KRISTA SPAULDING
Email: ********@********.***
Address:
City: Kelso
State: WA
Zip: 98626
Country: USA
Phone: 360-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Referral Manager with patient care as the number one focus. Experience with insurance work including but not limited to obtaining authorizations and checking benefits. Deadlines are very important with referrals and they must be reached so performance, with discipline is a must.
Educational Background:
High School Dipolma from Lower Columbia College, Longview WA 1/2001 to 1/2002 (Fire Science)
Job History / Details:
Career Overview
Referral Manager with patient care as the number one focus. Experience with insurance work including but not limited to obtaining authorizations and checking benefits. Deadlines are very important with referrals and they must be reached so performance, with discipline is a must.
Core Strengths
Training development
Local/state health laws
Multi-line phone usage
Strong organizational skills
Listening skills
Medical terminology knowledge
Scheduling
Internet research
Problem solving
Knowledge of insurance requirements and changes
10 key
Manage time lines
Filing
Medical record experience
Accomplishments
Conflict Resolution
Responsible for handling patients, accurately providing information to ensure timelines with referrals are met and insurance coverage is taken care of.
Customer Service
Consistently received positive feedback from providers and patients about referral deadlines with appointments made.
Handle complaints, maintaining a positive outcome for both parties.
Work Experience
August 2006 to 12/6/2012 12:00:00 AM
PeaceHealth Longview, WA
REFERRAL MANAGER
Job duties include obtaining authorizations from insurance companies, faxing medical records, billing insurances, working with CPT and ICD9 codes, using the 10key, working multiple phone lines, scheduling appointments for patients along with giving them prep information.
December 2002 to July 2005
Eldercare Connections Longview, Washington
Caregiver Manager
As the caregiver manager for one of five adult foster homes I was in charge of making all schedules for employees, ordering supplies for the house and the six residents, filling medication boxes, Caring for Six residents that had some kind of medical condition that would limit them in daily living. Trained all new employees quarterly. Responsible for maintaining all updates to the house and workers.
Educational Background
Lower Columbia College Longview, Washinton
Fire Science
Candidate Resume - Angelina Sanchez
Contact Information -
Email: ********@**************.***
Address:
City: Lakewood
State: CO
Zip: 80215
Country: USA
Phone: 720-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Analytical adept at resolving complex network issues. Critical thinker who addresses customer support issues quickly and who consistently exceeds performance standards.Technical Support Representative skilled at resolving complex customer service issues in a timely manner. Customer service-oriented Administrative Assistant skilled in greeting patients, scheduling appointments and preparing patient charts.
Educational Background:
High School Dipolma from life skills, Denver CO 1/2001 to 12/2000 (general studies)
Job History / Details:
Professional Summary
Analytical adept at resolving complex network issues. Critical thinker who addresses customer support issues quickly and who consistently exceeds performance standards.Technical Support Representative skilled at resolving complex customer service issues in a timely manner.
Customer service-oriented Administrative Assistant skilled in greeting patients, scheduling appointments and preparing patient charts.
Skill Highlights
Troubleshooting proficiency
Exceptional telephone etiquette
Patient and diligent
MS Office proficiency
Vast technical knowledge
Maintains strict confidentiality
Managed care contract knowledge
Electronic Medical Record (EMR) software
Accomplished with mobile devices
Windows XP/Vista
Proficient in AVG, Printers, PC Security systems
Interpreting instruction
HIPAA compliance
Strong planning skills
Strong work ethic
Team player with positive attitude
Exercises good judgment
Professional Experience
April 2004 to December 2011
Empowerment Counseling Services Lakewood, Co
receptionist
Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.Designed electronic file systems and maintained electronic and paper files.Maintained the front desk and reception area in a neat and organized fashion.Wrote reports and correspondence from dictation and handwritten notes.
May 2002 to March 2004
Woodridge Orthopedics Lakewood, Co
medical front desk
Recorded and filed patient data and medical records.Carefully reviewed medical records for accuracy and completion as required by insurance companies.Strictly followed all federal and state guidelines for release of information.Wrote clear and detailed clinical phone messages for physicians.Directed patient flow during practice hours, minimizing patient wait time.Scheduled patient appointments.Confirmed patient information, collected copays and verified insurance.
Education and Training
2000 life skills Denver, co
GED general studies
Accomplishments
Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.Increased office organization by developing more efficient filing system and customer database protocols.