Patient Care Referral Coordinator
Resume:
Professional Summary
Skills
Work History
KARINA CHAVEZ-RAMIREZ
Bakersfield, CA 93306 661-***-**** ************@******.*** Proven UM Referral Coordinator with a track record of enhancing patient care through meticulous attention to detail and organizational prowess, notably at Dignity Health. Skilled in insurance verification and fostering patient safety, I excel in streamlining processes to improve efficiency and accuracy, achieving a significant reduction in referral processing times. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level general labor position. Ready to help team achieve company goals. Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines. Detail- oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth. Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
• Pre-authorizations • Insurance Verification
• Medical Terminology • Multi-line phone proficiency
• Organizational abilities • Data entry proficiency
• HIPAA Regulations • Google Suite Proficiency
• Outbound calls • HIPAA Guidelines
• Utilization Management • Health Information Systems
• Quality Control • CPR/AED
• Patient Safety
Aug 2019 - Sep 2024
Bakersfield, CA
UM Referral Coordinator
Dignity Health
• Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
• Scheduled appointments with specialists on behalf of clients. Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
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• Processed referral requests from patients, doctors and other health care professionals.
• Called insurance companies to get precertification and other benefits information on behalf of patients. Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
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Managed electronic health records efficiently, safeguarding sensitive patient information while expediting the referral process.
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Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care.
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• Responded to patient inquiries to offer timely updates regarding referral status.
• Assisted with completion of referral forms and verified data accuracy and completion Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
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Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
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• Streamlined referral process by implementing efficient tracking and communication systems. Contributed to patient education by providing relevant information about their referral process and expectations.
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• Communicated with patients, ensuring that medical information was kept private. May 2018 - Aug 2019
Bakersfield, CA
UM Referral Coordinator Temp
Volt
Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
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• Scheduled appointments with specialists on behalf of clients. Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
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• Processed referral requests from patients, doctors and other health care professionals.
• Responded to patient inquiries to offer timely updates regarding referral status.
• Called insurance companies to get precertification and other benefits information on behalf of patients. Provided exceptional customer service, addressing patient concerns and inquiries regarding the referral process.
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Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout the referral process.
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• Assisted with completion of referral forms and verified data accuracy and completion Oct 2017 - Mar 2018
Bakersfield, CA
Medical Assistant
Pediatric Heart Center
• Sanitized, restocked, and organized exam rooms and medical equipment.
• Obtained client medical history, medication information, symptoms, and allergies.
• Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
• Performed medical records management, including filing, organizing and scanning documents. Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
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Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
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Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
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Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
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Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
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Aug 2009 - Aug 2015
Bakersfield, CA
Operator B
Pactiv
Operated various types of machinery, demonstrating versatility and adaptability in diverse work environments.
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Maintained a safe working environment by enforcing strict adherence to safety guidelines and protocols.
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Assisted in training new operators, sharing knowledge of best practices and promoting a culture of teamwork amongst peers.
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• Provided on-the-job training to newly hired workers and team members.
• Maintained knowledge of industry policies and procedures to set up and operate equipment safely. Collaborated with team members to ensure seamless coordination of tasks and efficient completion of projects.
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• Reduced equipment downtime by troubleshooting issues and performing timely repairs.
• Increased overall product quality through meticulous attention to detail during operation processes. Consistently met or exceeded performance targets while maintaining strict adherence to health, safety, and environmental regulations.
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Upheld quality standards through regular inspections of completed products, addressing any inconsistencies immediately.
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• Accurately documented all operational data, ensuring up-to-date records for review and analysis. Handled adjustments or modifications to machines as needed based on product specifications or changes in operational parameters.
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• Conducted preventative maintenance on equipment to reduce repair costs.
• Streamlined workflow by identifying bottlenecks in the production line and suggesting improvements. Conducted routine maintenance checks to prevent unexpected machinery downtime, ensuring continuous production flow.
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• Implemented new safety protocols, significantly reducing workplace accidents and promoting safer Education
Certifications
Languages
References
working environment.
Enhanced operational efficiency by monitoring and adjusting production equipment for optimal performance.
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Collaborated with team members to troubleshoot and resolve machinery issues quickly, minimizing production delays.
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• Maintained clean and organized work area, setting standard for workplace tidiness and efficiency. Optimized machine settings to achieve superior product output, meeting and exceeding production targets.
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• Reduced waste and increased recycling, contributing to more sustainable production practices.
• Performed general equipment maintenance and repair to minimize downtime.
• Examined incoming materials and compared to documentation for accuracy and quality. Tested products or subassemblies for functionality or quality and troubleshot problems with equipment, devices, or products.
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Mar 2009 - May 2009
Bakersfield, CA
Office Assistant
Bessie Owens Elementry
• Maintained confidentiality in handling sensitive information while performing administrative tasks.
• Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
• Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
• Expedited document processing with accurate data entry and timely filing. Mar 2017
Bakersfield, CA
Associate of Science: Medical Assistant
UEI College
May 2009
Bakersfield, CA
High School Diploma
Bakersfield High School
• Certified Medical Assistant (CMA)
• CA Driver's License
English
Native or Bilingual
Spanish
Native or Bilingual
Tiffany Gage - supervisor - 661-***-****
Cecille luna - supervisor - 805-***-****
Andrea Brandon - manager - 559-***-****
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