Jonathan Santos
San Diego,CA
Summary
Referral Specialist with track record of delivering impactful results. Adept at coordinating referrals, navigating complex systems, and ensuring seamless communication between parties. Strong focus on team collaboration, adaptability, and achieving desired outcomes. Known for problem-solving skills, reliability, and maintaining high standards in all tasks. Eager to dedicate experience and skills to San Ysidro Health Center in a growth-oriented role.
Overview
5
5
years of professional experience
Work History
Referral Specialist
San Ysidro Health
09.2021 - Current
- Work directly with providers , patients and patients insurance in order to carry out referral process as quick and efficiently as possible due to time sensitive referrals.
- Work directly with supervisor to assist in providing weekly report of the workload of the different SYHC clinics and internal specialties.
- Assist supervisor to provide coverage , completion of different patient lists and carry out special projects.
- Flexibility to be able to assist in covering any SYHC clinic to complete work for absentee referral specialist.
- Maintained accurate records of referrals, ensuring compliance with health regulations and policies.
- Work with Excel, Adobe , PowerPoint and Word in order to complete desired job tasks. Examples : List of pending clinic referrals .
- Coordinated patient referrals to ensure timely access to specialized healthcare services.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
- Verified insurance benefits and eligibility for referral procedures before referring clients.
- Developed strong relationships with external healthcare facilities, fostering a collaborative approach to patient care coordination.
- Built professional relationships with service providers.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Managed high-volume referral requests by prioritizing tasks and maintaining organized records.
- Problem solving skills to resolve internal and external issues as referrals process
- Trained new staff on referral protocols and systems, fostering a knowledgeable team environment.
- Bast amount of knowledge for different health insurances and protocols per each insurance .
- Coordinated referral and made follow up appointments to ensure continuity of care for patients that had been recently discharged from the Hospital.
- Used critical and multitasking skills in order to work as efficient as possible in order to satisfy patient needs.
- Identify and properly rename incoming faxes in order to direct paperwork to the correct area.
- Assisted patients and different medical services via phone or faxes requesting information which include labs, authorizations, referrals and other medical information being requested.
- Worked diligently with my co-workers in order to create a positive and healthy environment.
- Assisted as a medical records expertise as required per job in order to obtain records, send records, and upload required medical information.
- Have worked in both corporate and clinic setting.
- Work directly with patients via phone in order to provide the best possible care to ensure patients are satisfied with their care provided by referrals.
- Ensured and worked directly with my co-workers to fax or request information in order for patient to establish care with desired specialist.
Health Screener
San Ysidro Health
08.2020 - 09.2021
- Ensured compliance with health and safety regulations, in order to comply with COVID protocols.
- Greeted customers in a friendly and professional manner in order to check them in to the clinic and for appointments.
- Assisted patients and worked directly with medical records to pick up and drop-off forms or letters for their assigned doctors.
- Minimized infection risk to staff and patients by cleaning and sanitizing chairs equipment and tools.
- Enhanced customer satisfaction with fast and knowledgeable service.
- Worked directly with PSR’s and Medical Assistants to accommodate and meet patients needs.
- Resolved patient issues with multitasking and critical thinking to ensure satisfactory care.
- Proper knowledge to navigate on Nextgen and EHR in order to make appointments, view labs, referrals, charts and any information required.
- Worked hand in hand with Medical Records department in order to provide and retrieve essential documents from patient while meeting HIPPA regulations.
Education
Associate Degree in Nursing - Nursing
Southwestern College (CA)
Chula Vista, CA07-2026
High School Diploma -
Otay Ranch High School
Chula Vista, CA01.2019
Skills
- Critical thinking and problem solving
- Conflict Resolution
- Leadership Skills
- Effective Time Management
- Leadership
- Communication
- Adaptability
- Ability to Work Under Pressure
- Ability to Work in a Team
- Customer Service
- HIPAA regulations
Languages
English
Spanish
Tagalog
Timeline
Referral Specialist
San Ysidro Health
09.2021 - Current
Health Screener
San Ysidro Health
08.2020 - 09.2021
Associate Degree in Nursing - Nursing
Southwestern College (CA)
High School Diploma -
Otay Ranch High School
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