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referral authorization coordinator resume example with 7+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - resumesample@example.com - - -
Professional Profile

Highly efficient Medical Authorization Referral Coordinator with over 4 years' medical office experience in addition to advanced customer service

experience. Strong communication skills and extensive knowledge of medical terminology.

Skill Highlights
  • Insurance verification
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Electronic Medical Record (EMR) software
  • ICD-9 and CPT coding
  • Typing and data entry
  • Basic MS Office, AS400, Oracle , Atlas
  • Coordination, prioritizing, and multi-tasking
  • Filing and maintaining patient charts

  • Telephone skills
  • HIPAA compliance
  • Physician Referrals
  • Excellent customer service and patient-focused care
  • Team player with positive attitude and attention to detail
  • Exercises good judgment
  • Critical thinking and problem solving
  • Research and data collection
  • Basic office equipment; fax, printer, copier, scanner

Professional Experience
11/2007 to 07/2012
Referral Authorization Coordinator Crowley Family Medical City, STATE,
  • Acquired insurance authorizations for procedures and tests ordered by Dr Baker, and faxed all patient records to required medical facility pertaining patient treatment.
  • Processed referrals from start to finish for specialist appointments, radiology, DME, and all other as ordered by primary care physician, and followed up with call to patient with details.
  • Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
  • Confirmed patient information, collected copays and verified insurance.
  • Efficiently performed insurance verification and pre-certification and pre-authorization functions.
  • Served as a liaison between patients and physicians to assist patients in understanding their treatment plans.
  • Comforted patients and provided them with reassurance and encouragement.
  • Prepared patient rooms prior to their arrival.
  • Read and recorded temperature, pulse and respiration.
  • Recorded patients' medical history, vital statistics and test results in medical records.
  • Escorted patients to examination rooms and prepared them for physician exams.
  • Developed and mounted X-Rays.

02/2006 to 2008
Wellness Center Manager/HHA Golden Rule Home Care, Reach-Out Home Care, Legacy Home Health, Haven Home Health City, STATE,
  • Managed two wellness centers inside 55 and over retirement facilities.
  • Recruited potential clients for home health benefits.
  • Created and instructed exercise programs for residents in retirement homes, and facilitated games and other activities to engage clients.
  • Inventoried, ordered and stocked wellness centers.
  • Coordinated with doctors and registered nurses to develop care plans for patients.
  • Recorded patients' medical history, vital statistics and test results in medical records.
  • Maintained patient privacy and confidential patient information.
  • Tested patients' blood glucose levels.
  • Observed and documented patient status and reported patient complaints to the case manager.
  • Observed and documented patient status and reported patient complaints to the case manager.
  • Read and recorded temperature, pulse and respiration.
  • Assisted with all ADLs.

06/2005 to 02/2006
Administrative Assistant/CNA Bethesda Gardens City, STATE,
  • Assisted with admissions and developing patient care plans, including assessments, evaluations, and nursing diagnoses.
  • Monitored and evaluated customer service surveys.
  • Read and recorded temperature, pulse and respiration.
  • Cleaned and organized patients’ living quarters.
  • Performed household tasks such as laundry, dusting, washing dishes and vacuuming.
  • Assisted with transferring residents in and out of wheelchairs and adaptive equipment.
  • Charted daily information on the residents such as mood changes, mobility activity, eating percentages, and daily inputs and outputs.
  • Recognized and reported abnormalities and/or changes in patients' health status to nursing staff.
  • Sensitive to the needs of geriatric patients.
  • Participated in the maintenance of safe conditions within the facility and other related areas.

Education and Training
Expected in 1993 to to
GED: Basics
Hill County Continuing Education - Cleburne, Texas
GPA:

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Resume Overview

School Attended

  • Hill County Continuing Education

Job Titles Held:

  • Referral Authorization Coordinator
  • Wellness Center Manager/HHA
  • Administrative Assistant/CNA

Degrees

  • GED

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