Referral Coordinator
Resume:
VICTORIA A. VOORHEES
Amarillo, Tx *****
victoria.voorhees1129@gmail
Skills
● SELF-MOTIVATED ATTENTION TO DETAIL ● MULTITASKING ABILITIES FLEXIBLE AND ADAPTABLE ● PROBLEM-SOLVING PPE COMPLIANCE ● WRITTEN AND VERBAL COMMUNICATION INSURANCE BILLING ● ORGANIZATION AND TIME MANAGEMENT MEDICAL TERMINOLOGY ● PLANNING AND COORDINATION MEDICAL BILLING AND CODING
Experience
08/2023-08/2025
UHG Optum Remote, Tx - MEDICAL BILLING/INSURANCE ANALYST
● Worked pediatrics claims for reimbursement and or investigate denials. Worked with insurance companies portals or contact patients if needed..
● Posted and adjusted payments from various insurance companies.
● Located errors and promptly refiled rejected claims.
● Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
01/2022-08/2023
GeneIA Lab LLC, Addison, Tx - MEDICAL BILLING/INSURANCE ANALYST
● Examined patients insurance coverage, deductibles and information in the patient accounting system.
● Posted and adjusted payments from various insurance companies.
● Located errors and promptly refiled rejected claims.
● Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
12/2021-01/2022
Jefferson Dental and Orthodontics, Carrollton, Tx - Dental Billing Specialist
● Managed invoicing and payment processing operations.
● Executed billing tasks and records information in the company database. ● Verification of Benefits and added information to patients charts.
● Responding to customer concerns and questions on a daily basis.
● Used data entry skills to accurately document and input statements.
● Posted data and kept other records concerning costs of goods, services or shipment of goods.
08/2020-07/2021
Texas Regional Asthma and Allergy, Southlake, Tx - Medical Billing Specialist
● Examined patients’ insurance coverage and deductibles.
● Posted and adjusted payments from insurance companies.
● Located errors and promptly refiled rejected claims.
● Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
● Communicated effectively and extensively with other departments to resolve claims issues. ● Posted payments and collections on a regular basis.
● Delivered timely and accurate charge submissions.
● Collected payments and applied to patient accounts.
● Liaised between patients, insurance companies and billing offices.
● Adhered to established standards to safeguard patients’ health information. 07/2019 to 07/2020
Regional Plastic Surgery Center & Spa, Richardson, Tx - Medical Billing Specialist Managed invoicing and payment processing operations.
● Examined patients’ insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
● Posted and adjusted payments from insurance companies.
● Located errors and promptly refiled rejected claims.
● Precisely evaluated and verified benefits and eligibility.
● Posted surgical charges and office visits for practice providers.
● Posted physical therapy charges for the hand surgeon.
● Filed and updated patient information and medical records.
● Communicated with insurance providers to resolve denied claims and resubmitted. ● Verified and pre authorized workers compensation patients for hand surgeons. ● Posted billing and coding procedures for emergency room patients, as well as In/Out patients.
● Managed billing calendar and scheduled claims for payments.
● Liaised between patients, insurance companies and billing offices.
● Adhered to established standards to safeguard patients' health information.
09/2013-02/2018
Greater Dallas Orthopaedics, Dallas, Tx - Referral Coordinator
● Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout the process.
● Scheduled imaging, tests and appointments with specialists on behalf of clients. ● Verification of Benefits and added information to patients charts.
● Responding to customer concerns and questions on a daily basis.
● Called insurance companies to get precertification and other benefit information. ● Scheduled peer reviews between the prior authorization department of insurance companies and our physicians.
● Coordinated with medical staff and patients to find cost-effective options for services.
3
● Followed up with clients and specialists to inquire about experience and collect reports, images.
● Complete referral requests for incoming and outgoing referral daily for our medical providers.
12/201*-**-****
Advantage Healthcare, Dallas, Tx - Medical Billing Specialist
● Examined patients insurance coverage, deductibles.
● Verified workers compensation authorization for daily services.
● Verification of Benefits and added information to patients charts.
● Posted workers compensation charges to insurance companies in an accurate and timely manner.
● Delivered timely and accurate charge submissions.
● Performed billing and coding procedures for workers compensation patients.
12/2000-03/2010
Breast Surgeons of North Texas, Dallas, Tx - Medical Billing & Collections Specialist
09/1994-12/2000
Baylor Richardson Medical Center, Richardson, Tx - Bus Office Supervisor/Billing
Education
08/1981-05/1984
Garland High School, Garland, Tx (Diploma)
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