Aaron Newcome-Beill
Baltimore,MD
Summary
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
11
11
years of professional experience
Work History
Utilization Review Specialist
Sheppard Pratt
03.2020 - Current
- Perform insurance verification and ongoing status of payment
- Assists hospital business office with matters related to insurance reimbursement
- Complete cost/benefit analysis of treatment plans and negotiates appropriate rates
- Investigate disputed medical claims, coordinate utilization training for the medical staff, analyze electronic medical records, and inform medical staff whether a medical claim is denied, approved, under review, or under appeal
- Screen patient charts following admission to identify potentially suboptimal patterns of care using comprehensive screening methods including utilization review criteria
- Record variations on screening sheets communicate with staff for follow-up.
Assistant Director
Sheppard Pratt
03.2020 - Current
- Organizing, coordinating, and monitoring all programmatic operations under supervision of the Program Director
- Maintain daily functioning of multi-disciplinary team that includes psychiatrists, social workers, substance abuse counselors, case managers, vocational specialists, and peer support specialists
- Aid in the person-centered care for a total census of 80-100 clients in intensive outpatient setting of Baltimore City in accordance with regulations, principles, and core philosophy of the assertive community/mobile treatment model
- Run daily team meetings: reviewing and discussing client hospitalizations, emergencies, and on-call issues
- Review of client appointments and other non-emergencies
- Reviewing treatment team activities and client outcomes
- Serve as the main point of contact for new clients and referrals
- Communicate with hospitals, discharge, and intake coordinators to coordinate care
- Review critical information for all incoming ACT referrals to ensure they meet clinical and logistic criteria for ACT services
- Coordinate initial intake assessments with social worker, and prescriber
- Establish treatment teams and schedules for new clients
- Ensure completion of assessments from all other ACT disciplines
- Ensure that all intake paperwork is completed, and documented correctly in Sheppard Pratt’s electronic medical record (myEVOLV)
- Oversee delivery of reports to BHSB and University of MD to maintain housing grants and Fidelity requirements
- Routinely perform internal audits to v timely documentation procedures, core practice requirements, and key performance indicators Assist with scheduling in-services and trainings with other departments, and organizations outside of Sheppard Pratt
- Review resumes for available positions, perform initial phone interviews, schedule initial interviews in-person or via Zoom/video-call, and participate in applicant interviews
- Oversee distribution and collection of COVID-19 tests, and PPE.
Processing Analyst
Pinkerton Employment Screening
09.2018 - 03.2020
- Analyze investigative reports via National Criminal Databases, National Sex Offender Registries, Homeland Security Searches, OFAC, MVR’s, and other search measures as needed
- Review and analyze service agreements to identify drug test and background check requirements
- Conducting analysis of hiring policies and procedures, propose modifications to client, and processing department
- Evaluate completed investigation results and determine applicant eligibility for employment based on client guidelines, state and federal law, in addition to EEOC, and Fair Credit Reporting Act (FCRA) requirements
- Management of the adjudication process, including the timely completion of HR reviews and quality assurance processes
- Communicate applicant eligibility to client points of contact
- Maintain internal databases of client background check requirements and background approved vendors
- Create compliant background check packages and services with vendors
- Investigate customer, vendor, and general service issues as needed
- Assist in departmental administrative duties as assigned
- Verify accuracy of information; follow adjudication procedures for employment screenings and drug tests
- Submit and receive HR reviews, communicate disputes.
Client Relations Specialist
National Capital
06.2013 - 09.2018
- Give accurate and appropriate information to answer questions, troubleshoot issues, and resolve complaints
- Work with management to ensure appropriate changes to improve customer satisfaction
- Direct inbound calls to improve work-flow and productivity
- Made reasonable procedures to accommodate client requests
- Developed effective relationships with all departments through open and consistent communication
- Provide input in the selection and implementation of new company policies
- Maintain client records, ensuring all demographic information was accurate, up to date, and secure
- Cross train and provide feedback to new and fellow employees.
Education
Master of Arts - Sociology
Arizona State University
Tempe, AZ05-2026
Master of Science in Psychology -
Arizona State University
05.2022
Bachelor of Arts in Psychology -
Arizona State University
12.2019
Skills
- Problem solving
- Critical thinking
- Analytical skills in fields of healthcare
- Consumer reporting
- Client relationships
- And social science research
- Communication
- Conflict/crisis management
- Program administration
- Relationship building
- And cross-organizational training
- Psycho-social rehabilitation principles
- Guidelines
- And care practices
- Person-centered planning
- Trauma informed care
- Integration of primary & behavioral healthcare
- Regulatory compliance
- Reviewing and revising corporate policies and procedures
- Client & patient rights
- Corporate compliance & ethics
- Cultural competence
- Behavior modification
- Preventing
- & de-escalating hostile situations
- Suicide screening & assessment
- Identifying and responding to abuse & neglect
- Incident reporting
- Record-keeping
- And documentation practices
- Quality assurance
- Data management
- Talent acquisition
- Performance improvement
- Motivational interviewing
- HIPAA Compliance
- Quality Improvement
- Healthcare regulations
- Utilization Management
- Decision-Making
- Onboarding and training
- Critical Thinking
Timeline
Utilization Review Specialist
Sheppard Pratt
03.2020 - Current
Assistant Director
Sheppard Pratt
03.2020 - Current
Processing Analyst
Pinkerton Employment Screening
09.2018 - 03.2020
Client Relations Specialist
National Capital
06.2013 - 09.2018
Master of Science in Psychology -
Arizona State University
Bachelor of Arts in Psychology -
Arizona State University
Master of Arts - Sociology
Arizona State University