Diamond Roberts
Wilson
Summary
Experienced with managing patient referrals and coordinating communication between healthcare providers. Uses organizational skills to streamline referral processes and enhance patient care. Strong understanding of healthcare systems and adept at multitasking in fast-paced environments.
Overview
10
10
years of professional experience
Work History
Referral Coordinator (remote)
Contentnea Health
06.2023 - Current
- Scheduled appointments with specialists on behalf of clients.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Referral Coordinator (Remote)
Avance Care
06.2021 - 06.2023
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Processed referral requests from patients, doctors and other health care professionals.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Monitored referrals to foster timely completion and followed up with physicians to facilitate.
- Accessed and reviewed patient records to verify receipt completed referral paperwork.
Referral Coordinator
Vidant Medical Group
02.2018 - 06.2021
- Responded to patient inquiries to offer timely updates regarding referral status.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Responded to inquiries from healthcare providers regarding prior authorization requests.
MEDICAL BILLING SPECIALIST
Advanced Health And Wellness Chiropractic
08.2016 - 06.2017
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
MEDICAL ASSISTANT
Carolina Women's Physicians
04.2015 - 05.2016
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Obtained client medical history, medication information, symptoms, and allergies.
- Performed medical records management, including filing, organizing and scanning documents.
Education
Associate of Science - Medical Assisting
Miller Motte College
Greenville, NC01.2015
Skills
- Pre-authorizations
- Insurance verification
- Medical terminology
- Medical terminology knowledge
- Data entry proficiency
- Follow-up coordination
Timeline
Referral Coordinator (remote)
Contentnea Health
06.2023 - Current
Referral Coordinator (Remote)
Avance Care
06.2021 - 06.2023
Referral Coordinator
Vidant Medical Group
02.2018 - 06.2021
MEDICAL BILLING SPECIALIST
Advanced Health And Wellness Chiropractic
08.2016 - 06.2017
MEDICAL ASSISTANT
Carolina Women's Physicians
04.2015 - 05.2016
Associate of Science - Medical Assisting
Miller Motte College
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