Vanessa Avila
Brownwood,TX
Summary
Accomplished Medical Referral Specialist with a proven track record at Pediatrics of Brownwood, enhancing patient care coordination through effective referral processes and insurance verification. Expert in HIPAA compliance and customer service, I significantly streamlined referral efficiency. Demonstrated reliability in high-volume environments, ensuring timely patient appointments and fostering strong provider relationships.
Overview
15
15
years of professional experience
Work History
Medical Referral Specialist
Internal Medicine
08.2023 - Current
- Scheduled appointments with specialists on behalf of clients.
- Verified insurance benefits and eligibility for Type procedures before referring clients.
- Coordinated with medical staff and patients to find cost-effective options for services.
- Built professional relationships with service providers.
Referral Specialist
Pediatrics of Brownwood
10.2021 - 08.2023
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Streamlined referral processes for increased efficiency, resulting in timely appointments for patients.
- Verified insurance benefits and eligibility for Type procedures before referring clients.
- Promoted clear communication between primary care providers and specialists through detailed documentation and follow-up calls.
- Scheduled appointments with specialists on behalf of clients.
- Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Assisted patients in navigating insurance requirements, facilitating approval of necessary treatments.
Girling
Coordinador
07.2019 - 10.2021
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
Brookshire’s Grocery Store
Office Cashier
08.2009 - 07.2019
- Improved customer satisfaction levels by maintaining a well-stocked and organized store environment while addressing concerns promptly.
- Coordinated special events such as promotional sales, seasonal celebrations, and in-store demonstrations to drive foot traffic and generate additional revenue.
- Promoted an inclusive work environment by fostering teamwork among employees from diverse backgrounds and skill sets.
- Optimized space utilization within the store layout for improved product visibility, easier navigation, and increased sales opportunities.
- Developed strong relationships with vendors to secure advantageous pricing agreements and ensure timely delivery of products.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
- Increased employee productivity through comprehensive training programs on efficient work techniques and best practices.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
Education
High School Diploma -
Brownwood High School
Brownwood, TX05.2009
Skills
- HIPAA Compliance
- Insurance Verification
- Appointment Scheduling
- Healthcare regulations
- Referral Coordination
- Pre-authorizations
- Customer Service
- Multitasking
- Reliability
Timeline
Medical Referral Specialist
Internal Medicine
08.2023 - Current
Referral Specialist
Pediatrics of Brownwood
10.2021 - 08.2023
Girling
Coordinador
07.2019 - 10.2021
Brookshire’s Grocery Store
Office Cashier
08.2009 - 07.2019
High School Diploma -
Brownwood High School
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