Sheritta Carter
Huntsville,TX
Summary
Efficient Lead Referral Coordinator with four years of increasing responsibility in authorization industry. Expertise in medical terminology, insurance processes, ICD-9 and CPT codes. Interested in shifting career to Insurance/Authorization Advocate. Thorough and dependable Referral Coordinator with four years of experience in insurance authorization. Efficient manager of high-volume multi-line telephone system averaging sixty-eighty calls each day. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Lead Referral Coordinator
Huntsville Memorial Hospital
HUNTSVILLE, TX
09.2018 - Current
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Scheduled appointments with specialists on behalf of clients.
- Weighed patient need, provider availability and insurance coverage to determine optimal scheduling.
- Completed up to thirty-forty referral requests each day for medical providers of Huntsville Memorial Clinic services.
- Followed up with clients and specialists to inquire about experience and collect reports.
- Trained five -eight staff on referral authorization and intake process.
- Coordinated with medical staff and patients to find cost-effective options for services.
- Answered telephone calls to offer office information, answer questions and direct calls to staff.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Lead Physical Therapy Aid
Joint& Spine Center
HUNTSVILLE, TX
03.2008 - 07.2014
- Assisted front desk by answering phones, scheduling appointments, filing documents and processing payments.
- Enforced safety procedures with all patients.
- Performed electrical stimulation, ultrasounds, matrix, myofascial release and spot massages to improve patient movement and functions.
- Maintained supply inventory by placing orders when supplies ran low.
- Conferred with staff to discuss and evaluate patient information for planning, modifying and coordinating treatment.
- Provided treatment to patients suffering from sports-related injuries to prevent loss of sensitivity as well mobility.
- Recorded patient status in progress notes.
- Taught chronic pain management techniques to patients.
- Followed all HIPAA rules and regulations regarding patient confidentiality.
Education
High School Diploma -
Huntsville High School
Huntsville, TX05.1998
Skills
- Specialty Care
- Referral Tracking
- Medical Information Collection
- Quality Patient Care
- Progress Recording
- Referral Verification
- Specialist Referrals
- Office Supplies and Inventory
- Call Transfers
- Administrative Duties
- Multi-Line Phone Proficiency
- HIPAA Regulations
- Creative Thinking
- Clinical Staff Management
- Physician Assistance
- Provider Services
- Authorization Verification
- Insurance Eligibility Verifications
- Client Satisfaction
- Patient Referral
- Clinical Messaging
- Demographics Information
- Reviewing Patient Information
- Patient Records Gathering
Certification
- CNA - Certified Nursing Assistant
- Certified Phlebotomist
Timeline
Lead Referral Coordinator
Huntsville Memorial Hospital
09.2018 - Current
Lead Physical Therapy Aid
Joint& Spine Center
03.2008 - 07.2014
High School Diploma -
Huntsville High School