Kelly Riley

Lead Referral Coordinator @Sparrow Health System

Lansing, MI, US

Manage all incoming urgent and routine clinical referrals for pre-authorization. Operate multiple computer applications including EPIC electronic health records software to schedule patient appointments, testing, procedures, and surgeries for the Thoracic and Cardiovascular Institute. Act as a liaison between hospitals, health plans, physicians, and patients.Notable Outcomes:• Review and handle 50-75 daily incoming faxed and internal system referrals for completeness and follow up for additional information if necessary• Transcribe referrals and enter all vital information from the referring provider into a referral for a patient so that the correct visit type can be scheduled• Responsible for patient registration, verification of benefits, insurance authorizations, and scheduling patients for appointments with appropriate providers based on urgency at seven Sparrow TCI Clinics • Interview patients for the purpose of scheduling and/or pre-registration. Collect complete and accurate confidential demographic and financial information to comply with regulatory agencies and billing requirements• Track, and monitor referral until completion Leadership Accomplishments:• Nominated and selected for the Sparrow Caregiver Spotlight for

Oakland University

Bachelor of Science (B.S.)

Oakland University

Bachelor's degree