Summary
Overview
Work History
Education
Skills
Timeline
Amanda Gunther

Amanda Gunther

Concord,NC

Summary

Patient-focused care supporter, equipped with administrative and customer service expertise. Helps keep healthcare services proceeding smoothly by coordinating communications, referrals, and policy enforcement. Talented in finding balanced solutions and resolving conflicts.

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

22
22

Years of healthcare, professional experience

Work History

CNA I Health Screener

Maxim Healthcare Group
Salisbury, NC
07.2020 - 09.2020
  • CNA/ Healthcare temp screener for Food Lion Distribution Center

Data Intake Specialist

AmerisourceBergen/ Lash Group
Fort Mill, SC
04.2020 - 09.2020
  • Data entry for major fortune 10 company! Data intake specialist- Process applications on patient assistance programs for the federal government
  • Very knowledgeable in all patient applications, using multiple screens, and multiple programs.

Emergency Room Tech/CNA 1

Novant Medical Center
Salisbury, NC
08.2019 - 06.2020
  • CNA for emergency room

Safety Attendant

Novant Medical Center
Salisbury, NC
08.2019 - 06.2020
  • Provides direct safety to patients who are deemed homicidal/suicidal and safety risks
  • Documents for charting assist patient with certain requests
  • Under direct supervision of RN.

Diagnostic Care Coordinator

Mindlance/Sedgwick(contract)
Remote
11.2023 - 12.2023
  • Assist members affiliated with the World Trade Center health program assisting and certifying for medical conditions underlying from the events of 911 and assisting with preventative care services
  • Speaking with members and gathering important information and documents for them to adhere to diagnostic testing and services that aligned in preventative care or for trying to be certifiable with NIOSH, where, at that point in member kits, lifetime, benefits, and care for health condition
  • Assist processing and daily other various tasks, working well independently and in a team environment, providing empathy to members applying for services and obtaining medical records for claim processing and billing small program, benefit explanation, but not limited to, etc.
  • Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
  • Educated clients on available resources and services within their communities.
  • Coordinated with other health professionals to develop individualized plans of care for patients.
  • Scheduled appointments for clients with appropriate medical specialists.
  • Provided crisis intervention services when needed.
  • Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
  • Provided emotional support to patients dealing with difficult health issues.
  • Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
  • Explained policies, procedures and services to patients.
  • Maintained awareness of government regulations, health insurance changes and financing options.

Health Navigator/DCP Care Coordinator

BCBST
Remote
05.2023 - 10.2023
  • Discharge planning Care coordinator for DSNP Medicare/Medicaid members
  • Assist with various processes for all populations; minors, young adolescence, teenagers, pregnant women, postpartum members, adults, and seniors with the planning of aftercare once being discharged from a hospitalization, whether it is planned or unplanned
  • Helping members while making follow ups and scheduling doctor appointments, assistance with transportation, making appointments & setting up travel arrangements, assisting with meals other outreach services at their leisure etc
  • Discussing benefits and their health needs or desires, and following care plans designed by their nurse, care coordinator, and or case manager
  • Assist members with various needs, performing assessments, and continual follow-ups with high level of communication involving the members, providers, medical staff and case managers etc, implementing and aligning to that members established POC
  • Placing calls to obtain medical records for submission of claims and continual follow-ups, pre-authorizations for scheduled services etc
  • I work well independently and work in a team environment with very little supervision required to perform tasks
  • Provide empathy and care and understanding and support aligning with cognitive thinking & behavioral skills and patterns designed to help each member reach their goals for the POC’s.
  • Coordinated appropriate educational material for patients, families and medical staff to accomplish best possible patient care outcomes.
  • Confirmed patients received necessary support services such as medical care, housing and public benefits.
  • Worked collaboratively with physicians, staff and other health care professionals to develop, implement and evaluate integrated and comprehensive plans of care for patients.
  • Documented patient information in appropriate systems to guarantee care coordination throughout patient care continuum.
  • Coordinated referrals to appropriate specialists or community programs as needed.
  • Assessed patient eligibility for various insurance programs and helped them apply when necessary.
  • Assisted in creating educational materials about health navigation topics for use by other navigators.
  • Maintained accurate records of patient interactions and progress towards goals.
  • Served as an advocate for patients' rights within the healthcare system.
  • Provided emotional support to help patients cope with illness or difficult life situations.
  • Identified gaps in existing services or resources for navigating healthcare issues.
  • Enhanced patient quality of life, sense of autonomy and self-determination for health care management by delivering educational resources and explaining outreach programs.
  • Developed care plans to ensure that all medical needs were met in a timely manner.
  • Advised patients on preventive health measures such as immunizations, healthy eating habits, and exercise regimens.
  • Conducted thorough assessments to determine the best course of action for each patient's individual needs.
  • Assisted patients with understanding their diagnosis, treatment options, and available resources.
  • Collaborated with multidisciplinary teams to provide comprehensive care for clients.
  • Connected patients with additional support systems such as social workers or mental health professionals.
  • Provided patient education and counseling services to individuals in need of health navigation assistance.
  • Scheduled patient appointments and specific treatments.
  • Reached out to doctors and healthcare providers to inquire about orders.
  • Engaged patients, healthcare providers, employers and approved parties in determination of functional abilities.
  • Educated clients on options to assist in making informed decisions.
  • Documented services and collected required data for evaluation.
  • Monitored and evaluated client progress compared to measurable treatment and care plan goals.
  • Tracked patient or client care and followed through to provide service effectiveness.
  • Advocated for clients to resolve medical or personal crises.
  • Planned and coordinated discharge from care facility to patient's home.
  • Provided information to access financial assistance, legal aid or housing.
  • Maintained accurate client records in accordance with agency policies and procedures.
  • Educated clients on available resources and services within their communities.
  • Provided case management services to ensure the delivery of quality care.

PBM Case Manager(contract)

McKesson Corporation Change Healthcare
Remote
10.2022 - 02.2023
  • Performs healthcare information & medical claims processing, healthcare billing & collection services, & provides financial guidance regarding hospital, HMO, clinical services to patients, their families & third- party representatives
  • Contact insurance companies to verify eligibility coverage for drug benefits
  • Assist with claims processing and denial assistance
  • ICD-10 knowledge and lookup- medical terminology expertise level Function as a liaison between special drug program patients & their insurance companies.
  • Maintained accurate case records and documentation according to agency guidelines.
  • Maintained up-to-date case records with case activity status.
  • Provided customer service to clients through phone and email communication.
  • Delivered excellent service via inbound and outbound calling efforts, meeting established minimum targets.
  • Maintained accurate records of all customer interactions, process customer accounts and file documents.
  • Performed administrative tasks such as data entry, filing paperwork, updating databases and preparing reports.
  • Adhered strictly to company policies regarding confidentiality of client information.
  • Completed research to thoroughly understand client requirements.
  • Evaluated and identified opportunities to drive process improvements, positively impacting customer experience.
  • Utilized computer systems for tracking, information gathering and and or troubleshooting.
  • Distributed electronic submissions and hard copy materials to promote clients.
  • Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
  • Adhered to ethical principles and standards to protect clients' confidential information.
  • Compiled reports on cases and submitted them to supervisors as required.
  • Maintained logs and electronic client records following department and agency policies for effective monitoring.
  • Assisted individuals with eligibility for available benefits.
  • Advocated for clients by obtaining information regarding treatment options and clinical status.
  • Collaborated with healthcare providers, lawyers, employers and other stakeholders involved in a client's case.
  • Monitored and kept meticulous records of patient treatment plans and response of patient to medication.
  • Provided direct service and support by handling referrals for advocacy issues or resolving complaints.
  • Consulted with staff on resolution of complex service issues.
  • Determined organizational policies regarding program eligibility, requirements and benefits.
  • Handled administrative procedures to meet objectives set by boards of directors or senior management.

Customer Service Representative (CSR)

FEMA/Maximus
Remote
10.2022 - 12.2022
  • CSR for disaster relief survivors, assist in registration for disaster relief assistance and provide alternatives for other relief help
  • Active listening, skills and strong attention to detail providing empathy and excellent customer service in time of need ability to work independently and under supervision remotely in high volume call center role

Account Maintenance Specialist

Vanguard
Charlotte, NC
10.2021 - 07.2022
  • Working in high volume call center for the number #1 mutual investment firms helping major financial service company, assisting with online registration, e-services, account maintenance and assist with overall IRA, Roth IRA and non-IRA accounts, and tax forms and various other assistance for clients.
  • Researched and resolved customer inquiries related to account maintenance issues.
  • Processed incoming payments from customers and updated records accordingly.
  • Identified areas of opportunity for improving existing processes related to account maintenance.
  • Created new accounts for customers based on their individual needs.
  • Performed daily reconciliation of bank statements for multiple accounts.
  • Analyzed customer account data to identify trends, discrepancies, and opportunities for improvement.
  • Tracked progress on open items related to customer accounts and provided updates as needed.
  • Utilized internal systems to monitor customer activity and alert management when necessary changes were needed.
  • Participated in training sessions designed to improve knowledge base surrounding best practices for managing customer accounts.
  • Developed effective strategies for resolving complex customer disputes or complaints.
  • Provided support and guidance to customers on various online banking platforms.
  • Ensured that all legal requirements associated with maintaining customer accounts were met.
  • Worked closely with other departments within the organization to ensure proper procedures were followed in regards to account maintenance processes.
  • Investigated potential fraud cases involving customer accounts.
  • Responded promptly to customer requests regarding account maintenance or service inquiries.
  • Maintained customer financial information and files.
  • Used dynamic research and interpersonal skills to swiftly resolve customer issues.
  • Posted journal entries in accounting software.
  • Cultivated lasting partnerships, which led to lucrative opportunities as result of consistently following up with clients and providing exemplary service.

CNA - Certified Nursing Assistant

Impact Health Biometric Testing, Inc.
USA SC
07.2021 - 10.2021
  • CNA for Biometric company- Performing Covid Rapids- and PCR, testing for a drive-through sites
  • Customer service between patients, patient care, team work

Healthcare technician/care partner/CNA

Atrium Health Cabarrus
Concord, NC
09.2020 - 04.2021
  • PRN nurse assistant on the geriatric behavioral health unit at Atrium hospital in Concord North Carolina
  • Duties are Activities of daily living Working with primarily dementia patients and other behavioral health disorders
  • Providing safety and wellness to patients, Received CNA+4 skill acquired thru hospital program

CNA/Med Tech

Accordius Health/Formally known as Brian Center
Salisbury, NC
10.2017 - 08.2019
  • CNA for busy rehab unit- assists patients post/pre-op from major surgeries
  • Basic ADLs and duties

Education

Certificate in Nursing Aide 1 -NC -

RCCC, Concord, NC
09-2002

HS diploma -

Concord High School
05.1997

Some College (No Degree) - Nursing

RCCC, Concord, NC

Skills

  • Multidisciplinary Team Collaboration
  • Healthcare Knowledge
  • Strategic Planning
  • Documentation
  • Database Coordination
  • Process Improvements
  • Medical Terminology Understanding
  • Organizational Skills
  • Care Planning
  • Insurance Practices
  • Goal Setting
  • Case Management
  • Claims Processing
  • Patient Education
  • Healthcare Operations
  • Scheduling
  • Medical Terminology
  • Policy Adherence
  • Progress Monitoring
  • Interdepartmental Collaboration
  • Documentation Proficiency
  • Complaint Resolution
  • Account Updating
  • Product Knowledge
  • Inbound and Outbound Calling
  • Call Management
  • Typing [Number] WPM
  • Customer Service
  • Tactful and Diplomatic
  • Payment Processing
  • Positive and Professional
  • Customer Education
  • Microsoft PowerPoint
  • Research
  • Building Rapport
  • Delivery Scheduling
  • Dispute Resolution
  • Professional Telephone Demeanor
  • Adaptive Team Player
  • Critical Thinking
  • Order Processing
  • Microsoft Office Suite
  • De-Escalation Techniques
  • Client Relations
  • Microsoft Office Expertise
  • Follow-Up Skills
  • Credit Card Payment Processing
  • Clerical Support
  • Microsoft Excel
  • Active Listening
  • CRM Software
  • Travel Planning
  • Courteous Demeanor
  • Multi-Task Management
  • High-Energy Attitude
  • Microsoft Outlook
  • Prioritization
  • Service Upselling
  • Computer Proficiency
  • Conflict Resolution
  • Call Center Operations
  • Coordination
  • Shipping and Receiving Understanding
  • Typing Proficiency
  • Spreadsheets
  • Problem Resolution
  • Customer Relationship Management (CRM)
  • Problem-Solving Abilities
  • 10-Key

Timeline

Diagnostic Care Coordinator - Mindlance/Sedgwick(contract)
11.2023 - 12.2023
Health Navigator/DCP Care Coordinator - BCBST
05.2023 - 10.2023
PBM Case Manager(contract) - McKesson Corporation Change Healthcare
10.2022 - 02.2023
Customer Service Representative (CSR) - FEMA/Maximus
10.2022 - 12.2022
Account Maintenance Specialist - Vanguard
10.2021 - 07.2022
CNA - Certified Nursing Assistant - Impact Health Biometric Testing, Inc.
07.2021 - 10.2021
Healthcare technician/care partner/CNA - Atrium Health Cabarrus
09.2020 - 04.2021
CNA I Health Screener - Maxim Healthcare Group
07.2020 - 09.2020
Data Intake Specialist - AmerisourceBergen/ Lash Group
04.2020 - 09.2020
Emergency Room Tech/CNA 1 - Novant Medical Center
08.2019 - 06.2020
Safety Attendant - Novant Medical Center
08.2019 - 06.2020
CNA/Med Tech - Accordius Health/Formally known as Brian Center
10.2017 - 08.2019
RCCC - Certificate in Nursing Aide 1 -NC,
Concord High School - HS diploma,
RCCC - Some College (No Degree), Nursing
Amanda Gunther