Referral Coordinator Resume
Objective : Dynamic Referral Coordinator with over 5 years of experience in managing patient referrals and ensuring timely authorizations. Adept at navigating complex insurance requirements and fostering relationships with healthcare providers. Committed to enhancing patient experiences and streamlining referral processes in a collaborative environment.
Skills : Healthcare Regulations, Advanced Microsoft Office Skills, Electronic Health Record Management, Patient Management Systems
Description :
- Documented and implemented processes for all outgoing and internal referrals, ensuring compliance with healthcare standards.
- Monitored work queues to guarantee timely responses to referrals and authorizations.
- Confirmed specialist contract status with insurance plans, offering alternatives when necessary.
- Reviewed referrals for completeness and directed them to appropriate staff when needed.
- Facilitated the transmission of referral information to insurance plans via electronic platforms.
- Served as a resource for providers regarding referral requirements for various insurance carriers.
- Compiled and maintained accurate medical records and correspondence using secure databases.
Experience
2-5 Years
Level
Executive
Education
AAS Health Admin
Sr. Referral Coordinator Resume
Summary : Accomplished Referral Coordinator with a decade of experience in optimizing patient referral processes and managing insurance authorizations. Expert in building strong partnerships with healthcare providers and enhancing patient satisfaction. Proven ability to streamline workflows and improve operational efficiency in fast-paced environments.
Skills : Epic Systems Management, Navinet Insurance Coordination, Follow-up Coordination, Communication Skills, Problem Solving
Description :
- Managed daily referral requests to facilitate timely medical care for injured workers.
- Secured pre-authorizations and pre-certifications from insurance companies in compliance with protocols.
- Adhered to specific instructions for exclusive insurance clients to ensure compliance.
- Contacted injured workers to verify case details and conducted pre-screening interviews.
- Coordinated scheduling for various appointments, including Physical Therapy and diagnostic imaging.
- Handled inbound calls from claimants and healthcare professionals for referral initiation and follow-ups.
- Reviewed medical reports to meet quality standards and disseminated information to relevant parties.
Experience
7-10 Years
Level
Management
Education
AAS in MOM
Jr. Referral Coordinator Resume
Objective : Skilled Referral Coordinator with 5 years of expertise in managing patient referrals and securing timely authorizations. Proficient in navigating insurance processes and building strong relationships with healthcare professionals. Passionate about optimizing patient care and enhancing referral workflows to ensure seamless service delivery.
Skills : Healthcare Terminology, Process Improvement, Patient Education, Database Management, Report Generation
Description :
- Verify and update patient insurance eligibility and benefits utilizing NAVICURE and direct communication with insurers.
- Effectively prioritize workload to maximize productivity and ensure timely follow-ups with patients and healthcare providers.
- Accurately scan and file referrals, authorizations, and benefits investigations within EMR systems.
- Coordinate specialty drug deliveries by liaising with pharmacies and reviewing patient insurance plans.
- Generate and request referrals and authorizations using appropriate ICD-10 and CPT codes.
- Advise patients on insurance coverage options and authorized procedures to aid their treatment journey.
- Connect patients with charity foundations for coverage of treatments not fully covered by insurance.
Experience
2-5 Years
Level
Junior
Education
AAS
Asst. Referral Coordinator Resume
Headline : Dedicated Referral Coordinator with 7 years of experience in efficiently managing patient referrals and securing necessary authorizations. Skilled in liaising with healthcare providers and navigating insurance intricacies to enhance patient care. Passionate about improving referral workflows and ensuring timely access to specialized services.
Skills : Healthcare Software Proficiency, Office Equipment Management, Patient Scheduling, Referral Management, Attention To Detail
Description :
- Facilitated timely processing of patient referrals and authorizations, ensuring adherence to insurance guidelines.
- Collaborated with healthcare professionals to interpret benefits and navigate complex insurance policies.
- Provided exemplary customer service by addressing inquiries from patients and insurance companies.
- Documented and tracked referrals in the EMR system, maintaining accurate patient records.
- Established communication channels with regional healthcare providers to streamline referral processes.
- Managed requests from a panel of 8 physicians, optimizing the workflow for specialty referrals.
- Engaged with insurers to verify patient coverage and secure approvals for necessary treatments.
Experience
5-7 Years
Level
Executive
Education
AAS HIT
Referral Coordinator Resume
Headline : Detail-oriented Referral Coordinator with over 5 years of experience in managing patient referrals and ensuring seamless communication between healthcare providers. Proficient in utilizing electronic health records to track referrals, appointments, and follow-ups. Strong organizational skills and a commitment to enhancing patient care through effective coordination and support.
Skills : Patient Care Procedures, Workflow Optimization, Healthcare Communication, Patient Interaction Skills, Appointment Reminders
Description :
- Coordinated the authorization and scheduling processes for diagnostic and specialist referrals for patients, ensuring compliance with insurance protocols.
- Verified workers' compensation insurance and claims details to secure necessary authorizations for treatment.
- Collaborated with insurance adjusters and healthcare providers to facilitate timely follow-up care.
- Maintained effective communication with employers and RN Case Managers to provide updates on patient progress.
- Ensured confidentiality of patient files in accordance with HIPAA regulations.
- Documented all patient interactions and referral progress in the electronic database.
- Scheduled appointments with specialized medical centers and private physicians, optimizing patient access to care.
Experience
5-7 Years
Level
Executive
Education
AAS in Health Admin
Referral Coordinator Resume
Summary : Resourceful Referral Coordinator with 10 years of extensive experience in managing patient referrals and insurance authorizations. Proficient in enhancing operational workflows and fostering collaborative relationships with healthcare providers. Dedicated to improving patient access to care and streamlining referral processes for optimal efficiency.
Skills : Scheduling Software, Telehealth Coordination, Regulatory Compliance, Patient Intake
Description :
- Facilitated the processing and scheduling of referrals from medical doctors, hospitals, and nursing facilities, ensuring timely patient access to services.
- Verified patient demographics and insurance coverage, coordinating admission visits and maintaining accurate records in the Hospice EMR.
- Collaborated with marketing teams to educate healthcare providers about HOC services, enhancing referral partnerships.
- Maintained effective communication with HOC staff and external referral contacts, addressing issues promptly and efficiently.
- Managed incoming calls from patients and caregivers, providing assistance and information regarding services.
- Coordinated bed availability and transport logistics for acute respite patients, ensuring smooth transitions.
- Scanned and uploaded essential documents into the EMR upon patient admission, maintaining compliance and accuracy.
Experience
7-10 Years
Level
Consultant
Education
B.S. in HA
Referral Coordinator Resume
Summary : Experienced Referral Coordinator with 10 years of expertise in managing comprehensive patient referral systems. Proficient in coordinating with healthcare providers and insurance companies to ensure prompt authorizations. Committed to improving patient access to care and optimizing referral workflows for better healthcare outcomes.
Skills : Appointment Coordination, Clinical Knowledge, Patient Advocacy, Conflict Resolution, Time Management
Description :
- Coordinated patient referrals and ensured timely authorizations, enhancing overall patient care.
- Maintained accurate records of referral appointments and updated statuses in the Referral Tracking System.
- Conducted reminder calls and sent notifications to patients regarding upcoming appointments.
- Addressed inquiries from providers about referral statuses and follow-up actions.
- Documented all communication and requests efficiently to ensure smooth operations.
- Facilitated effective communication between patients and healthcare providers to optimize service delivery.
- Utilized electronic health records to track referral workflows and improve data accuracy.
Experience
7-10 Years
Level
Management
Education
AAS-HIM
Asst. Referral Coordinator Resume
Headline : Seasoned Referral Coordinator with 7 years of experience streamlining patient referrals and securing prompt authorizations. Proficient in collaborating with healthcare providers and navigating complex insurance protocols to enhance service delivery. Focused on optimizing patient access to care and improving overall referral efficiency.
Skills : Patient Referral Coordination, Professionalism, Resource Management, Telecommunication Skills, Analytical Skills
Description :
- Ensured accurate patient registration, including demographics and insurance details.
- Gathered clinical background and referral needs according to established guidelines.
- Coordinated with organizations and insurers to confirm prior approval requirements.
- Presented essential medical information to providers for pre-authorization.
- Facilitated communication between financial services and insurance companies to maximize reimbursements.
- Utilized procedural and diagnostic codes for accurate claim submissions.
- Assisted patients in navigating healthcare challenges and addressing financial or social concerns.
Experience
5-7 Years
Level
Executive
Education
AAS Health Admin
Referral Coordinator Resume
Headline : Accomplished Referral Coordinator with 7 years of expertise in optimizing patient referral systems and securing timely authorizations. Proficient in navigating insurance complexities and building collaborative relationships with healthcare providers. Dedicated to enhancing patient care and improving referral workflows for seamless healthcare access.
Skills : Electronic Health Records Management, Multi-tasking, Medical Terminology, Team Collaboration, Insurance Verification
Description :
- Maintained front office operations aligned with company objectives, enhancing patient satisfaction.
- Developed and nurtured relationships with primary care physicians to strengthen referral processes.
- Interpreted physician orders to ensure accurate scheduling of tests and procedures.
- Audited and coded patient accounts for billing accuracy, facilitating timely reimbursements.
- Managed patient registration, ensuring accurate demographic and insurance information collection.
- Established an accounts receivable system that improved collection rates significantly.
- Rescheduled appointments efficiently to accommodate changes in physician schedules, optimizing patient access.
Experience
5-7 Years
Level
Executive
Education
B.S. Health Admin.
Referral Coordinator Resume
Summary : With a robust background in managing patient referrals for a decade, I excel in securing authorizations and navigating complex insurance landscapes. My expertise lies in building effective partnerships with healthcare providers to enhance patient experiences and ensure seamless referral processes. I am committed to delivering high-quality care and improving operational efficiency.
Skills : Health Information Management, Patient Coordination, Follow-up Procedures, Adaptability
Description :
- Managed daily processing of patient referrals, ensuring adherence to timelines and accuracy.
- Coordinated scheduling of diagnostic tests and specialist appointments, facilitating timely follow-ups for results.
- Partnered with Case Managers to verify and document physician orders, optimizing care delivery.
- Provided front desk support, including patient check-in/check-out and handling prescription refill requests.
- Maintained thorough documentation on referrals, enhancing patient safety and care quality.
- Communicated effectively with patients regarding their appointments and preparation requirements.
- Identified community resources and established partnerships with service providers to support patient needs.
Experience
10+ Years
Level
Senior
Education
A.S. Health Admin
Referral Coordinator Resume
Summary : Accomplished Referral Coordinator with 10 years of extensive experience in managing comprehensive patient referrals and authorizations. Proficient in navigating intricate insurance protocols and fostering collaborative relationships with healthcare providers. Passionate about optimizing referral processes to enhance patient care and streamline operations.
Skills : Data Entry Skills, Data Analysis, Critical Thinking, Confidentiality, Customer Relationship Mgmt
Description :
- Ensure all referrals are complete, accurate, and processed swiftly, including necessary documentation.
- Schedule appointments and verify patients receive the required care from specialists.
- Act as a liaison among primary care providers, patients, specialists, and insurance companies.
- Follow up with patients to remind them of upcoming referral appointments.
- Notify primary care providers when patients do not follow through with appointments.
- Maintain a patient-friendly environment that ensures comfort and confidentiality.
- Provide clerical support, including financial assistance and resource information.
Experience
7-10 Years
Level
Management
Education
B.S. Health Services
Referral Coordinator Resume
Objective : Dedicated Referral Coordinator skilled in streamlining referral processes and enhancing patient experiences. Experienced in collaborating with medical staff to ensure timely and accurate referrals. Excellent communication and problem-solving abilities, with a focus on patient satisfaction and adherence to healthcare regulations. Proven track record of managing high-volume referrals efficiently.
Skills : Quality Systems Integration, Availity Claims Management, Emdeon Billing Solutions, As400 Data Management, Quality Assurance
Description :
- Facilitated effective communication with insurance companies and healthcare providers to enhance patient care quality.
- Utilized Microsoft Office Suite to maintain accurate records and documentation.
- Collaborated with insurance groups and medical facilities to correct and update patient data.
- Exercised strong analytical skills to identify suitable facilities and physicians for patient care.
- Managed multiple tasks efficiently to support referral operations.
- Ensured accuracy of patient registration and insurance verification prior to scheduling and billing.
- Escalated issues and managed resolutions within established timelines while adhering to data protection standards.
Experience
2-5 Years
Level
Executive
Education
AAS Health Admin
