Referral Clerk Resume Sample

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Referral Clerk Resume Example

Robert Lopez
1783 Internal Avenue, Denver, CO 18873
(000) 999-9999
[Email]

Referral Clerk

SUMMARY
High-potential administrative professional with extensive experience in scheduling and relaying referral information within a medical capacity. Effectively able to ensure compliance with insurance requirements, and manage data reporting activities. Optimistic and personable with a genuine desire to maintain ongoing tracking and appropriate documentation on referrals to promote team awareness.

CLERICAL COMPETENCIES

KEY ACHIEVEMENTS
• Introduced a novel patient referral scheduling system, which proved to be 75% more efficient than the one it replaced.
• Maximized reimbursement, through exceptionally well-placed liaison with insurance company personnel.
• Devised a system navigation module, which was exceptionally useful in routing referrals to the right departments.
• Successfully created and maintained meaningful professional relationships with all insurance companies on the panel.

PROFESSIONAL EXPERIENCE

Referral Clerk
Signature Performance, Denver, CO | 2014-Present
• Receive referral requests from providers, and ensure that they are properly communicated with.
• Obtain prior authorizations for patients’ referrals to both specialists, and surgeries.
• Create and maintain effective liaison with different insurance companies to ensure that referrals are properly managed.
• Verify the eligibility of insurance for assigned patients, and provide them with correlating feedback.
• Request consult notes once appointed patients have consulted with the specialist.
• Communicate with specialists to determine the need for referrals, and inquire into suggested procedures.
• Follow up on referrals, with specialty providers and patients, to ensure that they are properly managed.
• Create and update vendor lists, and review and assess medical records on a regular basis.

Referral Clerk
River Health Care, Denver, CO | 2009-2014
• Looked through patients’ requests to determine referral eligibility and requirements.
• Assisted in reviewing and assessing medical records for processing referrals.
• Tracked referrals using pre-determined methods, procedures, and software.
• Tagged referrals with high priorities, and ensured that they were followed up on promptly.
• Responded to patients’ queries and concerns regarding their referrals, over the telephone, and in person.

EDUCATION
St. Paul’s High School, Denver, CO
High School Diploma