Referral Specialist offering background coordinating and managing patient referral process. Gifted at obtaining required documentation, answering patient questions and communicating with insurance providers. Mastery of medical and insurance terminology and abbreviations.
Overview
6
6
years of professional experience
Work History
Care Access Referral Specialist
University of South Alabama Healthcare System
Mobile, AL
12.2023 - Current
Responsible for providing accurate and efficient referral coordination for patients being referred by and into USA Health.
Making outbound calls to patients and or physicians offices to obtain referral prefererences and obtain appointment details.
Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
Supporting the clinics by managing the referrals that are obtained through faxes,and be able to provide high levels of customer services when assisting customers.
Explaining policies,works in a variety of electronic health care systems,providing general information,reviewing health information via electronic medical records.
Scheduling appointments,pre-registering patients,coordination of medical records collection,and insurance verification,enter information into the computer.
Completes proper authorization for assigned referral and supports other online referrals functions.
Care Access Representative
University of South Alabama Healthcare System
Mobile, AL
04.2023 - 12.2023
Registration,check-in and Scheduling appointments.
Verifying and Updating Registration Information as Necessary
Scanning Health Records documents and Collecting Co-pays Cash or Credit Card
Employs Excellent Customer Skills
Investigate Complaints and Work with Office Manager to Resolve them.
Verify Patient Ins and the Co-pays
Place a high value on punctuality and worked hard to maintain an excellent attendance record,consistently arriving at work ready to work right away.
Patient Access Representative
University of South Alabama Healthcare System
Mobile, AL
06.2022 - 04.2023
Used Athenia Soft ware to collect and process co-payments and out of pocket expenses
Collaborated and communicated effectively with physicians to ensure client satisfaction and adherence to established standards.
Helped to reduced accounts receivables by following predetermined policies and procedures to recover amounts due from patients.
Reconciled deposits and credit card payments every day.
Collected and entered patient demographic and insurance data into a computer database to establish the patient's medical record.
Admission Assistant
Infirmary Health Systems
Mobile, AL
08.2021 - 06.2022
Assist the Admissions team with administrative tasks.
Provided clerical support to company employees by coping,faxing, and filing documents.
Copied,logged, and scanned supporting documents before filing everything in the client's files.
Handled phone and email correspondence,made copies, and handled incoming and outgoing mail and faxes as part of my administrative duties.
Entered data into the system and updated customer contracts,and information to keep records current.
Entered data into the system and updated customer contracts,and information to keep records current.
Performed clerical tasks such as filing,biling,and routing messages to the appropriate people for the office.
Financial Planner
AltaPointe Health Systems
Mobile, AL
03.2018 - 05.2021
Runs and Researches all Consumers that present with or without insurance through Medicaid, Medicare and other commerical insurance Eligibility Websites as appropriate.
Complete financial information and notifies Finance and Accounting of any changes.
Tracks and ensures that Medicaid and Medicare Coverage is current or reactivated.
Was able to effectively respond to customer requests via phone and email, as well answer questions and inquires.
Review daily census reports checking for accuracy and after hour admissions
Completes pre-admissions according to petition received and consumers listed on a weekly court docket
Had an excellent attendance record and was always on time for work.
Education
Associate of Applied Science - HealthCare Reinburstment
Virginia College
Mobile, AL
05-2012
Medical Insurance Coding
Virgina College
Mobile, AL
05-2010
High School Diploma -
Davidson High School
Mobile, AL
05-1983
Medical Assisting
Remington College
Mobile, AL
11-2003
Skills
Scheduling
Billing
Financial Planning
Insurance Verification
Medical Billing
Medical Coding
Customer Service
MS Office
Medical Insurance
Medical Terminology Knowledge
Appointment Scheduling
Patient Scheduling
Referral Tracking
Timeline
Care Access Referral Specialist
University of South Alabama Healthcare System
12.2023 - Current
Care Access Representative
University of South Alabama Healthcare System
04.2023 - 12.2023
Patient Access Representative
University of South Alabama Healthcare System
06.2022 - 04.2023
Admission Assistant
Infirmary Health Systems
08.2021 - 06.2022
Financial Planner
AltaPointe Health Systems
03.2018 - 05.2021
Associate of Applied Science - HealthCare Reinburstment
Assistant Chief Nursing Officer at University Of South Alabama Healthcare SystemAssistant Chief Nursing Officer at University Of South Alabama Healthcare System
Patient Account Representative at University Of South Alabama Healthcare SystemPatient Account Representative at University Of South Alabama Healthcare System
Manager of Athletic Video Productions at University of South Alabama AthleticsManager of Athletic Video Productions at University of South Alabama Athletics