Care Coordinator Referral Specialist
Resume:
Julnar Arous
Referral Specialist /Care Coordinator
El Cajon, Ca 92019
************@*****.***
Summary
A professional and experienced Arabic and English languages interpreter with an active certificate looking to facilitate healthcare language access in medical and clinical environments.
EXPERIENCE
Referral Specialist/ Care Coordinator at Family Health Center
(September 2020 - Present)
● Acquire authorization for referring the patient to specialists and hospitals.
● Interpret medical, insurance-related, and specialist information to Arabic-speaking patients.
● Obtain, review, and input insurance authorization for medical services (e.g. MRI, CT Scan, etc.), supplies (e.g. DME), and medications.
● Communicate with the insurance company to resolve any denied authorization.
● Schedule member appointments as necessary and communicating referral information to patients.
● Attend insurance and other work conferences and meetings.
● Communicate by making calls with insurance companies, patients, and pharmacies.
● Check the patient’s insurance eligibility.
● Get consult notes from the specialist to ensure communication with the patients regarding their case.
● Send letters to patients when unable to reach by phone; handle all returned letters.
Prior Authorization/ Referral Coordinator atJamachaUrgent Medical Center (October 2016 - September 2020)
SKILLS
-Knowledge of medical
terminology and CPT-4
and ICD-10 coding
-Abides by rules and laws
of confidentiality (e.g.
HIPAA)
-Computer skills and
software aptitude
-Exceptional
communication and
customer service
-Multi-line phone
proficiency
-Time management
-Highly organized
LANGUAGES
Fluent in English and
Arabic
REFERENCES
Sandra Mekhaail - Former
Supervisor and Coworker
Zeena Kisso - Former
Supervisor and Coworker
● Acquire authorization for referring the patient to specialists and hospitals.
● Obtain, review, and input insurance authorization for medical services (e.g. MRI, CT Scan, etc.), supplies (e.g. DME), and medications.
● Communicate with the insurance company to resolve any denied authorization.
● Schedule member appointments as necessary and communicating referral information to patients.
● Attend insurance and other work conferences and meetings.
● Communicate by making calls with insurance companies, patients, and pharmacies.
● Check the patient’s insurance eligibility.
● Get consult notes from the specialist to ensure communication with the patients regarding their case.
● Send letters to patients when unable to reach by phone; handle all returned letters.
● Interpret medical, insurance-related, and specialist information to Arabic-speaking patients.
Dental Assistant and Health Interpreter at Divine Family Dentistry
(June 2015- August 2015)
● Helped Arabic-speaking patients fill out registration forms and other documents.
● Prepared the patients for treatment by taking their medical history, observing their case sheet, and asking about their chief complaints
● Took important scans such as X-Rays
● Interpreted the dialogue between the patient and the dentist throughout the visit
● Provided the patient with instructions regarding what to do leading up to the next visit
● Assisted the dentist during dental procedures
● Communicated with the patient following the termination of the procedure.
Health Interpreter and Dental Assistant at Dr. Ikram Mahmood, D.D.S., P.C.(October 2014 - June 2015)
● Interpreted for the patient and dentist throughout the entire visit
● Communicated with the patient regarding the procedure and the follow-up instructions
● Assisted the dentist during dental procedures
● Performed all the tasks assigned to a dental assistant, including a few such as:
-Taking information from the patients
-Inquiring the patient’s medical issues and main complaints
-Taking X-rays and oral impressions
●Certificate of Completion for
Healthcare Interpreting course-
Health Occupation Center.
Contact this candidate