Experience

Community Health Systems, Inc. (FQHC)

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Referral Coordinator

  • Jan 2022 - Present

  ● Obtain authorization for specialty providers for Riverside County Insurance ● Maintain ongoing tracking and appropriate documentation on referrals to promote adequate follow up ● Notify patients of referral approval and assist patients in scheduling appointments with specialists. ● Track referrals to assure patients have established care with specialists. Request consult notes after patients visit. ● Next Gen software ● Verify patient insurance benefits for… Show more ● Obtain authorization for specialty providers for Riverside County Insurance ● Maintain ongoing tracking and appropriate documentation on referrals to promote adequate follow up ● Notify patients of referral approval and assist patients in scheduling appointments with specialists. ● Track referrals to assure patients have established care with specialists. Request consult notes after patients visit. ● Next Gen software ● Verify patient insurance benefits for Medicare/Medi-Cal, IEHP/eConsult, Molina, BlueCross/BlueShield, Aetna, Regal, Optum Care Network- Inland Faculty Medical Group, MISP, United Healthcare Show less



Borrego Health

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Referral Coordinator

  • Feb 2019 - Dec 2021

  United States Borrego Health San Jacinto,CA — Referral Coordinator February 2019 - December 2021 ● Submit medical and behavioral health referrals to appropriate payers that include Inland Empire Health Plan, IEHP eConsult, La Salle, United Healthcare, Regal Medical Group, Molina Medical Group. ● Daily follow-up with payer’s response to obtain authorizations. ● Notify patients of referral approval and assist with scheduling appointments. ● Track referrals to assure patients have… Show more Borrego Health San Jacinto,CA — Referral Coordinator February 2019 - December 2021 ● Submit medical and behavioral health referrals to appropriate payers that include Inland Empire Health Plan, IEHP eConsult, La Salle, United Healthcare, Regal Medical Group, Molina Medical Group. ● Daily follow-up with payer’s response to obtain authorizations. ● Notify patients of referral approval and assist with scheduling appointments. ● Track referrals to assure patients have established care with specialists. Request consult notes after patients visit. ● Verify patient insurance benefits for Medi-Cal, Molina, IEHP, Medicare, United Healthcare, Cigna, Anthem Blue Cross / Blue Shield, Health Net, including assigned medical groups. ● Intergy EHR and i2i tracking software Show less



Community Health Systems, Inc. (FQHC)

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Referral Coordinator-TEMP

  • Dec 2018 - Feb 2019

  United States Community Health Systems Fallbrook,CA — Referral Coordinator-TEMP December 2018 - February 2019 ● Obtain authorization for specialty providers for San Diego County Insurance ● Maintain ongoing tracking and appropriate documentation on referrals to promote adequate follow up ● Notify patients of referral approval and assist patients in scheduling appointments with specialists. ● Track referrals to assure patients have established care with specialists. Request… Show more Community Health Systems Fallbrook,CA — Referral Coordinator-TEMP December 2018 - February 2019 ● Obtain authorization for specialty providers for San Diego County Insurance ● Maintain ongoing tracking and appropriate documentation on referrals to promote adequate follow up ● Notify patients of referral approval and assist patients in scheduling appointments with specialists. ● Track referrals to assure patients have established care with specialists. Request consult notes after patients visit. ● Next Gen software ● Verify patient insurance benefits for Medi-Cal, IEHP, Molina, BlueCross/BlueShield, HealthNet, Community Health Group (CHG) Show less



Neighborhood Healthcare

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Referral Coordinator

  • Nov 2016 - Nov 2018

  Hemet, California Neighborhood Healthcare, Hemet,CA — Referral and Authorizations Clerk November 2016 - November 2018 ● Submit medical and behavioral health referrals to appropriate payers that include Inland Empire Health Plan, IEHP e-Consult and Vantage, Exclusive Care. ● Daily follow-up with payer’s response to obtain authorizations. ● Notify patients of referral approval and assist patients in scheduling appointments with specialists. ● Track referrals to assure patients have… Show more Neighborhood Healthcare, Hemet,CA — Referral and Authorizations Clerk November 2016 - November 2018 ● Submit medical and behavioral health referrals to appropriate payers that include Inland Empire Health Plan, IEHP e-Consult and Vantage, Exclusive Care. ● Daily follow-up with payer’s response to obtain authorizations. ● Notify patients of referral approval and assist patients in scheduling appointments with specialists. ● Track referrals to assure patients have established care with specialist. Request consult notes after patients visit. ● Assist with front office duties such as: answering phones, faxing, copying, incoming/outgoing mail. ● Schedule, cancel and reschedule appointments for medical, dental, and behavior health patients using eClinicalWorks (ECW)software ● Verify patient insurance benefits for Medi-Cal, Molina, IEHP, Medicare, Exclusive Care, HealthNet Show less



APR Consulting

• United States
• Staffing and Recruiting
• 100 - 200 Employee

• Referral Coordinator

  • May 2016 - Oct 2016

  United States APR Consulting Inc. Kaiser Permanente, Riverside,CA — Referral Coordinator-TEMP May 2016 - October 2016 ● Authorize Referrals for multiple specialties such as: Physical Therapy, Gastroenterology, Urology, Cardiology, etc. ● Verify patient insurance benefits prior to referral authorization. ● Answer phones, fax, copy, mail authorization letter ● Referral Entry for Urgent care



US HealthWorks

• Medical Practices
• 200 - 300 Employee

• Referral Coordinator Float

  • Oct 2015 - Apr 2016

  US Healthworks Med Group, San Bernardino — Referral Coordinator Float October 2015 - April 2016 ● Submit and follow-up on authorization request for in-house specialties: Podiatry, Orthopedic-Spine, General Orthopedic,Neurology,Electromyography (EMG), Physical Therapy, Chiropractic Therapy, Acupuncture, Radiology ● Processing patient charges Private Insurance, Cash Handling ● Front Office: Answer phones, fax, copy, Appointment Scheduling



Healthpointe Medical Group

• Lead Batcher

  • Dec 2013 - Sep 2015

  United States Healthpointe Medical Group, Colton,CA — Lead Batcher December 2013 - September 2015 ● Supervision of multi-clinic billing Batchers ● EHR/EMR data entry ● Appointment Scheduling ● Daily and Monthly status report preparation. ● Processing patient charges/invoices for multi specialties. Occupational Medicine, Orthopedic, Psychiatry, Physical Therapy, Chiropractic, Acupuncture, Personal Injury Cases and Private Insurance