Open To Work
Courtney Nelson
Charleston
Work Preference
Summary
Referral Specialist with robust expertise in coordinating patient referrals and managing scheduling for specialists. Strong attention to detail ensures accurate medical records and effective communication with patients and providers, contributing to streamlined operations and enhanced patient satisfaction.
Overview
16
16
years of professional experience
Work History
Referral Specialist
Medical University Of South Carolina
Charleston
11.2019 - Current
- Coordinated patient referrals between departments and healthcare providers.
- Communicated with patients regarding referral processes and requirements.
- Educated patients on available services and resources at the medical university.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Managed scheduling for specialists to optimize patient appointments.
- Coordinated patient scheduling by assessing availability, urgency, and insurance authorization guidelines. according to availability, urgency and insurance authorization guidelines.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Tracked referral request progress and resolved issues to maintain smooth processing.
- Streamlined referral workflows to enhance operational efficiency across departments.
- Collaborated with interdisciplinary teams to ensure seamless patient transitions.
- Collaborated with team members to ensure the accuracy of referral data entered into the system.
- Maintained accurate patient records in the electronic health record system.
- Entered confidential patient information and updated electronic records in database.
- Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
- Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
- Facilitated the clinical team's workflow by providing necessary administrative support for referral processes. to support administrative needs for clinical referrals.
- Resolved escalated patient complaints relating to denied or delayed referrals promptly.
- Clarified referral details and expectations with providers and patients, and initiated requests for new referrals.
- Provided exceptional customer service, addressing patient inquiries and concerns with empathy and professionalism.
Medical Office Assistant
MUSC
Charleston
10.2017 - 11.2019
- Scheduled appointments for primary care and allergy physicians, ensuring efficient patient flow.
- Verified insurance details to ensure patient access to necessary medical care and minimize delays.
- Collected payments upon check-in and faxed/scanned patient orders and clinical information to outside facilities for timely processing.
- Perform check-in and check-out duties, making sure patient demographic and insurance information is updated in the system.
Central Referral Unit Representative
MUSC
10.2016 - 10.2017
- Contacted out of network payors to secure authorization for doctors’ office appointments, facilitating patient access to care.
- Obtained authorizations via phone or fax.
- Sent necessary documentation to insurance payors, expediting authorization requests and reducing wait times.
- Established and maintained rapport with outside insurance/non-reg plan staff to ensure timely authorization approvals.
Release of Information Specialist II
MUSC
02.2016 - 05.2016
- Fulfilled requests and sent records to agencies on patients’ behalf in compliance with HIPAA guidelines.
- Retrieved medical record requests from insurance agencies via mail or fax.
- Welcomed customers upon arrival, providing guidance on record request procedures. at the front desk and answer questions regarding records that need to be obtained in person.
- Answer phone calls in regards to status updates on outstanding medical record requests.
Patient Access Representative
MUSC
01.2011 - 02.2016
- Registered incoming patients at front desk; verified demographic and insurance information, obtained consent forms, and collected co-pays, deductibles, or outstanding balances to ensure smooth billing process.
- Coordinated patient flow during practice hours to minimize wait times and enhance patient experience.
- Managed multi-line phone system; scanned, faxed, and retrieved facesheets for Meducare billing to facilitate efficient information exchange.
- Reviewed medical records for accuracy and completion.
Education
Certificate of Completion - CPC Coding program
07-2018
AAS - Information Technology- Information systems
Trident Technical College
North Charleston12-2015
Skills
- ICD-10
- CPT coding
- Electronic Medical Record (EMR) software
- Anatomy and physiology knowledge
- HIPAA compliance
- Specialty clinic referral management
- Multi-clinic patient scheduling
- Referral management
- Patient scheduling
- Data accuracy verification
- Medical terminology
- Time management
- Referring physician communication
- Outbound calls
- Attention to detail
Timeline
Referral Specialist
Medical University Of South Carolina
11.2019 - Current
Medical Office Assistant
MUSC
10.2017 - 11.2019
Central Referral Unit Representative
MUSC
10.2016 - 10.2017
Release of Information Specialist II
MUSC
02.2016 - 05.2016
Patient Access Representative
MUSC
01.2011 - 02.2016
Certificate of Completion - CPC Coding program
AAS - Information Technology- Information systems
Trident Technical College