Referral Coordinator Resume Sample
Matilda Nolan
1364 Foster Wells,
San Francisco,
CA
+1 (555) 621 4230
Work Experience
Regional Referral Coordinator
02/2018
-
PRESENT
Detroit, MI
- Remind patients of scheduled appointments via mail or phone
- Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance). Identify and utilize cultural and community resources
- Contact review organizations and insurance companies to ensure prior approval requirements are met
- Demonstrate respect for the privacy and confidentiality of patient’s protected health information
- Knowledge of clinic referral and scheduling processes and billing/authorization requirements
- Knowledge of federal and state pay requirements, including Medicare, DSHS, HMO/PPO Contracts
- Communicate effectively and to maintain strict confidentiality
- Respond to people and issues promptly and appropriately to resolve problems
Referral Coordinator
08/2012
-
10/2017
Philadelphia, PA
- Patient Phone Calls
- Uses, protects, and discloses DaVita Medical Group patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
- Participates in documentation and forms preparation as needed for California’s Child Health and Disability Prevention Program (CHDP)
- Completes a variety of documentation and correspondence, including disability forms, workers’ compensation forms and jury duty letters. Sets up cases for all approved Third Party Liability
- Completion of a certified Medical Assistant program or equivalency required; Basic Life Support Health Care Provider card or obtain one within one month of hire; demonstrated human relation and effective communication skills also required
- Experience: 2 – 3 years prior experience in a medical office environment. Knowledge of medical terminology. Ability to communicate effectively with patients and staff. Bilingual required (Spanish)
- Software: Use Electronic Medical Record and Practice Management Software programs, as well as, Microsoft office and other applicable software packages
Referral Coordinator Supevisor
09/2005
-
02/2012
Los Angeles, CA
- Experience in ICD 10 or CPT coding
- Assist the utilization review and case management nurse with management of referrals an monitoring or institutional patients
- Review all referrals for eligibility and benefits
- Consult with appropriate areas for clarification and assistance
- Data entry, filing, and reporting
- Coordinate adminstration of DME benefits and work with vendors on approved equipment
- Reviews on-line eligibility responses to assure active coverage via multiple internet sites
- Pursues all other resources to obtain insurance information, i.e. patient, office or any referral sources
- Telephones insurance carriers, if needed, to verify patient benefits
Education
Holy Names University
2001 - 2005
School's Degree in Nursing
Professional Skills
- Demonstrates ongoing commitment to customer service excellence and supports the customer service plan. Practices and adheres to Stamford Health’s “Code of Conduct” philosophy, SHMG’s Standards for Service Excellence and organizational values of: Teamwork, Integrity, Compassion, Respect and Accountability
- Technology experience in working within a CRM along with strong documentation skills
- Experience in health care field including insurance and referral experience or equivalent combination of education and experience
- Demonstrated active listening, written, verbal and information technology skills
- Excellent time-management and problem solving skills
- Excellent interpersonal and communication skills; with an emphasis on listening to the patients’ request
- Excellent analytical and problem solving skills in order to improve department efficiency
How to write Referral Coordinator Resume
Referral Coordinator role is responsible for computer, medical, customer, microsoft, word, basic, interpersonal, software, insurance, coding.
To write great resume for referral coordinator job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Referral Coordinator Resume
The section contact information is important in your referral coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Referral Coordinator Resume
The section work experience is an essential part of your referral coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous referral coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular referral coordinator position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Referral Coordinator resume experience can include:
- Experience in health care field with insurance and referral experience or equivalent combination of education and experience
- Demonstrate proficiency with PC based computer skills
- Demonstrated application of customer service skills
- Excellent written and oral communication skills and the ability to interact positively with patients, providers and other customers
- Outstanding communication, leadership, organizational, planning and execution skills
- Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems, ability to prioritize and multi-task
Education on a Referral Coordinator Resume
Make sure to make education a priority on your referral coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your referral coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Referral Coordinator Resume
When listing skills on your referral coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical referral coordinator skills:
- Listens and communicates effectively; good telephone communication skills
- Computer skills including word processing and spreadsheet skills
- Effective prioritization skills and ability to manage time independently
- Strong customer service orientation and the ability to communicate and listen effectively in English
- Excellent verbal communication and interpersonal skills and the ability to learn new processes/procedures
- Strong communication and phone skills
List of Typical Experience For a Referral Coordinator Resume
1
Experience For Outgoing Referral Coordinator Resume
- Exhibits teamwork and excellent customer service skills without exception, at all time for both internal and external customers
- Excellent oral and communication skill
- Organizational skills and ability to multi-task at a high level
- Effectively maintains daily accurate records of referrals to ensure patients are admitted to services in a timely manner
- Communicate effectively to ensure that patients referred out to outside agencies get care timely
- Continually focuses on further development and enhancement of leadership skills
2
Experience For Regional Referral Coordinator Resume
- Skills:Internet, Excel, typing
- Expert level PowerPoint and Word skills; familiarity with Microsoft Office Suite
- Four years general clerical or administrative services experience which includes one year administrative assistance experience in a dental or medical clinic
- Exceptional phone skills and high aptitude for exceptional customer service needed
- Assist in verifying accuracy of member address prior to completing the authorization
- Experienced working in a medical office setting
- Removes ineffective methods that are currently fracturing the flow of referrals
3
Experience For Receptionist / Referral Coordinator Resume
- Ambultory experience
- Sorts and prioritizes assignments
- LPN, RN, or Social Work experience
- Previous experience with patient referrals
- Two (2) years of professional experience in the aforementioned areas as a QMHP under (OARs)
- Demonstrate the ability to explain managed care principles to others, i.e. contracted, non-contracted, full risk, shared risk, in-network, out-of-network, etc
- Responsible for completion of MiChart referral work queues prior to scheduled appointment
4
Experience For Referral Coordinator Supevisor Resume
- Operates within established budgetary guidelines
- Build effective work relations with specialty office staff members and ensure appointments and consult reports are provided timely
- Experience with Nextgen
- Organize and prioritize work and handle multiple tasks
- Demonstrate knowledge of insurance authorization process required
5
Experience For PRN Referral Coordinator Resume
- Clinical or managed care experience
- Experience in computerized and manual referral processes; the use of POS device and related paperwork
- Experience in a Medical Assistant role and completion of an accredited Medical Assistant Program
- Three years of healthcare experience with progressive responsibilities
- Healthcare experience
- Performs system analysis and communicates with the EPIC team to improve the current referral function and effectiveness
- Related experience (Required)
- Demonstrate advanced knowledge of insurance authorization process required
- Two years’ experience in medical related field
6
Experience For Referral Coordinator, Continucare Perrine Resume
- Experience with ICD9-CPT and DRG codes
- Mentoring, orienting and supporting new staff and assisting with on-the-job training
- Processing referrals using established insurance company guidelines
- Managing orders and referral work queues, and responding to patient referral issues in a timely manner
- Facilitating appointment scheduling for primary and specialty services
- Assisting in developing new process and procedures within the BCSC
- Building or receiving referrals from specialty network providers
- Obtaining authorizations, precertification, prescriptions for therapies, and benefit verifications
- Providing relevant insurance information and updates to staff, providers and managers (e.g. managed care changes, terminated contracts)
7
Experience For Referral Coordinator Unc Eye Carolina Crossing Resume
- Working closely with providers, clerical and clinical staff on referral processes to understand and proactively identify and resolve referral issues
- Tracking and Documentation
- Working in-depth advanced knowledge of managed care requirements and processes is required
- Building new pediatric referrals from network providers
- Sending back documents for additional information
- Receiving calls, faxes, email referrals from providers
- During the check-out process: make follow-up appointments as needed as well as coordinate patients referral for specialty proivder
- Developing and implementing intake process
8
Experience For Counseling Intake & Referral Coordinator Resume
- Provide support and assistance to the CUDT scheduler in developing, analyzing, and troubleshooting problems that occur during the schedule building process
- To answer the telephone, including making appointments, dealing with any queries and taking messages accurately
- Maintains knowledge of registration and scheduling processes with the capability of filling in as needed based on office workload or staffing demands
- Maintain patient accounts by obtaining, recording, and updating personal financial insurance information
- Client and Agent follow up -- Keeping in contact with both our clients, agents and loan officers throughout the clients homebuying and selling journey
- Responsible for documenting and tracking the number of referrals that are generated and obtained
- Investigates all claim denials, and runs aged outstanding claims report to ensure proper claims filing is maintained
9
Experience For Referral Coordinator, Continucare Resume
- Processes and sends service requests to the specialty offices for processing and scheduling of patient appointments
- Follow up with specialist offices on pending/outstanding patient appointments and documents in the patients chart
- Proficient using Microsoft Windows applications including MS Outlook, Excel and Word is required
- Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
- Develop and track metrics for determining if referrals are being addressed in a timely manner
10
Experience For Administrative & Referral Coordinator Resume
- Working in a medical office setting
- Identify problems, research and recommend resolutions while exercising discretion and appropriate decision-making
- Multitask, managing multiple items with attention to detail and meeting deadlines
- Knowledge of insurance plans/requirements. (Coding/Billing)
- Follows health plan guidelines in acquiring authorizations
- Reviews outstanding requests and takes appropriate action within PCR guidelines to resolve issues
- Provides immediate feedback to the Supervisor of interdepartmental issues affecting the workflow
- Works within the scope of Practical Nursing Licensure
List of Typical Skills For a Referral Coordinator Resume
1
Skills For Outgoing Referral Coordinator Resume
- Strong organization skills / supply management skills / time management skills
- One year experience with referral and prior authorization including, but not limited to, advanced imaging
- Data processing skills, such as, word processing
- Accurate and efficient keyboarding skills
- Experience in a medical office with at least six months successful experience in dealing with Managed Care, HMO's and the administrative policies
- · Ability to communicate effectively by telephone and in person
2
Skills For Regional Referral Coordinator Resume
- Proficient computer skills and ability to learn department and job specific software systems
- Speak effectively with patients, employees, physicians, and outside medical personnel
- Three years of customer service experience and clerical experience in a medical facility
- Referral or prior authorization experience
- Three (3) years of customer service experience and clerical experience in a medical facility
- Experience:1+ year experience in medical clinic
- Knowledge of Utilization operations and prior medical office experience
- Computer skills and software aptitude
- Medical Terminology, basic computer skills, and basic utilization management
3
Skills For Receptionist / Referral Coordinator Resume
- Communicate effectively and concisely with all sites, departments, and providers, both
- Scheduling and Utilization Management experience
- Identifying patients' needs prior to office visit
- Assist with prioritizing work activities including evaluating and modifying processes when necessary
- Prioritize referral requests using medical protocols, responding immediately and expediting most urgent requests
- Experience working with each of the following systems: electronic health record; practice management system; and insurance company portals
- Medical billing and coding experience
4
Skills For Referral Coordinator Supevisor Resume
- Medical billing & coding experience
- Maintain excellent customer service, including problem-solving payor issues
- Skill in answering the telephone in a pleasant and helpful manner and using a multi- line telephone system
- Experience working in a student health environment
- Knowledge of Oregon Health Plan and CCO requirements pertaining to referrals and prior authorizations
- Experience working with referrals in the medical or healthcare field
5
Skills For PRN Referral Coordinator Resume
- Experience working with referrals in the medical or healthcare field
- Customer Service experience preferably in a call center setting
- One to two years of related work experience including data entry in the medical field
- 6 months or more of hands-on healthcare experience in a clinical setting, preferably within the Medicare population
- Experience in professional medical setting
- Experience in a healthcare or clinical setting
- Experience working with Electronic Medical Records (EMR) and or Practice Management Software systems
6
Skills For Referral Coordinator, Continucare Perrine Resume
- Experience or training as a Medical Assistant
- Experience working with Electronic Medical Records (EMR) or Practice Management Software systems
- One (1) year clerical or clinical experience in a medical practice setting
- Experience working in a Federally Qualified Health Center (FQHC)
- Experience working as a Medical Assistant or Patient Navigator
- Knowledge of medical terminology and experience using electronic health record systems
- Experience with processing referrals
7
Skills For Referral Coordinator Unc Eye Carolina Crossing Resume
- Experience with medical/dental scheduling software such as Calendar Lab, Axium and Lucid Charts
- One year experience, preferably in a medical office setting
- Experience working in a medical environment - or - with medical insurances
- Financial Counseling experience
- Establish effective working relations with office staff and employees in a team environment
- Experience with imaging tests & results
- Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations
- Practices effective delegation recognizing staff talent as well as limitations
8
Skills For Counseling Intake & Referral Coordinator Resume
- Demonstrates flexibility by adapting personal leadership style to the person and/or situation at hand
- Skill in operating a computer and copy machine
- Demonstrates the ability to competently utilize the computer system and software for processing referrals
- Contact insurance companies to ensure prior approval requirements are met
- Experienced with Medical, Medicare and insurance verification
- Experienced with an EMR system
- Operate standard office equipment such as fax machines, calculators and copiers
9
Skills For Referral Coordinator, Continucare Resume
- Prioritize multiple tasks and work with frequent interruption
- Review scheduled appointments and ensure that required authorization and/or referrals are in place prior to patient visits
- One year of work experience in a customer service related field
- Insurance verification experienced
- Two years’ experience in a medical office environment in a role as a referral coordinator or other similar role
- Experience with authorizations / referrals
- Three years of customer service & clerical experience in medical facility
10
Skills For Administrative & Referral Coordinator Resume
- Previous experience in UR, health plan, or managed care environment
- Operate a variety of office equipment; phone, fax, copier
- One (1) year experience in medical referral/insurance
- Three to five years of relevant business or clinical operations experience
- Working knowledge of electronic medical records and Flowcast scheduling
- Providing outstanding customer service to internal and external clients
- Working knowledge of managed care: overall understanding of HMO, PPO,
List of Typical Responsibilities For a Referral Coordinator Resume
1
Responsibilities For Outgoing Referral Coordinator Resume
- At least one year of experience as a Medical Receptionist or Medical Assistant (MA) in an outpatient setting, or in medical case management
- Desires two years of referral coordination or medical assisting experience
- Working knowledge of EHR and registration/billing software ideal
- If Compression Fracture-schedule ASAP and request copy of Imaging if patient had Imaging done
- Participates in quality assurance processes including but not limited to the audit program, case reviews and training sessions
2
Responsibilities For Regional Referral Coordinator Resume
- Able to travel to other clinics to cover staffing needs and training
- Schedules patients for pre-admission evaluations. Accepts and enters referrals into database. Provides pre-admission and financial counseling, as needed
- Cancel those that do not meet criteria or do not have necessary information required within a specified time frame, forwarding for MD review if questionable
- Respond to all patient inquiries regarding referrals
- Recommend alternative services to referring physicians/case managers when acute inpatient rehabilitation is not appropriate
- Keep all referral staff updated with anything relevant
- Call patient with date and time of their scheduled procedure, appointment, etc. Give patient any special instructions regarding preparation for test, etc
- Knowledge of insurance companies and what facilities that patient can go to for testing
- Knowledge of ICD9 coding
3
Responsibilities For Receptionist / Referral Coordinator Resume
- Knowledge of grammar, spelling and punctuation, to type patient information
- Accurately approve referrals meeting benefit criteria
- Greet patients/physicians in a warm, welcoming manner
- Develops trusting and supportive relationships with physician office managers and staff
- Adjusts to changing situations and work assignments
- Verify accurate insurance, guarantor, primary care and referring physician information. Obtain proper insurance and documentation to insure correct charges
- Cover Check In and Check Out during shortage
4
Responsibilities For Referral Coordinator Supevisor Resume
- Attend Recycle Revenue Forum and bring back pertinent information to manager
- Documents all communications pertaining to the referral and/or insurance authorization in the notes section of the Epic referral record
- Identifies and reports problems and inefficiencies in existing system and recommends changes when
- Maintain ongoing appropriate documentation on all referral records within Epic to promote team awareness and ensure patient safety
- Answer calls from patients regarding referral status
5
Responsibilities For PRN Referral Coordinator Resume
- Attend seminars, training sessions, team huddles, case conference, Gallup committee and department meetings as requested by leadership
- Daily eligibility and benefit checks on referrals to ensure proper handling of case
- Serves as a liaison between referring and program physicians, patients/families, department supervisors, managers, and CCS staff to ensure timely patient care
- Assist the utilization review and case management nurse with management of referrals and monitoring of institutional patients
- Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance
- In collaboration with staff in LG Patient Financial Services, ascertain physician credentialing is current and required documentation on file
6
Responsibilities For Referral Coordinator, Continucare Perrine Resume
- Organizes in-service programs for staff regarding all referral/insurance process changes and updates
- Ensure complete tracking and follow-up on all referral requests and specialty report requests
- Responds to clinical support staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status
- Tracks referrals utilizing the EHR or other established system
- Properly follow-up with provider and patient regarding denials to referral requests
7
Responsibilities For Referral Coordinator Unc Eye Carolina Crossing Resume
- Maintains confidentiality of PHI by following all applicable Health Insurance Portability and Accountability Act (HIPAA) regulations
- Prefers candidates with an understanding of insurance providers, their portals and their expectations for authorization approvals
- Maneuver/lift equipment and materials weighing up to 25 pounds
- Handle animals weighing up to 25 pounds
- Assures that all necessary documentation (Systems as other).
- Meets established quality expectations
- Notify physician(s) and patient when referral is denied, or if additional information is needed
- Assemble information concerning patient’s clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialists
8
Responsibilities For Counseling Intake & Referral Coordinator Resume
- Set up referring providers in the Electronic System
- Make sure insurance received and verified
- Check if patient has MRI, if so, call and get
- Advise patient of prescriptions that office does not prescribe. Example: Soma, Suboxone, Methadone or Xanax
- If ITP-Intrathecal pain punp, schedule with Dr. Rafael Justiz
9
Responsibilities For Referral Coordinator, Continucare Resume
- Verify closest location for patient convenience
- Performs referral activities for patients including pre-registering patients during intake process. Contacts referral sources to obtain demographic and insurance data
- Inputs and updates all pertinent demographic and financial data
- Verifies patients’ insurance benefits and compensation coverage to determine necessity for advance deposits. Arranges installment payment plans for patients who are personally paying for services in accordance with hospital policies and procedures
- Provides patients, family members and referral sources with information pertaining to rehabilitation programs, hospital policies and procedures, insurance requirements, appointment times and patient locations
- Maintains an up-to-date census list by coordinating patient admission, discharge and transfer activity with Nursing staff, as appropriate for assigned area
- Processes patient discharges and transfers by completing appropriate paperwork and entering information into computer system
- Investigates and responds to patient inquiries and complaints regarding insurance coverage, payment plans and other financial issues
- Audits paperwork and files on each admission to assure accuracy and completion of information obtained and paperwork completed. Enters necessary corrections on admission information in computer system
10
Responsibilities For Administrative & Referral Coordinator Resume
- First point of escalation for all case related issues requiring guidance
- Responsible for daily completion of assigned patient referrals, while meeting production requirements
- Handles calls according to the call guidelines of the department
- Reviews, processes and supports Specialist referral requests by Concentra sites as defined by the market
- Obtains authorization for Specialist referrals and schedules appointments accordingly
- Ensures that appropriate networks and Concentra Advanced Specialists are used when applicable
- Provides all necessary information such as medical records, prescriptions, etc. to payor
- Communicates with stakeholders, payor, employer, and patient as appropriate
Related to Referral Coordinator Resume Samples
Referral Resume Sample
Work Experience
• Connect and be aware the Customer: Welcome and engage with genuine warmth
• Actively maintain the appearance of the selling floor
• Query data sources and review results for threshold analysis
• Prioritize and complete change requests from the business
...
Professional Skills
• Strong analysis and troubleshooting skills...
• Strong analytical, prioritization and nego...
• Excellent problem solving skills, organiza...
Referral Specialist Resume Sample
Work Experience
• Remind patients of scheduled appointments via mail or phone
• Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance). Identify and utilize cul...
Professional Skills
• Excellent communication skills - both verb...
• Excellent interpersonal skills - adaptable...
• Begin on-line process of above, utilizing ...
Registration Coordinator Resume Sample
Work Experience
• Processes all students’ enrollment requests and schedule changes for Graduate and Professional students
• Manages all enrollment forms that requires special handling
• Assists students in programs which require special handling, helps with a specialized enrollment process: on...
Professional Skills
• Possess excellent customer service skills ...
• Have good organizational skills, interpers...
• Customer service experience including demo...
Enterprise Data Office Resume Sample
Work Experience
• Experience in a large Data Warehouse environment
• Lead existing and emerging technology and development efforts, ensuring that technologies and processes are aligned with the goals of the BB&T business strategy
• Demonstrate comprehensive experience and skill in data war...
Professional Skills
• Build Strong Partnerships - Demonstrate in...
• Deliver Outcomes - Demonstrate a bias for ...
• Operate as a Team Player - Work together t...
Director, Office Resume Sample
Work Experience
• Develops and manage the overall facilities plan for the Company to ensure efficient and cost effective usage of office space and facilities to cope with the short term & long term business requirements and strategies
• Leads the Office Administration team to ensure renovation projects are well ...
Professional Skills
• Provides advice and direction to Treasury ...
• Provides full-spectrum CI expertise and le...
• Provides senior-level guidance and recomme...
Room Supervisor Resume Sample
Work Experience
• Understanding some banking. Being able to count money fast and stay in balance
• Manage and schedule daily floor operations
• Provide tool repair completion dates to internal customers
• Order all disposable tooling required in the daily operation of th...
Professional Skills
• Computer operations experience and demonst...
• Extensive plant level experience with sign...
• Demonstrated good internal customer servic...