Santa Villagomez
Fowler,CA
Summary
Results-driven Referral Coordinator with expertise in patient scheduling, accurate documentation, and bilingual communication. Proven ability to enhance patient satisfaction through process improvements and effective problem-solving.
Overview
24
24
years of professional experience
Work History
Referral Coordinator and Medical Records Clerk
David Cardona, Inc.
Fresno, CA
01.2002 - Current
- Coordinated referrals between patients and healthcare providers to enhance communication and streamline processes.
- Managed scheduling logistics to ensure timely appointments for patients, improving overall service efficiency.
- Developed and maintained referral tracking systems, ensuring accurate data reporting and follow-up procedures.
- Implemented process improvements that reduced referral turnaround time, enhancing patient satisfaction ratings.
- Trained new staff on referral coordination protocols and best practices to maintain consistency in service delivery.
- Oversaw quality assurance measures for referral documentation, ensuring compliance with healthcare regulations and standards.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Scheduled appointments with specialists on behalf of clients.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Served as a liaison between primary care physicians, specialists, and patients to ensure timely access to needed services.
- Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
- Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
- Developed and maintained strong working relationship with referral sources to streamline processing.
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
- Assisted with completion of referral forms and verified data accuracy and completion
- Improved departmental workflow by assisting colleagues with tasks such as appointment scheduling or insurance verification when needed.
- Collaborated with medical staff to ensure appropriate referrals based on individual patient needs and insurance coverage.
- Coordinated all Durable Medical Equipment orders with patient and DME company.
- Arranged all Home Health Referrals for wound care and Physical Therapy.
- Prepared reports for Insurance audits of medical records.
Education
High School Diploma -
Sanger High School
Sanger, Ca.Skills
- Pre-authorizations
- Medical terminology
- Patient scheduling
- Multi-line phone proficiency
- Follow-up coordination
- Accurate documentation
- Referring physician communication
- Critical thinking
- Bilingual
- Ability to function independently with minimal supervision
- Multi-tasking
- Ability to adapt to constant changing processes and tasks
Timeline
Referral Coordinator and Medical Records Clerk
David Cardona, Inc.
01.2002 - Current
High School Diploma -
Sanger High School