Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
Generic
Open To Work

Nikki Hanlotxomphou

Cape Coral

Work Preference

Job Search Status

Open to work
Desired start date: 2 weeks notice

Desired Job Title

Referral Specialist II-Provider Portal SupportReferral Specialist II-ShopperReferral SpecialistElementary Substitute Teacher

Work Type

Full Time

Location Preference

RemoteHybrid
Location: Cape Coral, FL
Open to relocation: Yes

Salary Range

$58000/yr - $200000/yr

Important To Me

Career advancementWork-life balanceFlexible work hoursWork from home optionCompany Culture401k matchStock Options / Equity / Profit SharingPaid sick leaveTeam Building / Company RetreatsPaid time off4-day work weekPersonal development programs

Summary

Driven professional with several years of experience facilitating referrals and obtaining authorizations and pre-certifications. Seasoned industry veteran at managing referral verification prior to patient appointments. Devoted to continually enforced practice procedures, requirements and regulations.

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

9
9
years of professional experience
10
10
years of post-secondary education

Work History

Referral Specialist II-Provider Portal Support

Elevance Health
Indianapolis
01.2026 - Current
  • Collaborated with medical teams to streamline referral workflows.
  • Utilized electronic health record systems for accurate documentation.
  • Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
  • Entered confidential patient information and updated electronic records in database.
  • Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
  • Provided support to referring physicians in obtaining pre-authorization for services as necessary.
  • Provided support for all areas relating to Database Administration including troubleshooting issues reported by users
  • Provided support to users by assisting users with troubleshooting their access issues.

Referral Specialist II-Shopper

Elevance Health
Indianapolis
08.2023 - 01.2026
  • Facilitated patient referrals to appropriate specialists and services.
  • Coordinated communication between patients, providers, and insurance representatives.
  • Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
  • Entered confidential patient information and updated electronic records in database.
  • Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
  • Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
  • Educated patients on how their health plan works so they can make informed decisions about their care options.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Scheduled patients according to availability, urgency and insurance authorization guidelines.
  • Provided exceptional customer service, addressing patient inquiries and concerns with empathy and professionalism.
  • Facilitated communication between primary care physicians, specialists, and patients to ensure a smooth referral process.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Provided excellent customer service by greeting customers warmly and responding to inquiries quickly.

Referral Specialist

Elevance Health
Indianapolis
12.2021 - 08.2023
  • Managed patient referrals to ensure timely access to healthcare services
  • Reviewed insurance eligibility and benefits for referral processing accuracy.
  • Entered confidential patient information and updated electronic records in database.
  • Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization
  • Completed day-to-day duties accurately and efficiently.

Elementary Substitute Teacher

Cape Coral Charter School
Cape Coral
09.2017 - 12.2021
  • Delivered engaging lessons in diverse subjects to elementary students.
  • Managed classroom behavior to ensure a positive learning environment.
  • Assisted with organizing field trips or other special school activities when necessary.
  • Maintained a safe, orderly classroom environment by enforcing school rules and regulations.
  • Graded assignments and tests as needed according to district guidelines.
  • Kept accurate records of attendance and grades for absent students' work assignments.
  • Assisted with supervision during lunchtime, recess, and other special events.
  • Utilized various teaching methods such as lectures, discussions, audio-visual aids, and hands-on activities to facilitate learning.
  • Enforced classroom routines to keep students on schedule and operating at consistent level.
  • Provided classroom instruction outlined in teacher's lesson plans.
  • Fostered a positive learning environment that promoted mutual respect.
  • Educated students in various subjects to provide seamless transition during absence of head teacher.
  • Requested as substitute teacher based on excellent referrals and trusted performance.
  • Addressed rowdy and uncooperative students by speaking firmly and informing head teacher of transgressions.
  • Showed Powerpoint Presentations, videos and interactive websites to aid students with comprehension.
  • Distributed worksheets and homework assignments from head teacher to assist with classroom operations.
  • Explained assignments and relayed information from lead teacher.
  • Utilized educational technology to enhance learning experiences.

Education

Health Administration Program - Health Administration

Florida Gulf Coast University
Fort Myers, FL
03.2019 - 03.2020

BBA - Business Administration And Management

Davenport University
Grand Rapids, MI
09.2000 - 05.2009

Skills

  • Patient communication
  • Referral coordination
  • Electronic health records
  • Insurance authorization
  • Pre-authorizations
  • Data entry proficiency
  • Insurance verification
  • Healthcare industry
  • Patient confidentiality
  • Appointment scheduling
  • Follow-up skills
  • HIPAA regulations
  • Healthcare systems
  • Diagnostic appointments
  • Multi-line telephone operation
  • Accurate documentation
  • MS office expertise
  • Google suite proficiency
  • Database management
  • Multi-line phone proficiency
  • Notetaking and documentation
  • Outbound calls
  • Organization and time management
  • Multitasking Abilities
  • Telephone etiquette
  • Administrative support
  • Equipment troubleshooting and maintenance
  • Computer proficiency
  • Written communication
  • Problem-solving
  • Teamwork and collaboration
  • Flexible schedule
  • Referral verification
  • Team collaboration
  • Customer service

Timeline

Referral Specialist II-Provider Portal Support

Elevance Health
01.2026 - Current

Referral Specialist II-Shopper

Elevance Health
08.2023 - 01.2026

Referral Specialist

Elevance Health
12.2021 - 08.2023

Health Administration Program - Health Administration

Florida Gulf Coast University
03.2019 - 03.2020

Elementary Substitute Teacher

Cape Coral Charter School
09.2017 - 12.2021

BBA - Business Administration And Management

Davenport University
09.2000 - 05.2009

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Nikki Hanlotxomphou