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Skills

  • Healthcare administrative systems
  • Cross-functional team collaboration
  • Insurance eligibility verification
  • Multitasking in high-volume environments
  • Framework equipment
  • System updates
  • Relationship development
  • Business operations
  • Payment collection
  • Process improvement

Work Experiences

  • Was in charge of compiling and reviewing medical records.
  • Achieved a 78% increase in successful first-time referral approvals.
  • Conducted patient interviews to gather medical history for referral handovers, improving the accuracy of documentation by 39%.
  • Transported Asana to one year customer locations.
  • Built and maintained strong working relationships with over 11 external referral agencies, driving a 74% increase in successful patient transfers.
  • Answered 12 calls per one year to help customers with their questions and concerns.
  • Looked for industry trends on social media and through online sources.
  • Actively managed relationships with providers.
  • Created personalized follow-up systems for high-risk patients, driving a 67% improvement in referral completion rates.
  • Cut manual data entry in half.

Summaries

  • Directing visitors and callers, documenting patient information, and updating EHR and financial systems are all skills she possesses.
  • 10 years of experience as a patient service representative.
  • Confident leader and Patient Referral Coordinator recognized for implementing pre-authorization improvements that led to a 72% increase in first-time referral approvals.
  • Strengths in risk assessment and performance reporting backed up by Miscellaneous training.
  • Achieved results in just 17 months.
  • Cut data entry time by half.
  • Patient Referral Coordinator with 3 years of successful vendor management and quality assurance experience.
  • Clear understanding of budget management and team leadership as well as performance reporting training.
  • Achieved a 54% improvement in referral resolution speed.
  • Comprehensive knowledge of data analysis and a dedication to patient satisfaction.

Accomplishments

  • Worked across departments to implement appointment pre-screening standards, decreasing referral processing times by two years on average.
  • Maintained accurate records of referrals, boosting patient satisfaction by handling over 14 cases per month with a 47% reduction in delays.
  • Implemented new referral software, increasing the percentage of electronic submissions by 72% and reducing manual entry errors.
  • Coordinated insurance prior authorizations for over 18 patients monthly, achieving a 48% reduction in authorization delays.
  • Facilitated high-priority referrals for specialized care, reducing the expedited patient referral processing time by 18 months.
  • Supported patient billing queries related to referrals, facilitating faster issue resolution, and reducing patient escalations by 80%.
  • Generated quarterly reports on referral completion rates and patient outcomes for leadership review, yielding a 81% improvement in decision-making efficiency.
  • Implemented patient reminders and follow-ups that led to an increase of 73% in completed referrals for critical surgeries within the past year.
  • Coordinated over 10 patient referrals per week, ensuring adherence to treatment protocols and reducing processing delays by 31% over 6 months.
  • Partnered with clinical and administrative staff to reengineer referral processing, shortened time-to-referral issuance by the past year and received Excellence Award for efficiency improvements.

Affiliations

  • American College of Physician Advisors (ACPA)
  • Healthcare Financial Management Association (HFMA)
  • American Health Information Management Association (AHIMA)
  • American Society of Safety Professionals
  • Association for Patient Experience (AfPE)
  • Certified Professional in Healthcare Quality (CPHQ) through NAHQ
  • Association for Computing Machinery
  • Medical Group Management Association (MGMA)
  • International Council of Nurses
  • American Medical Billing Association (AMBA)

Certifications

  • Certified Professional Coder (CPC)
  • Certified Electronic Health Records Specialist (CEHRS)
  • Healthcare Information Security and Privacy Practitioner (HCISPP)
  • Advanced Referral Coordination Certification - Harbor & Co.
  • Certified Medical Office Manager (CMOM) - process
  • Certified Revenue Cycle Representative (CRCR)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Professional in Healthcare Quality (CPHQ)
  • CompTIA Security+
  • CPR and First Aid Certification (framework, 2023)

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