AdriAnne Headen
Irving
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
Autism Service Coordinator
Centene Corp HEALTHNET FEDERAL SERVICES
11.2022 - Current
- Processes authorizations received for services related to the CACD in accordance with contractual standards and includes: ABA provider selection in compliance with 28 day access to care appointment standards
- Gathers all relevant information by contacting appropriate physicians, BCBAs, BCBA-D or other ancillary providers and utilizing this information to authorize services as requested
- Relevant information may include: treatment plans, individualized education plans (IEPs), diagnostic evaluations and Primary Care Manager (PCM) referrals
- Documents case summary based on information received and communication with the beneficiaries and involved providers
- Refers cases to the autism care clinical reviewers or the Manager, Comprehensive Autism Care when appropriate
- Assists clinical review staff in the collection and data entry of BCBA, BCBA-D or other authorized Autism Spectrum Disorder (ASD) provider treatment plans
- Coordinates directly with active duty families and their providers and Exceptional Family Member Program (EFMP) points of contact on ECHO registration requirements to assure timely ECHO registration as required for CACD guidelines
- As a CACD subject matter expert, educates our customers and other ABA stakeholders, this includes: Providers (BCBA, BCBA-D) and appropriate MTF personnel regarding CACD program requirements, benefits and limitations, program related documentation requirements, and other information as appropriate, Serves as a resource for identifying other CACD ABA points of contact when necessary, such as when reimbursement education is required
- Collaborating as directed with the school systems and Early Intervention programs to support the beneficiary needs and to coordinate the delivery of TRICARE covered benefits to avoid duplication of services
- Educating beneficiaries and their families to help them understand their benefits and assist them in maximizing their available benefits
- Assists in directing the beneficiary to the appropriate providers within the MTF and HNFS provider network.
Content/Communication Manager
The Writer's Television
02.2017 - 11.2022
- Developed and implemented content strategies to drive traffic and engagement
- Created, edited and published engaging content for multiple platforms including website, social media, email campaigns and blogs
- Managed the production of digital assets such as videos, podcasts, images and infographics
- Collaborated with design teams to ensure content was up-to-date with visual standards
- Organized content into appropriate categories for easy access by users
- Monitored performance metrics to identify areas of improvement in content quality and delivery
- Analyzed customer feedback to inform future content development plans
- Conducted keyword research to optimize SEO performance across all channels
- Performed regular audits of existing material to ensure accuracy and relevancy
- Reviewed analytics reports to measure success of existing campaigns
- Ensured compliance with brand guidelines throughout all content materials
- Maintained an editorial calendar to plan upcoming content initiatives in advance
- Generated ideas for new content formats based on user feedback and market trends
- Managed content distribution for various online channels and social media platforms
- Brainstormed and implemented strategies to meet short and long-term company targets
- Analyzed daily traffic data and reports to measure effectiveness of marketing strategies
- Designed websites and online applications to assist companies with online presence.
Case Manager/ Customer Care Coordinator
Cardinal Healthcare Solutions
01.2015 - 02.2017
- First point of contact on inbound calls and determines needs and handles accordingly
- Creates and completes accurate applications for enrollment with a sense of urgency
- Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database
- Complete Welcome Calls, Benefit Investigations, Prior Authorizations while implementing on Salesforce Connect Source software
- Conducts outbound correspondence when necessary to help support the needs of the patient and/or program
- Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing
- Working alongside teammates to best support the needs of the patient population or Will transfer caller to appropriate team member (when applicable)
- Resolve patient's questions and any representative for the patient’s concerns regarding the status of their request for assistance
- Update internal treatment plan statuses and external pharmacy treatment statuses
- Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
- Self-audit intake activities to ensure accuracy and efficiency for the program
- Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information
- Notify patients, physicians, practitioners, and or clinics of any financial responsibility for services provided as applicable
- Assess patient’s financial ability to afford therapy and provide hands-on guidance to appropriate financial assistance
- Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc
- All avenues to obtain coverage for the product must be fully exhausted
- Track any payer/plan issues and report any changes, updates, or trends to management
- Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
- Handle all escalations based upon region and ensure proper communication of the resolution within required time-frame agreed upon by the client
- Serve as a liaison between client sales force and applicable party
- Mediate situations in which parties are in disagreement and facilitate a positive outcome
- Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
- Responsible for reporting any payer issues by region with the appropriate team
- Log and maintain a reconciliation report for all Field requests to send to the client at their designated preferred date range
- Support team with call overflow and intake when needed
- As needed conduct research associated with issues regarding the payer, physician’s office, and pharmacy to resolve issues swiftly
- Teamwork and collaboration with leadership ability.
Education
Bachelor Of Arts in Media And Communication -
Fairleigh Dickinson University
Teaneck, NJOrganization Leadership Certification in Business -
Harvard Business School
Boston, MA03.2024
Skills
- Content Development
- Applied Behavior Analysis
- Adobe Creative Suite
- Web Development
- Analytics
- Content Editing
- Strategic Marketing
- Autism Experience
- Project Management
- SEO Tools
- Public Relations
- Social Media Management
- Blogging
- Research
- Salesforce
- Communication
- Google Analytics
- Google AdWords
- Content Creation
- Branding
- Digital Marketing
- E-Commerce
- Web Design
- Keyword Research
- Content Production
- Email Marketing
- Brand Messaging
Timeline
Autism Service Coordinator
Centene Corp HEALTHNET FEDERAL SERVICES
11.2022 - Current
Content/Communication Manager
The Writer's Television
02.2017 - 11.2022
Case Manager/ Customer Care Coordinator
Cardinal Healthcare Solutions
01.2015 - 02.2017
Bachelor Of Arts in Media And Communication -
Fairleigh Dickinson University
Organization Leadership Certification in Business -
Harvard Business School
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