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Medical Insurance

Location:
Tacoma, Washington, United States
Posted:
November 04, 2018

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Resume:

Sian Barton

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

Tacoma, Wa *****

253-***-****

Objective: A stable position with a company focused on creating a healthier community

Employment:

April 2007 to Oct 2014: Franciscan Medical Clinic-St Joseph Medical Clinic

Supervisor: Kim Buston

Responsibilities Included: Liason between providers, patient, and other offices to make sure our patients are scheduled and informed in a timely manner, answering patient and provider questions regarding referral and insurance information. Obtaining authorizations from insurance companies as needed. Able to identify, research and resolve patient concerns

Current on computer programs

Proficient with the EPIC EMR system

Able to work independently

Helped pilot the patient navigation and Order Now projects in our clinic. AIDET expert and Epic Super User

Oct 2014 to Oct 2016: Franciscan Medical Group-Patient Access Department

Supervisor: Heather Adams

Responsibilities Included: Referral Coordinator, floating ALL of the Franciscan Medical clinics that required coverage with their referrals. Working hand in hand with the readiness owner of the referral portion of EPIC to make sure the clinics were processing their Referrals as trained. Staying in constant contact with providers and nursing staff to make sure the patients were properly taken care of. Obtaining any and all authorizations from insurance companies. Transcribed incoming referrals into the Epic system so schedulers could contact the patients to get scheduled.

Trouble shooting Referrals that were already in the system.

Scanned in Financial Aide applications and charity care applications, PHI, MVA and L&I form into the system.

Verified Insurances for upcoming appointments.

Helped clear out charge review work queues of error so charges could be resent to insurance companies.

November 2016 - February 2017: Coordinated Care Referral Specialist:

Supervisor: Tracy Buffington 253-***-****

●Receiving and creating referral letters

●Receiving and investigating return mail making sure the addresses are correct and letters authorization letters get sent out in a timely manner

July 2017 to current: Conifer Health

Supervisor: Kelly McArthy 253-***-****

●Working series accounts. Making sure authorizations are in place for upcoming appts and if not obtaining them

●Verifying insurances and benefits

●Communication with referring office, referred to office and patients to make sure everything is in place for visit

●Obtaining authorization for imaging procedures

●Working with patients on the phone obtaining coat estimates for upcoming visits

References:

Cristina Disalvo 253-***-****

Heidi Krajewski 253-***-****

Lisa Jackson 253-***-****



Contact this candidate