Amelia Childers
Citrus Heights
Summary
Dedicated healthcare professional with 13 years of experience in referral coordination and authorization management. Proven track record in enhancing referral processes, verifying insurance coverage, and facilitating patient communication to ensure timely access to care and improve overall patient quality of life.
Overview
13
13
years of professional experience
Work History
Referral Coordinator
The Sierra Medical Partnership
Folsom
09.2024 - Current
- Coordinated patient referrals to specialists and services for optimal care.
- Coordinated with insurance companies to verify coverage for referrals, ensuring patients received necessary care.
- Facilitated communication between patients and healthcare providers to streamline referral processes.
- Scheduled appointments and follow-ups for referred patients promptly.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Worked closely with billing departments to ensure accurate coding and billing for referred services.
- Maintained compliance with HIPAA regulations while handling patient information to protect confidentiality.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Managed a high volume of calls in a timely manner
Patient Intake Specialist
Luna Physical Therapy
Rocklin
08.2023 - 07.2024
- Verified insurance eligibility and benefits
- Obtained referrals and authorizations before upcoming appointments
- Scheduled and rescheduled new patient appointments, ensuring clarity in communication and professional interaction.
- Managed high volume of calls, maintaining responsiveness and efficiency in patient interactions.
- Communicated with the Physical Therapists effectively and in a timely manner regarding upcoming patient appointments
- Maintained confidential patient records in compliance with HIPAA regulations.
- Created profiles for new patients
Authorization Specialist
Retinal Consultants Medical Group
Sacramento
08.2015 - 04.2023
- Processed patient insurance authorizations for various retinal treatments.
- Verified insurance eligibility.
- Reviewed and verified insurance eligibility for patients seeking care.
- Completed referrals and authorizations before each patient's upcoming appointment.
- Resolved authorization issues directly with insurance companies to facilitate patient care.
- Verified insurance authorizations with payers via telephone or web-based systems.
- Handled high volume of calls efficiently to ensure timely patient access to services.
- Collected and entered insurance information.
- Maintained accurate records of authorization requests and outcomes.
- Processed patient payments and insurance payments.
- Sent patient claims and medical records via postal service.
- Trained staff on authorization processes and documentation requirements to enhance compliance.
- Assisted with monthly projects and met deadlines.
Medical Assistant
Pediatric Health and Wellness
Rocklin
06.2013 - 08.2015
- Performed physical exams on patients by taking vitals, performing vision/ hearing tests, HGB tests, urinalysis and administering injections.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
- Administered vaccinations and performed routine laboratory tests.
- Performed breathing treatments, ear lavages, and strep throat cultures to support patient recovery and address health concerns.
- Monitored vital signs and documented changes in patient conditions effectively.
- Confirmed insurance eligibility for patients to facilitate timely access to care.
- Scheduled appointments and coordinated with insurance providers for patient coverage.
- Completed referrals to specialty care quickly and efficiently.
- Submitted prior authorizations to insurance companies in order to obtain approval to send a patient to specialty care.
- Obtained medical records for new and existing patients in a timely manner.
- Educated families on health maintenance and preventive care practices.
- Prepared medical instruments and exam rooms for patient visits.
- Managed patient records and ensured accurate data entry in electronic systems.
- Collected urine specimens to send to Quest Labs for testing.
- Assisted pediatricians during patient examinations and treatments.
- Collaborated with healthcare team to support continuous improvement initiatives.
- Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
- Measured vital signs and took medical histories to prepare patients for examination.
Education
Associate of Applied Science - Medical Assisting
Heald College
Rancho Cordova, California10-2012
Skills
- Referral management
- Insurance Verification
- EHR Systems
- Medical Records
- Medical Administration
- Venipuncture
- Injections
- Wound care
- Vital Signs
- HIPAA Certified
- OSHA Certified
- Front office operations
- Phone Etiquette
- Medical Terminology
- Patient Communication
- Referral Management
- Insurance authorization verification
- HIPAA compliance
- Appointment scheduling
- Patient referral coordination
- Effective multitasking
- Attention to detail
- Time management
- Problem solving
- Multi-line phone proficiency
Timeline
Referral Coordinator
The Sierra Medical Partnership
09.2024 - Current
Patient Intake Specialist
Luna Physical Therapy
08.2023 - 07.2024
Authorization Specialist
Retinal Consultants Medical Group
08.2015 - 04.2023
Medical Assistant
Pediatric Health and Wellness
06.2013 - 08.2015
Associate of Applied Science - Medical Assisting
Heald College