close
  • Dashboard
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Customer Service
      • Education
      • Sales
      • Manager
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Microsoft Word
      • Professional
      • Modern
      • Traditional
      • Creative
      • View All
    • Resume Services
    • Resume Formats
      • Resume Formats
      • Chronological
      • Functional
      • Combination
    • Resume Review
    • How to Write a Resume
      • How to Write a Resume
      • Summary
      • Experience
      • Education
      • Skills
        • Skills
        • Hard Skills
        • Soft Skills
    • Resume Objectives
  • CV
    • CV
    • CV Examples
    • CV Formats
    • CV Templates
    • How to Write a CV
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Customer Service
      • Marketing
      • Sales
      • Education
      • Accounting
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Questions
  • Resources
  • About
    • About
    • Reviews
  • Contact
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Medical Referral Specialist
Please provide a type of job or location to search!
SEARCH

Medical Referral Specialist Resume Example

Love this resume?Build Your Own Now
MEDICAL REFERRAL SPECIALIST
Professional Summary

A dedicated and proactive Referral Specialist, specializing in Insurance referrals, authorizations, clinical reimbursement, and overall quality patient care, start to finish. Organized professional who works well with a team as well as independently. Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with positive and upbeat personality.

Skills
  • Billing
  • Office equipment
  • Excellent customer service
  • Policies and Procedures
  • Prior authorization processing
  • Insurance coverage verification
  • Charting and clinical documentation
  • Product development
  • Multi-line telephone systems
  • Professional demeanor
  • Accounts payable and receivable
  • Office administration
  • Multitasking strengths
  • Performance improvement
Work History
Medical Referral Specialist, 07/2018 to Current
Jp Recovery – Rocky River , OH
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Answered phone calls and messages for 60,000 patients, 50+ physician's at a primary care medical facility, scheduling specialty appointments and handling patient inquiries.
  • Successfully scheduled patient appointments and placed reminder calls to ensure exceptional customer experience.
  • Facilitated organized record retrieval and access by maintaining filing system for both in-house and out-side.
  • Specializing in Insurance Referrals, Prior Authorizations, and updating patients insurance information when needed.
  • Schedule all outside diagnostic testing
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
Lead Receptionist, 08/2016 to 06/2018
Exos – Phoenix , AZ
  • Responsible for all Physical Therapy insurance referrals, authorizations, eligibility, patient registration, insurance verification's, log all Medicare POC, keep track of visits and benefit policies for each and every patient.
  • Directly deal with difficult, upset, or confused patients in the most dignifying, professional, and compassionate manner.
  • Work directly with the billing department to ensure accurate reimbursements and clinical documents are being submitted in a timely manner.
  • Responsible for updating and training the receptionist with the most current insurance information, policies and procedures, and changes for all specialties and family practice.
  • Collect copay's, bad debt, balances, and logs the daily transactions.
  • Acting supervisor when reception coordinator is not present.
  • Provided clerical support to 50 company employees by copying, faxing and filing documents.
  • Collected and distributed messages to team members and managers to support open communication and high customer service.
  • Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
  • Answered inquiries and resolved or escalated issues to management personnel to ensure client satisfaction.
Rehab Office Coordinator, 07/2013 to 06/2015
Genesis Rehabilitation – Lake City , FL
  • Supervised by Therapy Program manager, Brief PM on therapy caseload, resident and therapist schedules, all created in ROX.
  • Tracking all therapy minutes in Rehab Optima, setting RUG levels, and going through projections to plan out minutes.
  • Completed all technical audits of charts, ensuring all documents are present, monthly submitted to cooperate.
  • Maintains all filing for therapy department, photocopying, faxing,.
  • Responsible for all department scheduling, full time, part time, and per-diem staff.
  • Ensures all therapist licenses are current and posted.
  • Track all physician referrals, evaluations, orders, and signatures.
  • Stocking and ordering all supplies.
  • Attend morning meeting with Administration and nursing staff, keeping a log of daily minutes,briefing therapist on relevant changes, maintained a positive working relationships with all of the departments.
  • Assist with survey compliance.
  • Daily temp logs, sending out equipment for re- calibration, and in-servicing and orienting all staff and new hires.
  • Made sure all therapist payroll(s) are accurate and submitted in a timely manner.
  • Persistent in getting Insurance authorizations, ARD' s, Med B cuts, and Secondary Insurance.
Certified Nursing Assistant, 09/2008 to 06/2015
Wellstar Health System – Hiram , GA
  • Experienced in long and short term care, mental health, Neuro.
  • And Orthopedics.
  • Assist residents with ADL's.
  • Assisting nursing with treatments, procedures, or other medical necessities.
  • Responsible for charting on all residents ADL's electronically in PCC.
  • Deliver patient care with sensitivity and ensure patient dignity.
  • Accompanied residents on doctor's appointments, gathering all necessary items and documentsneeded.
  • Upon Admission, obtain appropriate equipment such as walkers, canes, and wheeled chairs.
Education
Certification: CNA, 09/2008
Red Cross - City
Nursing Program: 2009
Holyoke Community College - City, State
Early Childhood Special Education, 2007
Greenfield Community College - City, State
High School: 05/2005
Hopkins Academy - City, State
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

85Good
Resume Strength
  • Completeness
  • Formatting
  • Word choice
  • Measurable results
  • Typos

Resume Overview

School Attended

  • Red Cross
  • Holyoke Community College
  • Greenfield Community College
  • Hopkins Academy

Job Titles Held:

  • Medical Referral Specialist
  • Lead Receptionist
  • Rehab Office Coordinator
  • Certified Nursing Assistant

Degrees

  • Certification : CNA , 09/2008
    Nursing Program : 2009
    Early Childhood Special Education , 2007
    High School : 05/2005

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Medical-Referral-Specialist-resume-sample

Medical Referral Specialist

Jp Recovery

Rocky River , OH

Medical-Referral-Specialist-resume-sample

Medical Referral Specialist

Jp Recovery

Rocky River , OH

Medical-Billing-/Referral-Specialist-resume-sample

Medical Billing /Referral Specialist

Oklahoma Mental Health Council

Norman , OK

  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
  • Work Here
  • Contact Us
  • FAQs
  • Accessibility
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2022, Bold Limited. All rights reserved.