Tracey Toler
Chesterfield,VA
Summary
Experienced in referral and medical data management, with a strong background in enhancing sales through improved referral processes. Skilled in leading teams to optimize operational efficiency and patient care, with a proven ability to solve complex customer service challenges. Effective at audit process management, contributing to significant improvements in patient outcomes and operational success.
Overview
15
15
years of professional experience
Work History
Referral Management
JenCare Senior Medical Center
Richmond, VA
11.2015 - 05.2016
- Streamlined patient access reporting to enhance utilization management.
- Assisted in developing standard operating procedures for referral management activities.
- Enhanced team efficiency by developing comprehensive training programs for new hires.
- Advised management on best practices related to contracting activities.
- Created reports summarizing data related to intakes, referrals, and outcomes for management review.
- Maximized sales opportunities through effective management of merchandise flow from backroom storage to store shelves.
- Enhanced referral management process to boost sales.
Patient Care Coordinator
VA Premier Health Plan
Richmond, VA
04.2013 - 11.2015
- Improved patient care coordination by being a vital communication link between patients and healthcare teams.
- Facilitated communication between patients and healthcare teams, acting as a primary point of contact.
- Facilitated communication between patients and healthcare teams, acting as a primary point of contact.
- Provided administrative support for patient care staff.
- Maintained comprehensive patient records, ensuring accuracy and confidentiality.
- Received and routed care team messages and documents to appropriate staff.
- Established strong work network by building professional relationships with physicians and fellow employees.
- Collaborated with nursing staff to advocate for individual patient needs and insurance coverage.
- Organized and led patient care meetings with healthcare teams to discuss treatment plans.
Patient Care Representative
Virginia Eye Institute
Richmond, VA
03.2012 - 03.2014
- Enhanced patient experience by swiftly resolving technical issues with eye care equipment.
- Ordered and maintained an inventory of ophthalmic products such as eyeglass frames, lenses, and contact lenses.
- Maintained patient records using electronic health record systems.
- Developed training materials and documents such as manuals, handouts, exercises, and facilitator guides.
- Maintained accurate records of all training conducted.
- Ordered and maintained inventory of eyewear products, lenses, frames, and accessories.
- Educated patients on the importance of regular eye exams and proper eye health maintenance.
Customer Service Advocate
Blue Cross and Blue Shield
Richmond, VA
09.2001 - 03.2006
- Resolved claims pricing issues
- Adjusted and processed claims
- Reviewed claims and made reimbursement determinations
- Resolved provider claim issues
- Provided excellent customer service to resolve customer complaints in a timely manner.
Education
BBA - Health Administration
Strayer University
Richmond, VA10-2017
High School Diploma -
Lloyd C. Bird High
Chesterfield, VA06-1998
Skills
- Collaborative Leadership
- Referral management
- Clinical Data Organization
- Data Oversight Expertise
- Team Training & Development
- Policy Implementation
- Process Improvement
- Adaptable Problem Solver
- Conflict resolution
- Analytical Problem Solving
Affiliations
- Monthly, annual, and semi-annual community events and church events.
- Professional singer for community events, weddings, funerals, and private events.
- Volunteer for local and national Lupus & Kidney Foundation events.
Timeline
Referral Management
JenCare Senior Medical Center
11.2015 - 05.2016
Patient Care Coordinator
VA Premier Health Plan
04.2013 - 11.2015
Patient Care Representative
Virginia Eye Institute
03.2012 - 03.2014
Customer Service Advocate
Blue Cross and Blue Shield
09.2001 - 03.2006
BBA - Health Administration
Strayer University
High School Diploma -
Lloyd C. Bird High
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