medical terminology
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Referrals Coordinator
Miami Beach CHC
11.2015 - Current
High School Diploma -
Miami Beach Senior High
Some College (No Degree) - Medical Billing Insurance And Coding
Everest University