Ruby Palacio
San Antonio
Summary
Referral Coordinator with extensive experience at UT Health, specializing in insurance eligibility verification and preauthorization processes to optimize patient care. Demonstrated proficiency in medical claims processing and effective patient communication, contributing to streamlined operations. Achievements include significant improvements in referral management efficiency and meticulous maintenance of patient records. Strong organizational skills and attention to detail drive consistent results.
Overview
8
8
years of professional experience
Work History
Referral Coordinator
Ut Health
San Antonio
04.2025 - Current
- Verified insurance eligibility and benefits to ensure accurate patient billing.
- Managed patient communication channels, including emails, to streamline information flow.
- Updated insurance details within patient charts to reflect current coverage data.
- Secured preauthorization for Colonoscopy and EGD procedures, minimizing approval delays.
- Obtained benefits information for Colonoscopy and EGD procedures to inform patient decisions.
Referral Specialist
Urology San Antonio
San Antonio
05.2019 - 12.2024
- Streamlined incoming and outgoing patient communication via phone and email.
- Obtained preauthorization for chemotherapy and specialty drugs efficiently.
- Managed and updated patient insurance information in charts accurately.
- Verified insurance eligibility and benefits for referrals and vasectomy procedures.
- Secured necessary benefits for office-based vasectomies.
- Facilitated preauthorization processes for CT scans to expedite care delivery.
Referral Coordinator
Remington Oak Family Practice
San Antonio
06.2017 - 05.2019
- Coordinated patient referrals to specialists within healthcare network.
- Managed incoming and outgoing communication with patients for clarity and efficiency.
- Verified insurance eligibility and benefits for referral services accurately.
- Maintained updated patient appointment schedules, addressing changes and cancellations.
- Collected copays and deductibles from patients at each visit.
- Assisted in patient check-in and check-out processes to streamline operations.
- Obtained authorizations for CT scans, MRIs, and MRAs promptly.
- Facilitated medication refills to ensure continuity of care.
Education
Medical Office Specialist - office specialist
Kaplan Carerr Institute
San Antonio, TX06.2006
Skills
- Medical insurance claims processing
- Medicare and Medicaid claims
- BCBS, Tricare, and Workers Comp claims
- Managed care and private insurance claims
- CPT and ICD-9 coding
- Delinquent claim management
- Reimbursement processing
- EOB analysis
- CMS-1500 form expertise
- OSHA compliance knowledge
- Computerized accounting systems
- Chart of accounts management
- Payroll processing
- Bank reconciliation skills
- Financial statement preparation
- Typing proficiency (45 WPM)
- Data entry accuracy
- Medical software proficiency
- Appointment scheduling
- Patient demographic management
- Charge capture and billing
- Paper and electronic claim filing
- Superbill management
- Accounts receivable/accounts payable (AR/AP)
- Daily and monthly reporting
Timeline
Referral Coordinator
Ut Health
04.2025 - Current
Referral Specialist
Urology San Antonio
05.2019 - 12.2024
Referral Coordinator
Remington Oak Family Practice
06.2017 - 05.2019
Medical Office Specialist - office specialist
Kaplan Carerr Institute
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