In my previous role, I managed patient referrals by ensuring accurate documentation, verifying insurance eligibility, and coordinating with healthcare providers. I streamlined the referral process by implementing a tracking system, reducing delays by 20%. My focus was always on maintaining clear communication between patients, providers, and insurance companies to ensure seamless care transitions.

When a referral is denied, I first review the denial reason and verify if it’s due to missing information or errors. I then work with the provider to submit an appeal or provide additional documentation. If necessary, I explore alternative options, such as finding in-network providers or discussing payment plans with the patient to ensure they receive the care they need.

I prioritize accuracy by double-checking patient information, insurance details, and referral requirements before submission. I use electronic health record (EHR) systems to maintain organized records and set reminders for follow-ups. Additionally, I collaborate closely with providers to confirm all necessary documentation is complete, minimizing errors and ensuring compliance with regulations.

I stay organized by using task management tools and prioritizing tasks based on urgency and impact. For example, I address time-sensitive referrals first while scheduling follow-ups for less urgent cases. I also maintain open communication with my team to delegate tasks when necessary, ensuring that all patient needs are met efficiently without compromising quality.

I adhere strictly to HIPAA guidelines by accessing patient information only when necessary and using secure systems for data storage and transmission. I regularly update my knowledge of compliance requirements and participate in training sessions. Additionally, I ensure that all team members follow protocols, such as password protection and proper disposal of sensitive documents, to safeguard patient privacy.