Post Job Free

Resume

Sign in

Referral Coordinator Admissions Specialist

Location:
Austin, TX, 78744
Salary:
15.00
Posted:
December 09, 2021

Contact this candidate

Resume:

Joann Castro

Health, has been a Career of mine Ifor many years. Enjoy working and heloing all walks of life Round Rock, TX

Enjoy working with people . Know the in and out of medical. From Registar to Ref coord Authorized to work in the US for any employer

Work Experience

CSR RFL Behavorial Health

Aetna Insurance - Austin, TX

June 2019 to Present

Placements are sent to task case load. When members are not able to locate a behavioral health provider. CSR's call a provider for availability in in the State member resides, Calls are then place to member, give member provider information so that member calls for appt. After aapt made, member calls Aetna EAP to Initiate the Authorization. Urgent placements are completed in 48 hrs, Routine are to be completed with in 5 days.. 8 to 10 or more Placements are given to each CSR daily. Other assignments are given as well. Intake Coordinator

Concord Primary Health Care - San Antonio, TX

January 2019 to May 2019

1. CSR, scheduling new clients weekly with a provider. Auditing charts, look over for any missing forms, Authorizations. Schedule clients for Initial and 6 mo reassessment visits in their homes. Clients were referred by State Insurance's, DADS, Medicaid. Hire Providers per Background check for Clients. Verify all Demos. Call State Insurance for Updated Authorizations,

Gen clerk ll, Data processor, Dialysis

ATP2 LLC - Austin, TX

May 2017 to August 2018

Processing Dialysis Claims daily, 80 to 160 per day. Adjudicate/ Re_Adjudicate claim to price correctly. Talk to providers on out come of claims. Add Work on spreadsheet thru out day, send to supervisor. Referral Coordinator

Pain Management Office - Austin, TX

June 2015 to November 2015

Schedule all New Patients appointments within the Military, retrieve all medical history and physical, Labs, X-rays pertaining to their Appoint

Enter Demographic's, Insurance Information and Verify Insurance into System. Enrollment Outreach Specialist

COGNOSANTE HEALTH/OBAMA HEALTH INSURANCE

December 2013 to March 2014

Enrolling clients in the Market Place Health Insurance/Obama Health Car. Outreach to small businesses, the general population from ages 18- and San Antonio with great turn out. Referral Coordinator

TRAVIS COUNTY HEALTH DISTRICT - DAVID POWELL CLINIC July 2010 to July 2012

Work with 10 health care providers and HIV patients. Receive and obtain referrals for patients who need to see specialists. Enter referrals in calls from patients and other specialist's offices. Verify insurance and request authorizations if needed.

Referral Coordinator

PEOPLE'S COMMUNITY CLINIC - Austin, TX

January 2008 to July 2010

Receive and obtain referrals for patients who need to see specialists. Enter referrals in data base. Interact with patients throughout the day. A

Verify insurance and request authorizations if needed. Admissions Financial Coordinator

UTMB/AUSTIN'S WOMEN'S HOSPITAL

January 2004 to May 2007

Pre-register maternity patients and prepare them for their delivery. Assist in helping patients to apply for Medicaid. Verify authorization for a new patients to spreadsheets daily. Heavy data entry. Housing Inspector

HOUSING AUTHORITY FOR THE CITY OF AUSTIN

April 2002 to August 2003

Inspect homes, apartments and duplexes for landlords initially and every year after. (6-10 units per day) Work with landlords on comparable to appropriate landlord and tenant. Return to failed units within 30 days to re-inspect.

Admissions Specialist

HOUSING AUTHORITY FOR THE CITY OF AUSTIN

May 2001 to April 2002

Screen clients for Section 8 and public housing programs. Handle large volume of applications. Retrieve all necessary documents and include employment status. Answer multiline phone system. Translate for Spanish speakers.

Skills

• Prior Authorization

• Medical Terminology (10+ years)

• Insurance Verification (10+ years)

• Admitting Registrar (10+ years)

• Referral Coord (10+ years)

• Surgery Scheduler, Childrens, Main Surgery (10+ years)

• Workmans Comp (2 years)

• Unit Clerk, Post Partum, Med/ Surg units, Same day surgery (10+ years)

• Housing inspector, section 8 program (3 years)

• Data Entry (10+ years)

• Medical office spec, check in/out Patients, schedule new pt appts, reachedule follow up appts. Heavy phone volume, data entry. (10+ years)

• Microsoft Word (10+ years)

• Excel

• Filing

• Accounting

• Clerical

• Customer Service

• Outlook

• Microsoft Office

• Billing

• Customer Service Skills

• Micro soft, word, excel, spreadsheets, medical terminology, bussness office machine. CSR Behavorial Healthc machines, people soft, manage care check inn, out, scheduling in O.R Adult and Childrens Day Surgery (10+ years)

• Bilingual

• Call Center

• Customer Support

• CSR

• Customer Care

• DME

• Home Health

• Intake Coordinator

• Merchandising

• Medicaid

• Inventory Clerk Assessments Medical Terminology 30+years)

• Completed May 2019 Understanding and using medical terminology. Electronic Medical Records Knowledge

• Proficient May 2019 Knowledge of EMR data, associated privacy regulations, and best practices for EMR use. Full results: Case Management & Social Work

• Familiar September 2019 Prioritizing case tasks, gathering information, and providing services without judgment.

• BH Mes, RFL

• Intake Coord

• CSR Behavorial health

• Intake Coor, doing Assessments of their yearly, New clients, and if having a new provider to assist them in care needs.clients resident are needing to sign form or sign new documents



Contact this candidate