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Referral Specialist Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
  • Insurance Verification
  • Physician Authorizations
  • Appointment Scheduling
  • Appointment Reminders
  • Pre-authorizations
  • Notetaking and documentation
  • Multi-line telephone operation
  • Scheduling Software
  • Insurance coding (ICD-9 and CPT)
  • Medical terminology
  • Training & Development
  • Written Communication
  • Excellent work ethic
  • Interpersonal Communication
Work History
Referral Specialist, 02/2017 to Current
Osf Healthcare Normal, IL,
  • Scheduled appointments with specialists on behalf of clients.
  • Built professional relationships with service providers.
  • Entered patients data using EMR to document referrals and results.
  • Worked with referral specialist to obtain prior authorization for cardiology procedures.
  • Followed up with patients and primary care doctors to inquire about referral and collect reports.
  • Partnered with other departments, to provide top-notch service to clients.
  • Verified insurance benefits and eligibility for office visits and cardiology procedures before referring clients.
  • Collected and verified completeness of intake and enrollment screening packets for specialty facility.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Trained Number staff on referral and intake process.
  • Located, checked in and pulled medical records for patient appointments and incomplete charts.
  • Completed and filed financial documentation for accounting purposes.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Answered phone calls and messages for Number-physician Type medical facility, scheduling appointments and handling patient inquiries.
  • Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
  • Carried out front office duties utilizing data entry skills in framework of medical database.
Medical Assistant, 01/2015 to 02/2017
Harbor Corporation Toledo, OH,
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Completed clinical procedures and gathered patient data for interpretation by physician.
  • Collected histories, vitals and current complaints via patient interviews.
  • Conducted preliminary evaluations, including measuring weight, temperature and blood pressure, and documented results with accuracy.
  • Prepared blood, urine, stool and sputum lab specimens for diagnostic evaluation.
  • Tested and recorded blood glucose levels.
  • Gathered forms, copied insurance cards to collect patient information for billing and insurance filing.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Oriented and trained new staff on proper procedures and policies.
  • Assisted physicians in follow-through of care.
  • Sanitized, restocked and organized exam rooms and medical equipment.
  • Report significant information and changes in patient condition to nurse supervisor.
  • Measured patient pulse oximetry.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Obtained client medical history, including medication information, symptoms and allergies.
  • Escorted patients to examination rooms.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Documented all maintenance and repairs in timely fashion.
  • Maintained detailed records of test results by entering data and patient information into computer.
  • Educated patients by providing medication and diet information and clarifying physicians' orders, answering questions thoroughly.
Outpatient Service Specialist LEP , 01/2013 to 01/2015
Rhode Island Hospital City, STATE,
  • Answered phone calls and messages for specialist physician, facility, scheduling appointments and handling patient inquiries.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Coordinated front office duties, including customer service, patient scheduling and billing.
  • Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Carried out front office duties utilizing data entry skills in framework of medical database.
  • Organized paperwork such as charts and reports for office and patient needs.
Education
Spanish Healthcare Interpreter: Interpreter Certification , Expected in 01/2010
to
Northern Rhode Island Health Education Center - Warwick, RI,
GPA:
Certificate : Medical Assistant , Expected in 01/2001
to
Rhode Island College - Providence, RI
GPA:

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Resume Overview

School Attended
  • Northern Rhode Island Health Education Center
  • Rhode Island College
Job Titles Held:
  • Referral Specialist
  • Medical Assistant
  • Outpatient Service Specialist LEP
Degrees
  • Spanish Healthcare Interpreter
  • Certificate

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