Alexa Simino
DeBary,FL
Summary
Goal- Driven Healthcare Administrator with proven to deliver exemplary level of healthcare services to members. Well-versed in training and managing employees. Plan and implement strategies for developing improved member experience. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for willingness to take on added responsibilities to meet team goals with a positive attitude.
Overview
7
7
years of professional experience
Work History
Senior Care Coordinator
Transcarent
09.2022 - Current
- Address OKRs and KPIs with management to set and communicate team goals effectively.
- Help maintain service level agreement of 80% or higher.
- Review case invoices to ensure prompt payment and case accuracy.
- Assist with case escalations ranging from moderate to complex.
- Cross-trained in multiple departments.
- Experience handling complex cases in multiple surgical categories.
- Initiate prior authorizations and obtain eligibility.
- Manage a caseload of 70-80 members.
- Maintain personal Net Promoter Score of 90%.
- Demonstrate company core values.
- Work cross-functionally with other departments on process improvement projects.
- Establish strong relationships with stakeholders.
- Help run team meetings and presentations.
- Mentor and create individual process improvement plans for team members.
- Train new hires.
- Assist product and engineering with beta testing to determine potential go-live risks.
- Strategize internally using data and research to improve member experience.
- Collaborate with clients and healthcare providers to improve accessibility and affordability using value-based care models.
Care Coordinator
Transcarent
06.2020 - 09.2022
- Enhanced member experience by developing and implementing comprehensive care plans.
- Improved communication among healthcare providers, streamlining coordination of services for members.
- Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes.
- Managed 70-80 cases effectively, ensuring timely follow-up and appropriate interventions.
- Supported members and families during difficult times, fostering resilience and coping skills.
- Advocated for patient's rights, working diligently to address concerns or barriers to care.
- Facilitated members successfully through the surgery care process.
- Developed strong relationships with clients, facilitating referrals and collaboration on behalf of members.
- Scheduled surgeries, managed pre-certifications, and verified insurance coverage.
- Ability to use multi-line phone systems.
Patient Access Registrar
Central Florida Regional Hospital
08.2017 - 06.2020
- Improved patient satisfaction by efficiently registering patients and verifying insurance information.
- Streamlined registration process for increased efficiency and reduced wait times.
- Maintained accurate patient records with diligent data entry and attention to detail
- Enhanced communication between medical staff and patients, clearly explaining procedures and policies.
- Utilized EMR systems to manage patient registration, documentation, and reporting tasks effectively.
- Utilized multi-line telephone system to independently handle over 20 daily calls from hospital staff and physician offices.
- Took copayments and compiled daily financial records
- Assisted medical staff with patient admissions, facility transfers, and trauma activations
Education
Master of Science - Healthcare Management
University of Denver
Denver, CO08.2022
Bachelor of Science - Health Sciences
University of Central Florida
Orlando, FL05.2020
Associate of Arts - Health Sciences
Seminole State College of Florida
Sanford, FL12.2016
Skills
- Expert in Sales Force Health Cloud
- Microsoft Office
- Critical Thinking
- Conflict Resolution
- Medical Terminology
- Knowledge of HIPAA Guidelines
- Staff Training and Development
- Instructional Design
- Interpersonal Communication
- Quality Assurance
- Leadership
Timeline
Senior Care Coordinator
Transcarent
09.2022 - Current
Care Coordinator
Transcarent
06.2020 - 09.2022
Patient Access Registrar
Central Florida Regional Hospital
08.2017 - 06.2020
Master of Science - Healthcare Management
University of Denver
Bachelor of Science - Health Sciences
University of Central Florida
Associate of Arts - Health Sciences
Seminole State College of Florida
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