Monika Seay
Hawkins,TX
Summary
Efficient Referral Coordinator with a proven track record of increasing responsibility in the Healthcare industry. Possessing extensive expertise in medical terminology, insurance processes, and proficiency in ICD-9, ICD-10, and CPT codes. Having proven to deliver an exemplary level of healthcare service to patients and leveraging strong organizational skills and attention to detail to ensure seamless coordination and timely referrals.
Overview
8
8
years of professional experience
Work History
Referral Coordinator
UT Health East Texas
10.2021 - 01.2024
- 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.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Processed referral requests from patients, doctors and other health care professionals.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- 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.
Patient Account Representative
Fresenius Medical Care
03.2018 - 09.2021
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Enhanced patient satisfaction by efficiently processing authorization requests and verifying eligibility.
- Developed strong relationships with healthcare providers through consistent professional communication, fostering trust and support between parties during the authorization process.
- Leveraged strong communication skills to negotiate settlements with delinquent account holders while maintaining professionalism and courtesy at all times.
- Improved cash flow by efficiently managing outstanding accounts receivable balances.
- Contributed to company growth by consistently meeting or exceeding monthly collection targets.
- Maximized revenue recovery by diligently pursuing underpaid or denied claims through appeals and adjustments when necessary.
Assistant Sales Manager
Russell Cellular
04.2016 - 03.2018
- Resolved customer issues promptly, maintaining high levels of customer satisfaction and trust in the brand.
- Trained new hires on product knowledge, enhancing their ability to sell confidently and successfully close deals.
- Developed strong client relationships for repeat business and increased referrals.
- Cultivated a positive work environment through fostering teamwork, open communication channels among staff members contributing towards higher employee satisfaction and retention rates.
- Completed store opening and closing procedures by counting drawers and managing security.
- Achieved sales targets consistently by driving daily sales activities and managing the sales pipeline effectively.
Education
Associates in Healthcare Administration -
Tyler Junior College
Tyler, TX01.2022
High School Diploma -
Mineola High School
Mineola, TX01.2008
Skills
Pre-authorizations
Insurance Verification
Medical Terminology
Multi-line phone proficiency
Patient Scheduling
Data entry proficiency
Follow-up Coordination
Healthcare Systems Understanding
Physician Authorizations
Epic Systems
HIPAA Compliance
Claims Processing
Timeline
Referral Coordinator
UT Health East Texas
10.2021 - 01.2024
Patient Account Representative
Fresenius Medical Care
03.2018 - 09.2021
Assistant Sales Manager
Russell Cellular
04.2016 - 03.2018
High School Diploma -
Mineola High School
Associates in Healthcare Administration -
Tyler Junior College
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