Referral Coordinator
Resume:
Carla Lauderdale
Rowlett, Tx 75088
*****.**********@*****.***
Objective:
Achieve a position that utilizes my work experience and allows me the opportunity to make a positive contribution to the people and employees with whom I work.
Qualifications:
Effective rapport building
Strong multi-tasker; well organized
Works efficiently independently or as part of a team
Detail oriented/excellent verbal and written communication skills
Highly organized and effective in all Patient Healthcare Areas
Baylor Specialty Hospital Access Services Representative Feb 2007 to Dec 2009
Baylor Heart & Vascular Financial Counselor Dec 2009 to Dec 2012
Children’s Health Access Services Coordinator Dec 2012 to Present
Verify insurance, obtain referrals; pre certification for rehab services prior to scheduled appointment
Responsible for incoming/outgoing calls, faxes, all emails, and all other forms for patient
Verify accuracy of patient insurance information loaded into billing systems
Collected and complied data/information from patients such as insurance documentation and patient identification information
Efficiently completed registration for all patients correctly and on time with little/no supervision
Arranged multiple requests and priorities orderly which saved time and met deadlines
Served as a primary source of communication with staff members, employees, physicians, clinics, and patients to resolve problems arising from staff members and patients
Accurately schedule appointments for multiple clinics. Enter orders received from physicians’ offices into the database and contact physicians’ offices regarding in any incorrect order’s received
Analyzes insurance requirements for accounts based on knowledge of plan requirements for authorization, pre certification, referral notification; understanding of insurance health plans
Review accounts to potential financial assistance candidate’s/review income documentation received from employers and others to process application
Collected over $13-15 million dollars in charity care and $4 to $5 million in bad debt
Request payment of required deposits based on hospital guidelines
Work closely with Care Coordination staff to ensure patients status are accurate for timely billing
Assist Department Manager with project development and implementation
Responsible for assisting with interviewing for department staffing/train all new employees
Gathered and entered all data required for weekly reports of Point of Service collections, RQI bill score, phone calls received
Technical Skills
10 key by touch, type 50-55 wpm, Lotus Notes, filing, Microsoft Office, and Windows Applications, Microsoft Outlook, and Computer Applications for insurance industry, fluent with application BCON, Patcom, Med links, Ecpliys, and Epic.
Education
Tarrant County Junior College
Pursed Degree in Business Administration
Certified Healthcare Access Associate - CHAA
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