Monica Clemmons
Alexandria,VA
Summary
Dynamic Medical Referral Coordinator with extensive experience at ICallidus, excelling in patient care coordination and insurance verification. Proven ability to enhance operational efficiency and maintain HIPAA compliance while delivering exceptional customer service. Skilled in electronic medical records and adept at managing multi-line phone systems to support primary care operations.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Referral Coordinator Remote
ICallidus
Bethesda, MD
06.2021 - 12.2025
- Coordinated referral activities and patient care within integrated referral management and appointing center, ensuring seamless patient transitions.
- Conducted referral reviews with product line nurses and referral management leadership to enhance referral accuracy and compliance.
- Assessed all referrals for administrative and clinical completeness, ensuring appropriateness for patient needs.
Medical Referral Specialist
FSR (Federal Staffing Resources)/ PQC (Praire Quest)
Andrews AFB, MD
03.2016 - 06.2021
- Collected demographic information from various resources to ensure accurate patient records.
- Verified patient's eligibility for the Defense Enrollment Eligibility Reporting System (DEERS) and TRICARE ability insurance.
- Verified all acute, routine, and special radiological appointments using the Composite Health Care System (CHCS) and the Armed Forces Health Longitudinal Technology Application (AHLTA).
- Collaborated with physician offices, clinics, and registration department to streamline patient information flow.
- Retrieves medical records by following chart disposition procedures and documenting variances when charts cannot be retrieved.
- Facilitated movement of patient charts between locations to enhance record management efficiency.
- Protects the facility by adhering to professional standards, policies and procedures, federal, state, local and Joint Commission standards.
Medical Records Clerk
National Spine and Pain Centers
Greenbelt, MD
08.2015 - 12.2015
- Converted physical charts to digital EMR format, enhancing accessibility and accuracy of patient records.
- Sent office notes to primary care physicians and specialists regarding treatment information; uploaded documents into EMA for streamlined communication.
- Managed patient records and ensured accuracy of medical documentation.
- Processed incoming patient information and maintained confidentiality standards.
- Organized and filed medical records in accordance with HIPAA regulations.
Medical Clerk
U.S. Army, DeWitt Army Medical Hospital
Fort Belvoir, VA
09.2007 - 04.2011
- Welcomed patients scheduling radiology appointments, ensuring a positive first impression and streamlined check-in process.
- Verified patients' eligibility for Defense Enrollment Eligibility Reporting System (DEERS) and TRICARE insurance, facilitating access to necessary medical services.
- Verified all acute, routine, and special radiological appointments using the Composite Health Care System (CHCS) and the Armed Forces Health Longitudinal Technology Application (AHLTA).
- Acted as the primary point of contact for active duty and retired military personnel and their families to schedule radiological appointments.
- Answer incoming telephones calls from patient and referred urgent messages and patients' results for immediate action to the appropriate medical personnel.
- Coordinated scheduling of laboratory tests, x-rays, and radiation therapy using manual forms and office automated system, ensuring timely patient care.
Medical Administrative Specialist
Office of Dr. George O. Jones, Internal Medicine
Alexandria, VA
08.2005 - 09.2007
- Opened and closed office daily, ensuring readiness for patient services.
- Greet patients with appointments, collect insurance co-pays, and refer patients to appropriate clinic.
- Assisted patients in preparation for physical examinations and procedures, including taking vitals and administering injections.
- Answered telephones to schedule and confirm patient appointments, including follow-up visits.
- Maintained medical records and files.
- Complied, recorded medical charts, reports, and correspondence.
- Prepared and processed patient referrals to ensure timely access to specialized care.
Education
Certificate of Technical Studies - Medical Administrative Specialist
ACT College
Rosslyn, VA06-2005
None -
TC WILLIAMS HIGH SCHOOL
Alexandria, VA01-1997
Skills
- Medical office experience
- Electronic medical records
- Insurance verification
- HIPAA compliance
- Primary care support
- Front desk operations
- Receptionist duties
- Scheduling expertise
- Billing knowledge
- Phone management
- Customer service excellence
- Telework
Certification
Secret Clearance
Timeline
Medical Referral Coordinator Remote
ICallidus
06.2021 - 12.2025
Medical Referral Specialist
FSR (Federal Staffing Resources)/ PQC (Praire Quest)
03.2016 - 06.2021
Medical Records Clerk
National Spine and Pain Centers
08.2015 - 12.2015
Medical Clerk
U.S. Army, DeWitt Army Medical Hospital
09.2007 - 04.2011
Medical Administrative Specialist
Office of Dr. George O. Jones, Internal Medicine
08.2005 - 09.2007
Certificate of Technical Studies - Medical Administrative Specialist
ACT College
None -
TC WILLIAMS HIGH SCHOOL