Resourceful healthcare coordinator supporting intake operations, member records, and referral workflows across clinical and insurance settings. Brings strength in authorization processing, case documentation, CPT and ICD-10 use, policy support, and coordination with providers, facilities, and care management teams.
Overview
1
1
Certification
26
26
years of professional experience
Work History
Um Technician
Ameri Health Caritas
Newtown Square, Pennsylvania
04.2026 - Current
Maintained confidential member records and case notes within system databases.
Monitored service requests to ensure timely processing and directed issues to appropriate departments.
Coordinated with providers on referral and enrollment matters on authorization, referral, and enrollment details.
Trained new technicians on workflow standards and employer procedures.
Verified referral information for employer intake team to ensure accuracy and completeness.
Assisted in developing policies and procedures to streamline intake processes.
Delivered administrative and clerical support to enhance care management operations.
INTAKE /REFERRAL COORDINATOR
Clearspring Health
Park Ridge, IL
06.2011 - 09.2025
Coordinated patient referral orders across multiple providers to streamline access to necessary care
Managed referral orders for diagnostic testing, home health services, durable medical equipment, and outpatient surgical procedures.
Managed and obtained insurance authorizations for patient referrals from physicians.
Expedited patient referrals to specialty offices, faxed medical records, answered patient and specialty office calls and completed referral requests
Assisted patients by addressing inquiries and providing detailed information regarding referral processes
Generated appeals and denial letters to support nursing staff in the patient referral process.
Communicated with facilities to obtain clinical data for inclusion in patient case files.
Established collaborative relationships with diagnostic imaging centers to expedite urgent scheduling of MRIs and CT scans for high-risk patients
Provided training to teams on effective practices for managing patient referrals.
Strong skills in utilizing written, telephonic and online systems to obtain, verify, document and communicate referral and preauthorization information with the clinic and affiliate hospitals
Entered patient admissions for medical, detox, behavioral, skilled nursing facilities, and long-term acute care settings.
Knowledgeable with CPT and ICD-10 codes. High level of proficiency relating to medical terminology and strong healthcare background
Prioritized workload and maintained an organized workspace
MEDICAL ASSISTANT
Access Community Health Network
Chicago, IL
01.2001 - 06.2011
Prepared patients for procedures, including EKGs, phlebotomy, glucose testing, and pulmonary function tests, ensuring readiness and comfort.
Managed patient registration, insurance verification, form completion, and appointment scheduling to enhance operational workflow.
Executed front desk duties, answering phones, scheduling appointments, greeting patients, and ordering supplies to support clinic operations.
Experienced in front and back offices, controlling patient flow, collecting payments and assisting in delivery of quality healthcare.
Education
MEDICAL ASSISTANT /PHELEBOTOMIST CERTIFICATE - MEDICAL ASSISTANT/ PHELEBOTOMY
ILLINOIS SCHOOL OF HEALTH CAREERS
Chicago, IL
04-1998
Skills
Precertification management
Referral gathering
Healthcare regulations
Patient scheduling
Service coordination
Documentation accuracy
Records management
Administrative support
Telephonic communication
Team collaboration
Organizational skills
Communication skills
Patient advocacy
Certification
AAPC- Certify CPC-A, 09/2022
Timeline
Um Technician
Ameri Health Caritas
04.2026 - Current
INTAKE /REFERRAL COORDINATOR
Clearspring Health
06.2011 - 09.2025
MEDICAL ASSISTANT
Access Community Health Network
01.2001 - 06.2011
MEDICAL ASSISTANT /PHELEBOTOMIST CERTIFICATE - MEDICAL ASSISTANT/ PHELEBOTOMY