Experienced referral specialist demonstrating expertise in medical coding and electronic health records management. Known for maintaining high standards of documentation accuracy and compliance, ready to enhance patient care delivery through efficient referral coordination.
Overview
6
6
years of professional experience
Work History
Medical Assistant-Referral Specialist II
Little Axe Indian Health Center
Norman
08.2024 - Current
Coordinated specialty referrals and prior authorizations, while ensuring compliance with the payer, provider, and organizational guidelines.
Assisted with medical coding and billing support, including documentation review and verification of diagnosis and procedure codes, to support accurate reimbursement.
Managed a high daily volume of referrals while consistently meeting processing and scheduling deadlines.
Maintained accurate and compliant documentation within the EHR system.
Performed administrative duties, including filing, faxing, scanning, and records management.
Communicated effectively with providers, specialists, facilities, and patients to ensure timely, cost-effective care and delivery.
Medical Assistant
Pawnee Indian Health Services
Pawnee
07.2023 - 08.2024
Provided comprehensive clinical and administrative support in a high-volume healthcare setting.
Supported medical coding activities by reviewing clinical documentation for accuracy and completeness prior to billing submissions.
Coordinated patient scheduling, registration, and payment processing.
Utilized EHR systems to document patient encounters, referrals, and clinical data accurately.
Assisted providers with insurance forms, referrals, and clinical data accurately.
Obtained providers' NPI numbers and diagnosis codes to create referrals and prior authorizations for insurance companies.
Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
Patient Care Technician- Float Pool
Ascension St. John's Medical Center
Tulsa
04.2021 - 07.2023
Delivered direct patient care, including monitoring vital signs, performing blood draws, EKGs, and diagnostic testing.
Collected and documented patient information accurately to support clinical decision-making and medical records.
Assisted nursing staff with workflow efficiency, patient transfers, and emergency response.
Provided care to patients with complex diagnoses while maintaining infection control and safety standards.
Assisted with medication administration under nursing supervision.
Assisted providers and nursing staff in minor procedures.
Educated patients on caring for wounds, hygiene, and maintaining infection control.
Nursing Assistant
Stillwater Medical Center
Stillwater
09.2019 - 05.2021
Monitored vital signs and reported changes to healthcare team.
Supported patients with mobility and transportation within the facility.
Maintained cleanliness and organization of patient rooms and common areas.
Documented patient information accurately in electronic health records.
Answered signal lights, bells and requests-for-service to assist patient services fulfillment.
Completed daily room cleaning and organizing to provide patients with clean environment.
Clinical Credentialing Assistant at USDHHS-Indian Health Service-Albuquerque Indian Health CenterClinical Credentialing Assistant at USDHHS-Indian Health Service-Albuquerque Indian Health Center