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Skills

  • Operational improvement
  • Referral coordination
  • Data entry accuracy
  • Mastery of office productivity software (Tableau)
  • Conflict resolution
  • Project organization
  • Communications
  • Priority scheduling negotiation
  • Customer service
  • Workflow Optimization

Work Experiences

  • Clients were notified and reminded of their appointments.
  • Collaborated with other departments, including metric, to provide excellent customer service.
  • Achieved this within 18 months.
  • Acted as a liaison between patients and care providers.
  • Helped clients find resources that accepted a variety of insurances.
  • Collaborated with compliance.
  • Collaborated with primary care providers and insurance companies to obtain all necessary authorizations, decreasing referral rejections by 39%.
  • Collaborated with insurance representatives.
  • Improved bill payment timeliness by developing flexible payment plans for patients.
  • Collaborated with the IT department to build a real-time dashboard for referral tracking, which eliminated duplicate requests by 8%.

Summaries

  • Proven experience in standard and procedure environments, as well as knowledge of provider requirements.
  • Costs were consistently reduced while profits were increased.
  • Dedicated to streamlining organizational procedures in order to improve office environments.
  • Healthcare practices, compliance standards, and operations are all familiar territory for this versatile administrative professional.
  • With over 10 years of experience in the process industry, I am committed to organization and collaboration.
  • Exceptional attention to detail, collaboration, and typing skills.
  • Adept at liaising between patients, insurers, and physicians.
  • Achieved an error rate below 20% per two years.
  • Achieved this within two years.
  • Medical Referral Specialist is a well-organized Medical Referral Specialist who is well-versed in healthcare processes and administrative requirements.

Accomplishments

  • Reduced referral processing backlog by 8 days by optimizing internal workflows and staff scheduling in 2022.
  • Monitored daily referral queues and facilitated timely completion, consistently meeting or exceeding departmental KPIs.
  • Collaborated with clinical staff on streamlining referral documentation, reducing processing time by 39%.
  • Led project to optimize referral scheduling, reducing cancellations by 50% and improving patient care continuity.
  • Utilized a variety of performance metrics to monitor referral efficiency, achieving departmental goals within several months.
  • Spearheaded the transition to a new metric, ensuring minimal disruption and achieving a successful rollout within 9 weeks.
  • Improved communication and coordination between providers and specialists, resulting in a 32% increase in successfully scheduled diagnostic appointments.
  • Identified and corrected data entry issues in referral documentation, reducing administrative errors by 46%.
  • Reviewed and analyzed weekly referral metrics, identifying underperforming processes and introducing solutions that boosted operational efficiency by 82%.
  • Reduced insurance verification errors by 71% in collaboration with billing and insurance teams, improving patient satisfaction and billing efficiency.

Affiliations

  • Society of Human Resource Management
  • Toastmasters
  • American Association of Healthcare Administrative Management (AAHAM)
  • National Board for Certification of Medical Interpreters (NBCMI)
  • National Alliance of Healthcare Purchaser Coalitions
  • Professional Association of Health Care Office Management (PAHCOM)
  • Healthcare Information and Management Systems Society (HIMSS)
  • Freemason
  • American College of Health Care Administrators (ACHCA)
  • American Medical Billing Association (AMBA)

Certifications

  • Medical Billing and Coding Certification with Cedar Works
  • First Aid/CPR Certified
  • Certification in Health Information Management (CHIM)
  • CompTIA Security+
  • Certified Revenue Cycle Representative (CRCR)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • SHRM Certified Professional (SHRM-CP)
  • Certified Professional in Healthcare Quality (CPHQ)
  • Medical Insurance Specialist Certification
  • Certified Business Analysis Professional (CBAP)

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