Priscilla Phillips
Chicago,US
Summary
Seasoned Referral Specialist with demonstrated experience in the healthcare industry. Skilled in facilitating communication between patients and medical professionals, ensuring proper patient care through accurate referral processes. Known for problem-solving abilities, interpersonal skills, and commitment to maintaining high standards of confidentiality and professionalism. Previous roles have resulted in enhanced operational efficiency and improved patient satisfaction.
Overview
14
14
years of professional experience
Work History
Referral Specialist
Elevance Health
Westchester, IL
12.2020 - 10.2024
- As a Referral Specialist I'm responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals for various services
- Initiates and manages clinical referrals for pre-authorization
- Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources
- Reviews referrals for completeness and follows up for additional information if necessary
- Assigns escalated referrals to staff as appropriate
- Verifies insurance coverage and completes pre-authorization process for radiology and other imaging exams (CT, MRI, MRA, PET, etc.) following established process and procedures
- Responds to inbound calls initiating exam requests following established processes, meets quality and production standards
- Contacts physician offices as needed to obtain demographic information or related data
- Enters referrals, documents communications and actions in system
Security Officer
Allied Security
Rosemont, IL
08.2017 - 12.2020
- Investigate alarms and disturbances to maintain safety
- Check credentials and issue passes before allowing access to the property
- Respond to emergency situations quickly to minimize risk and injury
- Monitor security cameras and fire, building and alarm systems
- Document all security-related situations and submitted in-depth report
Security Officer
Securitas
Downers Grove, IL
02.2011 - 08.2017
- Investigate alarms and disturbances to maintain safety
- Check credentials and issued passes before allowing access to the property
- Respond to emergency situations quickly to minimize risk and injury
- Monitor security cameras and fire, building and alarm systems
- Documents all security-related situations and submitted in-depth report
Education
Micro Computer Business
College of Office Technology
Chicago, ILGED -
Midwest Theological Institute
Chicago, ILSkills
- Patient confidentiality
- Data entry proficiency
- Healthcare industry
- Follow-up skills
- Physician authorizations
- Medical terminology
- Insurance verification
- Pre-authorizations
- Multi-line telephone operation
- Medical terminology knowledge
- HIPAA regulations
- Accurate documentation
- MS office expertise
Timeline
Referral Specialist
Elevance Health
12.2020 - 10.2024
Security Officer
Allied Security
08.2017 - 12.2020
Security Officer
Securitas
02.2011 - 08.2017
Micro Computer Business
College of Office Technology
GED -
Midwest Theological Institute