Referral Specialist resume examples

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Skillful Referral Specialist resume

Khadijah Stewart
Skills
  • Agile learner
  • Detail orientated
  • MS Windows proficient
  • Strong interpersonal skills
  • 45 WPM
  • Dependable/reliable
  • Shipping and receiving professional
  • ERP logistics database expert
  • Work History
    Information Referral Specialist, 04/2016 to Current
    Georgia Department of Driver Services Conyers, GA
    • Addressing constituents' concerns, transferring calls, and taking message when necessary.
    • Provide information about establishment, such as location of departments or offices, employees within the organization, or services provided.
    • Organizing calendars and scheduling appointments.
    • ​Resolve problems by clarifying issues; researching and exploring answers and alternative solutions; escalating unresolved problems and/or concerns.
    Warranty Administrator, 05/2016 to 03/2017
    American Customer Service Peachtree City GA
    • Kept records of customer interactions/transactions, recording details of inquiries, complaints and/or comments.
    • Reviewed claims adjustments with dealers/contractors for approval, i.e., examining defective parts.
    • Recommend improvements in product, packaging, shipping, service, or billing methods. 
    • Organized and worked with detailed office/warehouse records, using data key entry. 
    Claims Representative, 09/2014 to 03/2016
    Crawford & Company Atlanta, Georgia
    • Accurately handled and recorded incoming calls from insured, claimants, attorneys or agents in regards to first notice of claims.
    • Recorded 25 claims per hour.
    • Managed a wide variety of customer service and administrative tasks to resolve customer issues quickly and effectively.
    • Mastery of customer service management systems and database
    Administrative Assistant, 12/2013 to 09/2014
    Discovery Point Daycare Lawrenceville, GA
    • Managed office supplies, vendors, organization and upkeep.
    • Maintained a clean reception area, including lounge and associated areas.
    • Communicated regularly with parents about daily activities and behaviors.
    • Relief assistance for head and toddler teachers.
    • Receive payment and record receipts for services.
    • Monitored payments due from parents and promptly contacted clients with past due payments.
    Education
    Bachelor of Science: Nursing, Current
    Georgia State University - Atlanta, GA
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    Job-winning Referral Specialist resume

    Shauna Martin
    Professional Summary
    Ambitious and highly skilled Patient Financial Experience Rep. Motivated and passionate for a Supervisory position in healthcare with an innovative approach. Able to lead all aspects of operations while increasing customers, revenue and staff. Offering 5 plus years of progressive business experience and best business practice. And 10 plus years of Healthcare experience providing clinical, administrative and patient support.
    Skills and Highlights
    • MS Office proficient
    • Supervisor/Management experience
    • Insurance billing procedures
    • Industry software applications
    • Performance evaluations
    • Budgeting and forecasting
    • Adept multi-tasker
    • Excellent verbal communication
    • Resourceful and reliable worker
    • Independent judgment and decision making
    • Promotes positive behavior
    • Process improvement
    Work History
    Patient Financial Experience Department , 01/2018 to Current
    Multicare Health System Revenue Cycle Tacoma, Washington
    • Precisely completed appropriate claims paperwork, documentation and system entry.
    • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
    • Verified patients\' eligibility and claims status with insurance agencies.
    • Identified and resolved patient billing and payment issues.
    • Evaluated patients\' financial status and established appropriate payment plans.
    • Updated patient financial information to guarantee accuracy.
    Owner/Director, Current
    Little Impressions Childcare Center, LLC Lakewood, WA

    • Recruited, hired, trained and supervised administrative office staff of 12 +employees.
    • Established and developed highly-efficient and dependable administrative team by delivering ongoing coaching and motivation while providing opportunities for career acceleration through achievements.
    • Prepared and distributed payroll for staff of 12direct reports.
    • Processed accounts receivable and accounts payable.
    • Communicated with parents through enrollment, tours, newsletters, conferences and direct personal communication.
    • Resolved staff and parent disputes through constructive problem-solving techniques.
    • Maintained accurate and detailed records, including staff and child files on enrollments, attendance, health and safety, emergency contact information and incident reports.
    Lead-Patient Referral Specialist, 09/2005 to 07/2013
    CHI Franciscan Health Tacoma, WA
    • Demonstrated ability to lead and motivate outstanding healthcare teams.
    • Precisely completed appropriate claims paperwork, documentation and system entry.
    • Professionally and courteously verified appointment times with patients.
    • Verified patients' eligibility and claims status with insurance agencies.
    • Determined prior authorizations for medication and outpatient procedures.
    • Assisted in resolving and satisfying client requests and internal operational issues.
    • Established standards for selection, promotion and termination of staff.
    • Led the planning and achievement of goals and objectives consistent with the agency mission and philosophy.
    • Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
    • Identified process improvements in the day-to-day functioning of the department.
    Education
    Associate of Science: ECE, Current
    Everett Community College (EvCC) - Everett, WA
    Certificate: Medical Assistant, Clover Park Technical College - Lakewood, WA
    General studies: Medical Terminology , Pierce College Fort Steilacoom - Lakewood, WA
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    Top Referral Specialist skills

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    Experienced Referral Specialist resume

    Ashley Daniel
    Professional Profile
    Dependable Administrative assistant/ referral specialist with 6-year track record of success in medical records management. Focused on delivering exceptional results through strong time management, communication and team work abilities. . Currently seeking a fast-paced positive work environment with the opportunity to grow with the company and enhance my skills.
    Qualifications
    • Data entry
    • Administrative support
    • HIPAA compliance
    • Documentation
    • Inventory coordination
    • Patient-focused 
    • Client relations
    • Critical thinking skills
    • Work well independently
    • Professional demeanor
    • Knowledge of HMOs and Medicare
    • ICD-9 coding experience
    Experience
    Customer Service Advocate II
    February 2017 to April 2017
    BlueCross Blue Shield Marketplace Columbia, SC
    • Experience with claims and researching rejections and appropriate codes to justify claims
    • Answering member calls and questions regarding policy changes
    • Further assisting members with understanding their coverage
    • Assisting members with payment options as well as any billing questions Answering pharmacy as well as physician phone calls to further assist in filing process for claims.
    Referral Specialist
    March 2017 to November 2016
    Palmetto Health Columbia, SC
    • Completing prior authorizations for procedures
    • Working with 25+ physician offices at a time Maintaining professionalism and confidentiality with patient information
    • Researching multiple claims to ensure insurance coverage
    • Experience with a wide range of insurance companies obtaining a relationship and authorizations for multiple patients
    • Answering patient as well as physician phone calls.
    Clerical Staff
    November 2014 to August 2015
    Drayer Physical Therapy Institute
    • Scheduling patients Answering phones Verifying multiple different kinds of insurance
    • Review of patient records to insure documentation is compliant for suggested charges (specificity, payer requirements, etc.)
    • Trouble shooting of varying nature Assisting physical therapists/PTA's with scheduling and maintenance.
    Administrative Assistant
    April 2014 to October 2014
    Maxim Healthcare
    • Reviewing and completing payroll Scheduling hospice nurses to proper homes Analyzing/improving company revenue1.
    • Scanned incoming documentation.
    • Pulled patient charts for upcoming appointments.
    • Typed medical orders for procedures and laboratory tests.
    • Disseminated information to correct department, individual or outside location.
    Clerical Staff
    October 2011 to March 2014
    Family Medicine Centers of SC
    • Assisted multiple physicians with scheduling Referred patients to the proper specialist recommended by the physician Verifying multiple different kinds of insurance Obtaining proper authorizations for procedures through multiple different insurance companies.
    • Answering phones Electronic medical records transfer and experience.
    Education
    Associates : business, December 2016 Central Carolina Technical college business
    Diploma : May 2009 Lugoff Elgin High School
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