Summary
Overview
Work History
Education
Skills
Language
Timeline
Generic

Selma Bajric

Jacksonville

Summary

Detail-oriented healthcare professional with extensive experience in radiology referrals, orthopedic, gastroenterology, and cardiology surgical coordination, as well as insurance appeals. Demonstrated expertise in managing high-priority cases, securing authorizations, and navigating complex insurance processes to ensure timely patient care while maximizing approval outcomes. Exceptional communication and organizational skills contribute to seamless operations and enhanced patient experiences in fast-paced clinical environments. Committed to delivering high-quality support and fostering collaborative relationships within multidisciplinary teams.

Overview

8
8
years of professional experience

Work History

Referral Coordinator

UF Health Shands
Jacksonville, FL
11.2023 - Current
  • Ensures current and standardized referral policies and workflows
  • Prioritizes referrals by their urgency and addresses them in a timely manner
  • Contact insurance companies to ensure prior approval requirements are met
  • Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove medical necessity of services
  • Identifies and utilizes community resources; establishes relationships with servicing providers and personnel
  • Point of contact for patients and specialists for any questions or rising concerns
  • Assist in problem-solving potential issues related to their referral due to language or social barriers
  • If unable to help, assist in finding the right point of contact to further help.
  • Maintained large database of provider services for referral and coordination activities.
  • Researched and identified low cost and free community resources to share with staff members for referral purposes.
  • Updated referring providers on changes or delays in specialist appointment scheduling.
  • Arranged for transportation services to take clients to appointments, counseling and meetings.
  • Managed incoming faxes related to referrals, authorizations, and other pertinent information.
  • Participated in regular meetings with healthcare team members to discuss referral trends and challenges.
  • Adhered to strict requirements regarding data confidentiality and integrity to avoid information breaches.
  • Maintained accurate records of all referrals and scheduled appointments.
  • Assisted with training new Referral Coordinator staff members as needed.
  • Verified insurance coverage and obtained necessary pre-authorizations for services.
  • Ensured compliance with HIPAA regulations when handling patient information.
  • Educated patients on importance of following through with specialist appointments.
  • Utilized electronic health record systems to manage patient data efficiently.
  • Achieved program goals by effectively motivating and supervising medical, technical, and clerical staff.
  • Liaised with clients to determine best available support services and resources.
  • Stayed at forefront of medical and technical advances, evaluating options, and integrating useful solutions.

Surgical Coordinator

Jacksonville Orthopedics
Jacksonville, FL
03.2020 - 05.2021
  • Ensures current and standardized referral policies and workflows
  • Prioritizes referrals by their urgency and addresses them in a timely manner
  • Participates in the selection, orientation, and training of referral Personnel
  • Ensures complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists
  • Contact insurance companies to ensure prior approval requirements are met
  • Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove medical necessity of services
  • Reviews details and expectations about the referral with both ordering providers and patients
  • Requests new referrals to be ordered when applicable
  • Develops and implements systems as required by EMR functionality and/or regulatory agencies
  • Identifies and utilizes community resources; establishes relationships with servicing providers and personnel
  • Point of contact for patients and specialists for any questions or rising concerns
  • Assist in problem-solving potential issues related to their referral due to language or social barriers
  • If unable to help, assist in finding the right point of contact to further help.
  • Coordinated patient referrals across departments to ensure timely access to care.
  • Managed scheduling and follow-up appointments, enhancing patient experience and satisfaction.
  • Maintained accurate records in electronic health systems to support continuity of care.
  • Trained new staff on referral protocols and system navigation for improved team performance.
  • Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Coordinated surgical schedules, ensuring optimal utilization of operating rooms and resources.
  • Managed patient pre-operative and post-operative communication to enhance care continuity.
  • Streamlined documentation processes, improving efficiency in surgical case preparations.
  • Collaborated with surgical teams to ensure compliance with safety protocols and regulations.
  • Developed and maintained relationships with vendors for timely procurement of surgical supplies.
  • Implemented process improvements that reduced patient wait times and enhanced overall satisfaction.
  • Efficiently managed high volume caseloads while maintaining meticulous attention to detail in scheduling logistics and documentation.
  • Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times.
  • Enhanced surgical team communication by maintaining accurate schedules and promptly addressing any changes or concerns.
  • Improved patient experience by efficiently coordinating pre-operative preparations and post-operative follow-up care.
  • Served as a liaison between patients, families, clinicians, and hospital staff throughout the entire surgical process.
  • Provided comprehensive education materials for patients regarding their upcoming surgery, answering questions and alleviating concerns related to the procedure itself or recovery expectations afterward.
  • Conducted thorough chart reviews prior to surgery, identifying potential issues or discrepancies requiring resolution before proceeding with procedures.
  • Served as a trusted resource for patients and families during emotionally challenging times, providing compassionate support and guidance throughout the surgical journey.
  • Collaborated with insurance providers to verify coverage and obtain necessary authorizations for surgical procedures.
  • Contributed to a reduction in surgery cancellations by closely monitoring patient compliance with pre-surgical instructions.
  • Worked closely with operating room staff to ensure proper setup and sterilization of instruments prior to each case.
  • Streamlined patient check-in process for surgical appointments, reducing wait times and increasing satisfaction.
  • Verified insurance coverage and obtained pre-authorizations.
  • Resolved scheduling conflicts to maintain high-quality patient services.
  • Arranged pre-operative and post-operative appointments for surgical patients.
  • Expertly managed planning, scheduling, and coordination of outpatient procedures.
  • Collated pre-operative lab and imaging results to facilitate surgery planning.
  • Processed medical insurance claims and payments.
  • Greeted visitors and initiated triage processes for clients to streamline patient flow.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Registered and verified patient records before triage with most up-to-date information.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Received and routed laboratory results to correct clinical staff members.
  • Coordinated scheduling of orthopedic surgical procedures, including OR availability and surgeon calendars
  • Obtained prior authorizations and verified insurance coverage for surgical cases
  • Prepared surgical packets, consent forms, and pre-operative documentation
  • Educated patients on pre-operative and post-operative care instructions
  • Served as liaison between surgeons, patients, and hospital staff to ensure smooth surgical workflow
  • Prepared and submitted insurance appeals for denied services, including surgeries and radiology procedures
  • Reviewed medical records and clinical documentation to support medical necessity
  • Collaborated with providers to develop strong appeal letters
  • Followed up with insurance companies to track appeal status and ensure timely resolution
  • Improved approval outcomes through detailed documentation and consistent follow-up

Surgical Coordinator

Bahri and Sports Medicine
Jacksonville, FL
10.2018 - 01.2020
  • Ensures current and standardized referral policies and workflows
  • Prioritizes referrals by their urgency and addresses them in a timely manner
  • Participates in the selection, orientation, and training of referral Personnel
  • Evaluated pending claims to identify and resolve problems blocking auto adjudication
  • Stayed current on HIPAA regulations
  • Documented file notes clearly and concisely in System
  • Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements
  • Checked documentation for appropriate coding, catching errors and making revisions
  • Determine the amount of coverage a customer should receive according to the procedure done and the coverage on the account
  • Stay in constant contact with medical facilities providing service to determine the accuracy of claims being made
  • Filed medical claims made by customers by entering and organizing data and inputting all information into the computer system
  • Determined the amount of coverage and sent payments to medical facilities or reimbursements to customers
  • Made phone calls to confirm the accuracy of medical claims
  • Ensures complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists
  • Contact insurance companies to ensure prior approval requirements are met
  • Presents necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove medical necessity of services
  • Reviews details and expectations about the referral with both ordering providers and patients
  • Requests new referrals to be ordered when applicable
  • Develops and implements systems as required by EMR functionality and/or regulatory agencies
  • Identifies and utilizes community resources; establishes relationships with servicing providers and personnel
  • Point of contact for patients and specialists for any questions or rising concerns
  • Assist in problem-solving potential issues related to their referral due to language or social barriers
  • If unable to help, assist in finding the right point of contact to further help.
  • Trained new staff on operational procedures and software systems for scheduling and tracking cases.
  • Monitored inventory levels, facilitating timely reordering of essential equipment and materials.
  • Assisted surgeons in preparing for procedures, ensuring all necessary equipment and supplies were readily available.
  • Managed inventory of surgical supplies, ordering new stock as needed to prevent shortages or delays in care provision.
  • Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
  • Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
  • Updated daily operating room calendars with accurate appointment schedules.
  • Updated patient records to reflect upcoming surgeries and medical histories.
  • Checked patients in and out and collected payments.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Assisted with medical coding and billing tasks.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Coordinated surgical schedules, ensuring optimal utilization of operating rooms and resources.
  • Prepared and submitted insurance appeals for denied services, including surgeries and radiology procedures
  • Reviewed medical records and clinical documentation to support medical necessity
  • Collaborated with providers to develop strong appeal letters
  • Followed up with insurance companies to track appeal status and ensure timely resolution
  • Improved approval outcomes through detailed documentation and consistent follow-up
  • Enhanced surgical team communication by maintaining accurate schedules and promptly addressing any changes or concerns.
  • Served as a liaison between patients, families, clinicians, and hospital staff throughout the entire surgical process.
  • Provided comprehensive education materials for patients regarding their upcoming surgery, answering questions and alleviating concerns related to the procedure itself or recovery expectations afterward.
  • Conducted thorough chart reviews prior to surgery, identifying potential issues or discrepancies requiring resolution before proceeding with procedures.
  • Served as a trusted resource for patients and families during emotionally challenging times, providing compassionate support and guidance throughout the surgical journey.
  • Collaborated with insurance providers to verify coverage and obtain necessary authorizations for surgical procedures.
  • Contributed to a reduction in surgery cancellations by closely monitoring patient compliance with pre-surgical instructions.

Education

High School Diploma -

Pace Center for Girls
Jacksonville
01-2014

Skills

  • Medical Record
  • Insurance Companies
  • Customer Services
  • Patient Care
  • Patient Referrals
  • Data Entry
  • Front Office
  • Workers comp
  • Team-Management
  • Analytical And Problem-solving abilities
  • Accurate Documentation
  • Patient records oversight
  • Scheduling Software
  • Patient advocacy
  • Telephone etiquette
  • Medical terminology knowledge
  • Resourcefulness
  • Confidentiality maintenance
  • Critical thinking
  • Follow-up coordination
  • Insurance Verification
  • Effective communication
  • Lead Generation
  • Healthcare systems understanding
  • Cross-functional collaboration
  • Active listening
  • HIPAA Regulations
  • Task prioritization
  • Computer literacy
  • Professionalism
  • Medical Terminology
  • Team collaboration
  • Time management
  • Adaptability
  • Patient Scheduling
  • Multitasking capabilities
  • Attention to detail
  • Organizational abilities
  • Database Management
  • Strong communication skills
  • Insurance verification
  • Professionalism and confidentiality
  • Patient coordination
  • Medical office experience
  • Resourcefulness and initiative
  • Preoperative preparation
  • Postoperative follow-up
  • Motivational skills
  • Healthcare compliance
  • Surgical procedures
  • Medical terminology proficiency
  • Electronic health records management
  • Stress management techniques
  • Scheduling expertise
  • Data entry proficiency
  • Schedule coordination
  • EMR updating
  • Obtaining authorizations
  • Patient relations
  • Following up with patients
  • HIPAA compliance
  • Correspondence writing
  • Maintaining confidentiality
  • Updating charts
  • Strong organization
  • Office administration
  • Patient scheduling
  • Pre-operative review
  • Documentation scanning
  • Insurance pre-certifications
  • Tool sterilizing
  • Pre-authorization management
  • Office workflow support
  • Problem-solving
  • Insurance authorizations
  • Administrative support
  • Computer proficiency
  • Medical records verification
  • EHR software
  • Adaptable and flexible
  • Medical billing
  • CPT coding
  • Medical terminology
  • Patient eligibility requirements
  • Collaboration and teamwork
  • Customer service
  • Medical coding
  • Referral verification
  • Appointment scheduling
  • Calendar and appointment management
  • Flexible schedule
  • Medical charting
  • Medical records maintenance
  • Scheduling tests and procedures
  • Organizational growth
  • Professionalism and ethics
  • Continuous learning mindset
  • Strong analytical skills
  • Negotiation techniques
  • Problem-solving capacity
  • Documentation expertise
  • Insurance policies
  • Healthcare regulations expertise
  • Appeals process proficiency
  • Teamwork
  • Teamwork and collaboration
  • Problem-solving abilities
  • Multitasking
  • Claims investigation
  • Multitasking Abilities
  • Organizing and prioritizing work
  • Reliability
  • Excellent communication
  • Organizational skills
  • Adaptability and flexibility
  • Verbal and written communication
  • Decision-making
  • Teamwork skills
  • Claims processing
  • Relationship building
  • Documentation skills
  • Microsoft office
  • Team building
  • Data entry
  • Claims adjustment
  • Reporting skills
  • Self motivation
  • Interpersonal skills
  • Analytical thinking
  • Prior authorization processing
  • Conflict resolution
  • Documentation
  • Calm under pressure
  • Computer skills
  • Organization and time management
  • Confidentiality
  • Policy interpretation
  • Insurance regulations

Language

Bosnian
Fluent

Timeline

Referral Coordinator

UF Health Shands
11.2023 - Current

Surgical Coordinator

Jacksonville Orthopedics
03.2020 - 05.2021

Surgical Coordinator

Bahri and Sports Medicine
10.2018 - 01.2020

High School Diploma -

Pace Center for Girls

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