Referral Coordinator Customer Service
Resume:
April Tria
Hollywood, FL *****
************@*****.***
Professional Summary
Dedicated and experienced BSN graduate with seven years of expertise as an Authorization and Referral Coordinator at GGB MD PA. Proficient in CPT, ICD-10 codes, HEIDIS codes, EHR systems, Medicare billing, and computer applications. Seeking to contribute my knowledge and skills to a dynamic healthcare team. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Patient Liaison
REPAIR SI-Huntington Beach, CA
August 2024 to Present
• Effectively communicated with patients to gather necessary information, answer questions, and address concerns
• Coordinated appointments and scheduled follow-up visits, ensuring timely access to healthcare services
• Assisted in obtaining authorizations for medical procedures or referrals as required by insurance providers
• Advocated for patients' needs by liaising between them and healthcare providers or insurance companies
• Managed patient inquiries via phone calls, emails, or in-person interactions in a professional manner
• Collaborated with other departments (e.g., billing department) to resolve any financial concerns raised by patients
Patient Coordinator/Authorizations and Referral Coordinator GGB MD PA-Fort Lauderdale, FL
February 2015 to July 2024
- Efficiently managed the authorization and referral process, ensuring timely approvals and appointments for patients.
- Proficiently utilized CPT, ICD-10 codes, HEIDIS codes, and EHR systems to maintain accurate patient records.
- Conducted thorough insurance verification procedures for patients to ensure accurate billing and claims processing.
- Verified patient eligibility and benefits by contacting insurance providers and utilizing online systems
- Coordinated with insurance providers, streamlining the approval process and reducing delays.
- Successfully handled billing procedures for Medicare and managed documentation for doctors’ visits.
- Utilized strong computer skills to enhance office efficiency and maintain electronic records. Technical Support Representative
Wipro-Quezon City
January 2010 to April 2014
• Handled inbound customer inquiries via phone, email, and chat, demonstrating professionalism and courtesy in all interactions.
• Provided accurate and timely information to customers regarding product details, order status, shipping information, and other related inquiries.
• Resolved customer issues, complaints, and concerns efficiently, ensuring customer satisfaction and retention.
• Documented customer interactions and maintained detailed records of customer accounts, ensuring accurate and thorough documentation.
• Collaborated with team members and departments to ensure excellent delivery of customer service and support.
• Stayed up to date with product knowledge and company policies to provide accurate information to customers.
• Consistently met or exceeded performance goals, including customer satisfaction, call resolution, and productivity metrics.
Education
Bachelor of Science in Nursing
Philippine College of Health and Sciences - Manila May 2008
Bachelor of Science
Skills
• Exceptional organizational and time management abilities
• Advanced knowledge of EHR systems
• - Expertise in CPT and ICD-10 coding
• Effective communication and interpersonal skills
• Excellent computer skills
• Strong understanding of Medicare billing
• Insurance Verifications
• EMR Systems
• Insurance Verification
• Medical Scheduling
• Medical Office Experience
• Anatomy Knowledge
• Patient Care
• Medical Records
• Clerical Experience
• Medical Coding
• Triage
• Medical Terminology
• Quality Assurance
• Vital Signs
• ICD Coding
• Phone Etiquette
• Physiology Knowledge
• Customer service
• Communication skills
• Organizational skills
• Typing
• Front desk
• Clerical experience
• Medical terminology
• English
• Medical records
• EMR systems
• Medical coding
• ICD-10
• Administrative experience
• Medical office management
• Physiology knowledge
• Vital signs
• Nursing
• Anatomy knowledge
• ICD coding
• Analysis skills
• Data management
• Leadership
• Care plans
• Microsoft Office
• ICD-9
• Microsoft Word
• Microsoft Excel
• CPT coding
• Computer skills
• HIPAA
• Medical administrative support
• Epic
• Medical receptionist
• Computer literacy
• Supervising experience
• Data entry
• Writing skills
• Basic math
• FDA regulations
• Office experience
• Managed care
• Microsoft Access
• Call center
• Phone triage
• EHR systems
• Microsoft Outlook
• Customer support
• Microsoft Powerpoint
• Time management
• Budgeting
Certifications and Licenses
Driver's License
Additional Information
Reference upon request.
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