Referral Specialist Resume Example Company Name

REFERRAL SPECIALIST

Professional Summary

Highly motivated and committed individual with team and organizational levels. Strong ability to multitask and prioritize workloads with little or no supervision. Detail oriented professional looking to bring medical background and team building skills to driven environment.

Skills

Bilingual and good communicator
Military experience
Monitoring patient progress
EMR / EHR systems
Diagnostic equipment expertise
Insurance claims
Medical office administration

Inventory and Supply Management
Insurance Knowledge
Medical billing and coding
Sales and Marketing
Customer and Personal Service
Time Management
Complex Problem Solving

Work History

Referral Specialist, 08/2021 to Current
Company Name – City, State

Run daily referral reports to create work list and monitor referrals in process
Called insurance companies to get precertification and other benefits information on behalf of patients.
Process referrals according to Joint clinic protocols.
Notify patients of referral process, authorization decisions, and verify their understanding.
Conducts periodic review of previously authorized ongoing care for continued need and or eligibility.
Act as liaison for Managed Care and PCP when patient has questions.
Verified insurance benefits and eligibility for Joint Clinic procedures before referring clients.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.

Medical Assistant, 01/2021 to Current
Company Name – City, State

Review medical history, run Healthcare Effectiveness Data and Information Set measures for Manage Care patients.
Reports and accurately documents clinical findings to nurse in charge and/or physician.
Order lab work, billing and coding.
Monitor vital signs, symptoms and allergies, applying monitoring devices such as pulse oximeter and ECG leads/pads, venipuncture, glucose monitoring.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Directed patients to exam rooms, fielded questions and prepared for physician examinations.
Prepared patients for X-rays, electrocardiograms, Echocardiograms.
Renewed and ordered new prescriptions.
Managed over 40 patient calls per day.
Chart prepped, Scheduled appointments, confirmed appointments, schedule transportation.
Taught patients about medications, procedures and care plan instructions.
Communicating effectively with physicians, coordinating tests, procedures, surgeries and hospitalizations and providing patients with community resources as needed.

Certified Medical Assistant, 05/2019 to 05/2020
Company Name – City, State

Obtained client medical history, including medication information, symptoms and allergies.
Conducted preliminary evaluations, including measuring weight, temperature and blood pressure, and documented results with accuracy.
Prepared patients for X-rays, electrocardiograms, temporary casts, suture removal and dressing changes.
Conducted evaluations for patients daily, including EKGs, urinalysis and hematology and ran laboratory tests.
Sanitized, restocked and organized exam rooms and medical equipment.
Called and faxed pharmacies to submit prescriptions and refills.
Gathered forms, copied insurance cards to collect patient information for billing and insurance filing.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Obtained payments from patients and scanned identification and insurance cards.

Client Service Professional, 11/2016 to 04/2019
Company Name – City, State

Scheduled and confirmed client appointments for services with Tax Professionals
Responded to customer questions via phone, email and in-person.
Managed receptionist area by greeting visitors, responding to telephone and email inquiries and providing information for in-person requests.
Handled and processed confidential client information at all times.
Receive payment and record receipts for services
Maintained accurate record-keeping with proactive attention to client information updates.
Participated in regular trainings and workshops to keep up-to-date on all company products and services.

Education

Health Services Management, 07/2021
Medical Education & Training Campus - City

Dean's List

Certified Medical Assistant , 05/2019
The College of Health Care Professions - City

Basic Life Support Certified

Associate of Arts: Education, 06/2016
Palo Alto College - City, State

Member of Future Educators of America[FEA]

Education EC-6Texas A&M University - City

Volunteer of SA Reads

High School Diploma: 06/2013
Southwest High School - City, State

Member of Naval Junior Reserve Officer Training Corps [NJROTC].
Elected to be Platoon Commander and Company Commander.
Received the rank of Lieutenant Commander Senior year.

Military Service

03/2019- Current

Joined the United States Air Force.

07/2021

Health Services Management

07/2020

Graduated Basic Military training in San Antonio, Texas.

Resume Overview

School Attended

Medical Education & Training Campus
The College of Health Care Professions
Palo Alto College
Texas A&M University
Southwest High School

Job Titles Held:

Referral Specialist
Medical Assistant
Certified Medical Assistant
Client Service Professional

Degrees

Health Services Management , 07/2021
Certified Medical Assistant , 05/2019
Associate of Arts : Education , 06/2016
Education EC-6
High School Diploma : 06/2013

Referral Specialist Resume Example

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