Accomplished professional with a proven track record at Stanford Medicine Partners, adept in insurance verification, authorizations, and coordinating referrals. Excelled in enhancing patient care through efficient healthcare system navigation and organizational abilities. Demonstrated expertise in HIPAA regulations and electronic medical record software, significantly improving referral process efficiency.
Overview
26
26
years of professional experience
Work History
Referral Coordinator
Stanford Medicine Partners
06.2022 - Current
Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
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.
Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
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.
Streamlined referral process by implementing efficient tracking and communication systems.
Coordinated with insurance companies to verify coverage, facilitating smoother patient experience.
Patient Services Representative
Stanford Medicine Partners
11.2017 - 06.2022
Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
Provided exceptional customer service to build strong relationships with patients, leading to increased loyalty and return visits.
Improved patient satisfaction by efficiently managing appointment scheduling and coordinating follow-up care.
Used Epic to schedule appointments.
Took copayments and compiled daily financial records.
Assisted patients in filling out check-in and payment paperwork.
Greeted and assisted patients with check-in procedures.
Answered incoming calls, scheduled appointments and filed medical records.
Salesperson
Kids and Teens World
11.2015 - 11.2017
Worked to build relationships with customers and built potential for additional sales.
Developed relationships with clients for increased loyalty and repeat business.
Boosted sales by consistently engaging with customers and addressing their needs effectively.
Greeted customers and offered assistance with selecting merchandise, finding accessories and completing purchases.
Informed customers of promotions to increase sales productivity and volume.
Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor.
Performed effectively in self-directed work environment, managing day-to-day operations and decisions.
Surgery Scheduler
Valley Care Medical Foundation
10.1998 - 11.2015
Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
Arranged pre-operative and post-operative appointments for surgical patients.
Expertly managed planning, scheduling, and coordination of outpatient procedures.
Verified insurance coverage and obtained pre-authorizations.
Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
Ensured optimal patient care by maintaining detailed records of medical histories, insurance information, and surgical consents.
Updated patient records to reflect upcoming surgeries and medical histories.
Enhanced patient satisfaction by providing clear explanations of surgical procedures and addressing concerns promptly.
Educated patients about surgeries and provided treatment plan documentation.
Enhanced patient experience by efficiently scheduling and confirming surgical appointments.
Assisted with medical coding and billing tasks.
Performed various administrative tasks by filing, copying and faxing documents.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Health Information Operations Supervisor at Datavant - Stanford Medicine PartnersHealth Information Operations Supervisor at Datavant - Stanford Medicine Partners
Patient Service Representative II at Stanford Medicine Partners Contact CenterPatient Service Representative II at Stanford Medicine Partners Contact Center