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Referral Coordinator

Location:
Dallas, TX
Posted:
September 19, 2018

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Resume:

Carla Lauderdale

**** ********** **

Rowlett, Tx 75088

214-***-****

ac63yi@r.postjobfree.com

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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