Care Coordinator with a focus on conflict resolution, claims processing, and PCA authorization, demonstrating strong interpersonal and communication skills. Eager to leverage these abilities to enhance patient care and streamline administrative processes. Committed to continuous learning and fostering a collaborative healthcare environment.
Overview
25
25
years of professional experience
Work History
Care Coordinator II
Wellcare / Centene
02.2018 - Current
Coordinated patient care plans, enhancing service efficiency and improving patient satisfaction by resolving patient issues, ensuring timely interventions and continuity of care
Outreach maximum of 65 patients per day for assessment scheduling, concerns with products or services to resolve patient issues.
Implemented data-driven strategies to optimize resource allocation and improve care outcomes
Advocated for patients' needs, ensuring access to necessary resources and support services for comprehensive care.
Managed Case Managers caseloads effectively, ensuring timely follow-up and appropriate interventions.
Billing and Office Manager
Pain and Disability Institute, PC
01.2000 - 02.2018
Implemented new office management systems, enhancing overall efficiency
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Ensured compliance with healthcare regulations, maintaining impeccable records.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving, reducing waste and improving allocations.
Managed the accounts receivable process, ensuring prompt payments from clients and minimizing outstanding balances.
Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
Care Coordinator at Wellcare/Centene North Carolina Healthy Opportunities PilotCare Coordinator at Wellcare/Centene North Carolina Healthy Opportunities Pilot