Nakia S. Jones
Washington
Summary
Well-rounded background in customer support with proven ability to improve customer satisfaction. Additionally, I am skilled in medical office management, Patient Registration, Medical Records, Referrals, Prior Authorizations, Insurance Verifications as well as administrative duties within a healthcare and dental setting
Overview
16
16
years of professional experience
Work History
PATIENT CARE COORDINATOR
BEACON ORAL SURGERY
LAUREL
07.2024 - Current
- OPEN AND CLOSE LOBBY DAILY, CHECK IN AND CHECK OUT PATIENTS EFFICIENTLY TO STREAMLINE LOBBY OPERATIONS AND CREATE A WELCOMING ENVIRONMENT. Managed treatment plan discussions to ensure clarity and effective communication throughout care process, verified patients' insurance prior to visit. Scheduled patient appointments through phone and in-person interactions to ensure timely care delivery. Educated patients on preoperative and postoperative instructions.
- Coordinated patient appointments to ensure efficient scheduling and minimize wait times.
- Managed patient records using electronic health record systems for accurate documentation.
- Communicated with insurance companies to verify patient coverage and benefits information.
PATIENT CARE COORDINATOR
SIGNET HEALTH (CALL CENTER)
WASHINGTON
09.2023 - 07.2024
- PROCESSED AND AUTHORIZED MEDICAL AND SPECIALTY REFERRALS, ENSURING COMPLIANCE WITH INSURANCE NETWORK REQUIREMENTS AND TIMELY PATIENT APPOINTMENT SCHEDULING. MAINTAINED ACCURATE REFERRAL RECORDS AND DEPARTMENTAL STATISTICS TO IMPROVE EFFICIENCY AND RELIABILITY IN PATIENT SERVICE OPERATIONS. FOSTERED COLLABORATIVE RELATIONSHIPS WITH HEALTHCARE PROVIDERS AND INSURANCE COMPANIES TO IMPROVE CLIENT CARE COMMUNICATION. ANSWERING MULTI LINE PHONE SYSTEM. Scheduled one-on-one appointments and group sessions for behavioral health.
- Coordinated patient schedules and appointments to optimize clinic workflow.
- Managed patient records using electronic health record systems for accuracy.
- Facilitated communication between patients and oral surgeons for treatment clarity.
REFERRAL COORDINATOR SUPERVISOR
WHITMAN WALKER HEALTH (REMOTE)
WASHINGTON
09.2019 - 09.2023
- Reviews and processes all medical, diagnostic and specialty referral requests; Obtained authorizations for referrals and scheduled appointments, ensuring that referrals remained within the insurance network. provides appropriate authorization information for each referral; Enters referral information into EMR system as appropriate, following all policies and procedures; Maintains departmental statistics on complete and incomplete referrals; Maintains a current resource list of community service organizations; Builds relationships with providers and insurers, facilitating communication between external parties and clients; Maintains departmental statistics on complete and incomplete referrals, creating appropriate reports as necessary; Tracks sent referrals to ensure patient kept appointment; Assists in P2P as necessary; Provides patients with options to receive necessary services from community organizations; Regularly reviews contact information for locations that WHH frequently sends referrals; Updates clinicians on delays to scheduling for specialties, changes to referral process at outside agencies; Schedules tasks that are rotated among referral coordinators; Monitors referral coordinator workload and workflow; Liaisons between management and medical staff to discuss workload; Documented patient encounters accurately within EMR, ensuring compliance with WHH guidelines.
- Achieved promotion to referral coordinator in September 2019 due to exceptional performance.
- Coordinated patient referrals to ensure timely access to healthcare services.
- Collaborated with healthcare providers to streamline referral processes and communication.
- Managed electronic medical records for accurate tracking of patient referrals.
REFERRAL COORDINATOR /TEAM LEAD
WHITMAN WALKER HEALTH
WASHINGTON
12.2010 - 09.2019
- Reviews and processes all medical, diagnostic and specialty referral requests. Obtains authorizations for referrals and schedules appointments as appropriate, ensuring that referrals are maintained within appropriate insurance network; provides appropriate authorization information for each referral; Enters referral information into the EMR system as appropriate, following all policies and procedures; Maintained departmental statistics on referral completion rates to support operational insights. Updated and managed a resource list of community service organizations to facilitate referral coordination.
- Coordinated patient referrals to ensure timely access to healthcare services.
- Communicated with providers about referral processes and patient needs.
- Managed electronic health records for accurate tracking of referrals.
Education
Continental Academy
Miramar, FLSkills
- Care coordination
- Patient scheduling
- Referral management
- Treatment planning
- Insurance verification
- EMR documentation
- Healthcare compliance
- Customer relationship management
Timeline
PATIENT CARE COORDINATOR
BEACON ORAL SURGERY
07.2024 - Current
PATIENT CARE COORDINATOR
SIGNET HEALTH (CALL CENTER)
09.2023 - 07.2024
REFERRAL COORDINATOR SUPERVISOR
WHITMAN WALKER HEALTH (REMOTE)
09.2019 - 09.2023
REFERRAL COORDINATOR /TEAM LEAD
WHITMAN WALKER HEALTH
12.2010 - 09.2019
Continental Academy