Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

JANNUS TURLEY

Baltimore

Summary

Experienced healthcare professional specializing in insurance verification and patient intake. Demonstrated success in coordinating referrals and managing prior authorizations while ensuring compliance with HIPAA regulations. Dedicated to delivering exceptional service and improving patient experiences in an insurance role.

Overview

1
1
Certification
11
11
years of professional experience

Work History

Intake Coordinator (Part-Time)

Homecare of Maryland
05.2022 - Current
  • Reviewed patient referrals, medical records, and insurance information for accuracy and eligibility to ensure timely processing.
  • Verified insurance coverage and coordinated prior authorization requirements to facilitate seamless patient admissions.
  • Communicate with physicians, case managers, referral sources, and caregivers to facilitate timely admissions.
  • Coordinate patient admissions and resumption of care.
  • Maintain accurate and confidential patient records in compliance with HIPAA.

Behavioral Health Referral & Intake Coordinator

Baltimore Medical System
08.2021 - Current
  • Processed patient referrals through electronic health record systems to ensure timely access to care.
  • Process patient referrals using electronic health record systems.
  • Coordinate specialty appointments and submit referral documentation.
  • Maintain accurate documentation while collaborating with providers and insurance representatives.
  • Prepared monthly referral reports to track and enhance referral completion rates.
  • Assisted patients with financial, transportation, and language support resources to facilitate seamless care access.
  • Assist patients with financial, transportation, and language support resources.

Referral Coordinator Team Leader | Senior Representative | Administrative Assistant

Baltimore Medical System
01.2017 - 08.2021
  • Verified insurance eligibility and processed referrals and authorizations.
  • Facilitated referrals with specialty providers, ensuring effective communication with clinical staff through Epic.
  • Coordinated patient registration, scheduling, enrollment, and appointment logistics to ensure seamless access to care.
  • Provided exceptional customer service to patients, enhancing overall patient experience in person and by telephone.
  • Collected co-payments and maintained accurate patient account records.
  • Maintained electronic medical records and processed medical documentation requests.
  • Assisted management with administrative duties, workflow coordination, and staff support.

Quality Assurance Analyst

BCBS
08.2015 - 04.2016
  • Analyzed quality trends and prepared reports to inform leadership decisions.
  • Created daily quality scorecards and productivity reports to track performance metrics.
  • Evaluated work quality using established performance standards.
  • Coached team members and provided feedback to enhance accuracy and ensure compliance.
  • Assisted with special projects and operational quality improvement initiatives.

Education

High School Diploma -

Perry High School
Lima, Ohio

Skills

  • Epic
  • Electronic Health Records
  • Epic charting
  • Referral management
  • Patient referral processing
  • Insurance verification
  • Home Health Software
  • Microsoft Office
  • Microsoft Office

Certification

Certified Nursing Assistant (CNA), Brookdale Southpoint Institute, Jacksonville, Florida

Timeline

Intake Coordinator (Part-Time)

Homecare of Maryland
05.2022 - Current

Behavioral Health Referral & Intake Coordinator

Baltimore Medical System
08.2021 - Current

Referral Coordinator Team Leader | Senior Representative | Administrative Assistant

Baltimore Medical System
01.2017 - 08.2021

Quality Assurance Analyst

BCBS
08.2015 - 04.2016

High School Diploma -

Perry High School
JANNUS TURLEY