Rachel P. Manning
Rocky Mount,NC
Summary
To pursue a career in the medical field where I am able to us my experience & knowledge to work with Providers, Nurses, & patients and to help assist them in a variety of front office/clerical needs.
Overview
23
23
years of professional experience
Work History
Referral Specialist
Rocky Mount Family Medical Center
Rocky Mount, NC
11.2024 - 07.2026
- Coordinated patient referrals to specialists, ensuring timely access to medical services.
- Facilitated communication between patients and medical staff for efficient appointment scheduling.
- Managed referral documentation and maintained accurate records of patient interactions.
- Collaborated with healthcare teams to streamline workflows, enhancing overall efficiency.
- Resolved patient inquiries regarding referrals and follow-up appointments promptly.
- Monitored referral outcomes, reporting trends to management for process improvement.
- Educated patients on referral processes and insurance requirements for informed decision-making.
- Directed laboratory and diagnostic results to appropriate staff.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Provided exceptional customer service, addressing patient inquiries and concerns with empathy and professionalism.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Coordinated patient referrals to specialists and healthcare providers.
- Collaborated with healthcare teams to streamline referral workflows and improve efficiency.
- Assisted patients in understanding referral processes and insurance requirements.
- Managed referral documentation and maintained accurate patient records.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
- Created reports summarizing referral activity on a weekly basis for management review.
- Developed strategies for improving efficiency within the department while maintaining high standards of customer service.
- Educated patients on how their health plan works so they can make informed decisions about their care options.
- Provided support to referring physicians in obtaining pre-authorization for services as necessary.
- Aided clinical team to support administrative needs for clinical referrals.
- Identified potential problems with referrals before submitting them to insurers and worked with providers to resolve those issues quickly.
- Assisted patients by answering questions and providing information regarding referrals.
- Monitored changes in payer policies related to referral processing and communicated those changes internally.
- Collected required signatures to initiate referral process.
- Interpreted complex benefit plans accurately when determining whether requested services are covered under an individual's policy.
- Obtained PA for services such as diagnostic imaging.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
- Researched and responded to inquiries from providers regarding pending or denied referrals in a timely manner.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
- Collected and analyzed referral data and tallied number of referrals.
- Managed daily patient referrals daily through multi-line telephone system.
- Participated in training and professional development opportunities to stay current with best practices in referral coordination.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Developed and maintained referral networks, establishing strong relationships with a variety of healthcare providers.
- Facilitated communication between primary care physicians, specialists, and patients to ensure a smooth referral process.
- Utilized various healthcare EMR systems to schedule appointments and communicate with medical professionals and patients.
- Monitored referral outcomes, reporting on trends and areas for improvement to healthcare management teams.
- Implemented process improvements to enhance efficiency and effectiveness of the referral coordination system.
- Educated patients on the referral process, including expected timelines and preparation for specialist visits.
- Maintained accurate and up-to-date patient records, including referral status and follow-up information.
Patient Care Specialist
Boice Willis Clinic
12.2021 - 06.2021
- Checking in & checking out patients, scheduling patients for appointments with providers in the office, for lab work, & x-ray as needed & instructed by their provider, moving/rescheduling patients/schedules for providers when needed due to being out of the office, verifying insurance & benefits, taking co-pays & payments on patient balances, explaining balances & insurance benefits to patients, making sure required information, such as patient demographics, consent for treatment, privacy policy, & financial policy, and insurance information is all up to date, completing calls to remind patients/confirm w/ patients their appointments for next day, handling purchasing orders for clerical staff in office, answering phone, taking messages for providers & nurses, scanning & faxing documents.
- Internal Medicine & Nephrology. Website not provided.
Referral Specialist
Boice Willis Clinic
08.2005 - 03.2020
- Scheduling patients & completing any forms or information required for appointments with Specialists and for any studies recommended by the Provider. Communicating that appointment information in detail to the patient. Making sure medical records, orders, and all other information necessary for referral appointments are sent & received by other offices. Making sure any insurance requirements, such as prior authorization, are met prior to the appointment. Correctly completing FMLA & Short-Term Disability forms in timely manner for patients that recently had surgery. Pre-certing & reviewing all surgery info prior to a patient’s surgery. Helping with coverage at check-in & check-out when needed. I have a lot of experience with EMR and using Epic as well as other programs used daily in the medical office.
- Internal Medicine, Primary Care, & General Surgery Dept. Website not provided.
Receptionist
Bloem Orthopaedic Center
09.2003 - 08.2005
- I had the tasks of checking patients in & out, answering the telephone for the office, taking co-payments, scheduling appointments, prepping charts, requesting medical records, filing & pulling charts for the day, printing encounters, calling patients to remind them of their appointment, making daily deposits, keying in charges, checking mail at the hospital, picking up & returning x-ray films to the hospital, taking deposits to the bank, traveling with Dr. Bloem to the satellite office in Roanoke Rapids, and other misc. tasks.
- Website not provided.
Education
High School Diploma -
Rocky Mount Senior High
Rocky Mount, NC01-2000
Skills
- Professional communication
- Work ethic
- Multitasking
- Organization
- Problem-solving
- Willingness to help
- Patient care
- Pride in representation
Communication Skills
- Received Employee of the Month once at Boice Willis Clinic.
- Received positive feedback from Providers.
Timeline
Referral Specialist
Rocky Mount Family Medical Center
11.2024 - 07.2026
Patient Care Specialist
Boice Willis Clinic
12.2021 - 06.2021
Referral Specialist
Boice Willis Clinic
08.2005 - 03.2020
Receptionist
Bloem Orthopaedic Center
09.2003 - 08.2005
High School Diploma -
Rocky Mount Senior High