referral specialist resume example with 4 years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
H: (555) 432-1000
C:
resumesample@example.com
Date of Birth:
India:
:
single:
:
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 - Current Cci Health & Wellness Services – Greenbelt, MD,
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 - Current Access Healthcare Physicians, Llc – Spring Hill, FL,
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.
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 - 05/2020 24 Our Care – Kansas City, MO,
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.
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