THERESA DLUHOS RESUME'

adl0uu@r.postjobfree.com 901-***-**** Cordova, TN 38018

Summary Skilled Referral Coordinator with 20 years of experience managing referrals for multiple providers. Adaptable and driven with strong work ethic and ability to thrive in team-based or individually motivated settings.

Skills Understanding of insurance details

Organizational Skills

Patient information verification

Verification processes

Medical Records

HIPAA education

Medical Terminology

Charting and clinical documentation

Efficient and reliable team player

OSHA compliance

Building Effective Relationships

Insurance Verification

Leadership

Telephone Skills

Benefits and compensation

Managing deadlines

Prioritizing stat orders

Communication Skills

Relationship Development

Patient scheduling

Venipuncture and phlebotomy

Experience Referral Coordinator 10/2020 - 03/2021

Semmes-Murphey Clinic Memphis, TN

Verified documents and associated records to catch and resolve discrepancies. Scheduled patients according to availability, urgency and insurance authorization guidelines. Managed up to 10-20 patient referrals daily through multi-line telephone system. Gathered community resources and coordinated referrals to obtain services. Referral Coordinator 08/2019 - 04/2020

Baptist Medical Group Collierville, TN

Assisted clients in locating resources that accepted various insurances Built professional relationships with service providers Verified insurance benefits and eligibility for out patient procedures before referring clients Notified and reminded clients of appointments

Worked with multiple insurance companies to obtain prior authorization for out patient procedures

Entered authorization data using Crimson and Epic to document referrals and results Supported providers in outpatient medical office through coordinating all administrative operations

Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments

Obtained PA for services such as diagnostic imaging. Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.

Prior Authorization Specialist 11/1997 - 05/2019

Gastro One Germantown, TN

Reviewed insurance coverage for patients to determine which party was liable for payment T

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Maintained strong knowledge of basic medical terminology to better understand services and procedures

Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing

Contacted multiple insurance companies to obtain prior authorization for medical procedures Made contact with insurance carriers to discuss policies and individual patient benefits Notified ordering providers of denied authorizations. Education and

Training

Associate of Science: Medical Assisting 1995

West Virginia Career College South Daytona, FL

Dean's List 1994

High School Diploma 1988

Spruce Creek High School Port Orange, FL

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