
Highly organized Referral Coordinator with successful experience in managing and streamlining patient referrals within healthcare settings. Demonstrated strengths include thorough knowledge of insurance processes, patient advocacy, and compliance with HIPAA standards. Past work showcases effective communication skills, coordination of multidisciplinary teams for optimal patient care, and introduction of efficient referral tracking systems to improve workflow.
Requested medical documentation and assure that documentation received meets insurance payer
guidelines.
• Documented activities into Enterprise Resource Planning (ERP) system in an efficient and accurate
and timely manner
• Updated and reported all received audits inquiries including prepayment audits/development
letters post payment and requests for documentation etc
• Reviews all documentation be submitted for audit purposes for all completeness and accuracy.
• Works with billing and collections teams to assure timely submission of all appeals.
• Tracks and reports audit findings and results