Research and Analysis:Proficient in conducting in-depth research to identify vetted board-certified doctors.Skilled in evaluating and comparing doctor profiles to ensure the highest quality of care for members.Capable of analyzing medical qualifications, credentials, and affiliations to determine the suitability of doctors for specific member needs.Customer Service:Exceptional interpersonal and communication skills to provide a positive member experience.Demonstrated… Show more Research and Analysis:Proficient in conducting in-depth research to identify vetted board-certified doctors.Skilled in evaluating and comparing doctor profiles to ensure the highest quality of care for members.Capable of analyzing medical qualifications, credentials, and affiliations to determine the suitability of doctors for specific member needs.Customer Service:Exceptional interpersonal and communication skills to provide a positive member experience.Demonstrated ability to actively listen to member concerns and provide empathetic support.Experience in addressing and resolving member inquiries, complaints, and requests in a timely and professional manner.Organization and Time Management:Strong organizational skills to manage multiple tasks and prioritize effectively.Efficiently maintain accurate records of member interactions, doctor profiles, and relevant information.Proficient in utilizing software tools and databases to track and manage member and doctor data.Collaboration and Teamwork:Skilled at working collaboratively with cross-functional teams to ensure seamless member experiences.Ability to communicate effectively with doctors, administrators, and colleagues to facilitate necessary information exchange.Proven track record of contributing to team goals and achieving collective objectives. Show less

Facilitated the referral, authorization, and pre-certification process by liaising with healthcare providers and payers, ensuring compliance with medical terminology and physician orders. Collaborated with the Practice Manager in resolving patient complaints related to referrals and implemented effective solutions to address issues. Demonstrated proficiency in navigating healthcare systems such as I-Exchange, Evicore, AIM, Availity, Tricare, Medicaid, and Market plan insurances. Coordinated… Show more Facilitated the referral, authorization, and pre-certification process by liaising with healthcare providers and payers, ensuring compliance with medical terminology and physician orders. Collaborated with the Practice Manager in resolving patient complaints related to referrals and implemented effective solutions to address issues. Demonstrated proficiency in navigating healthcare systems such as I-Exchange, Evicore, AIM, Availity, Tricare, Medicaid, and Market plan insurances. Coordinated appointments, clinic visits, and special services such as interpreters and transportation. Successfully executed additional tasks as assigned by the physician and Practice Manager. Conducted daily huddle meetings with the team to review productivity and address new referrals, WQ, and Gen mailbox numbers. Show less

- Coordinated scheduling of essential medical tests including MRI, CAT scan, Nuclear medicine, Ultrasounds, and other radiology services for the hospital - Maintained professional and courteous relationships with patients, healthcare providers, and other stakeholders, ensuring exceptional customer service at all times - Efficiently and accurately registered patients in the Emergency Room, obtaining necessary insurance information, identification cards, and demographic data utilizing… Show more - Coordinated scheduling of essential medical tests including MRI, CAT scan, Nuclear medicine, Ultrasounds, and other radiology services for the hospital - Maintained professional and courteous relationships with patients, healthcare providers, and other stakeholders, ensuring exceptional customer service at all times - Efficiently and accurately registered patients in the Emergency Room, obtaining necessary insurance information, identification cards, and demographic data utilizing Epic System - Answered phone calls and scheduled outpatient appointments in a timely and organized manner - Provided comprehensive information regarding legal forms to Hospital and patients. These forms include Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc. Show less