ef508fd4-02dc-43c6-be1e-a9e4ffebae30

Andrew Smith


287 Custer Street, Hopewell, PA 00000

andrew_smith@example.com

(000) 000-0000

Professional Summary

Customer-focused, performance-driven executive with extensive experience and verifiable success in the areas of healthcare, marketing, and communications.  Strong ability to develop strategic plans and drive execution to increase business growth, development, and revenues.  Dedicated leader equipped with an entrepreneurial mindset, advanced technical skills, and exceptional customer service delivery.

Employment history

Referral Coordinator, Robel Inc. Fayshire, Oklahoma
Mar. 2020 – Present
Working as referral coordinator in Primary Care  office. checking patients status .

*Appointment Scheduling

*Referral Handling

*Authorization Handling

*Medical Records

*Transportation Handling(For Patients)

AR caller, Gerhold, Simonis and Quitzon. Waelchiview, Colorado
Mar. 2018 – Apr. 2018
Worked as AR Caller for the Health care company   (denial management , Disputing, Working on rejections and Patient calling ) department  
  
* Claims Maintaining, Denial fixings 

*Maintaining claims with insurances ,getting payments from insurances

*

Education

West Gleason College, Warrentown, Arizona
Bachelor of Engineering, Computer Science Engineering, Jan. 2014

Skills

Communicating With Specialist offices

Authorization Handlings

Referral Handlings

referral coordinator

  • Request specialist referrals based on patients diagnosis in a timely manner such as but not limited to dermatology, rheumatology, physical therapy, oncology, radiology, endocrinology, psychology, psychiatry.
  •  Knowledgeable with CPT and ICD-10 codes. High level of proficiency relating to medical terminology and strong healthcare background.
  •  Ability to work independently and unsupervised maintaining a superior work ethic. 
  •  Expedite patient referrals to specialty offices, fax medical records, answer patient and specialty office calls and complete referral requests. 
  • Maintain records of completed as well as in-process referrals. 
  •  Manage and use of prior-authorization protocols for Medicare, HMO, and private insurers 

referral coordinator

  • Coordinate care from the ER, hospital, and primary care physicians with the appropriate orthopedic surgeon. 
  • Respond to calls from M.D and schedule patient’s specialty appointments
  • Verified insurance documentation 
  • Contact medical doctors regarding appoints with local hospitals 

referral coordinator

  • Verify, follow up and maintain tracking of authorizations daily
  • update insurance coverage prior to patients appointment (procedures, injections, ultrasound and other specialty services)
  • Communicate clearly with staff and patients 
  • Submit for treatment orders such as physical therapy, MRI, CT, durable medical equipment
  • Obtain authorization and follow up with patient upon approval
  • Task may include other duties such as faxing, answering phones, scheduling appointments

referral coordinator

  • Expedited patient referrals to specialty offices, faxed medical records, answered patient and specialty office calls and completed referral requests.
  • Scheduled patient appointments with specialists and remind patients of the appointments.
  • Maintained liaison with insurance companies to ensure completion of all referral related activities.
  • Maintained records of completed as well as in-process referrals.

referral coordinator

  • Ensure complete and accurate registration, including patient demographic and current insurance information.
  • Assemble information concerning patient’s clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist. 
  • Ensure that referrals are addressed in a timely manner from PCP or specialist. 
  • Scheduling and informing patents of specialty appointments and surgical procedures. 
  • Knowledge of CPT and ICD-9/ICD-10 coding. 
  • Answering multi-line telephone system. 

referral coordinator

  • Assemble information concerning patient’s clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist 
  • Review details and expectations about the referral with patients 
  • Ensure that referrals are addressed in a timely manner
  • Remind patients of scheduled appointments via mail or phone