Hi, I’m
Arleen Pugh
Phlebotomist
Philadelphia,PA
Summary
Care-focused Phlebotomist bringing a background in laboratory settings. Accomplished at easing patient anxieties and hitting veins on first attempts. Experienced in skin puncture draws utilizing varied needle gauges and collection techniques tailored to patient need.
Overview
28
years of professional experience
1
Certification
Work History
Magnificent Touch Phlebotomy
Mobile Phlebotomist
06.2022 - Current
Job overview
- Organizes daily work based on collection priority.
- Reduces wait times for patients by effectively managing daily schedules and appointments for mobile phlebotomy services.
- Stocks phlebotomy cart or carrier with appropriate supplies.
- Maintains a high level of accuracy in performing venipunctures for diverse patient populations, including infants, elderly patients, and those with challenging veins.
Commonwealth Of Pennsylvania
Income Maintenance Caseworker
12.2016 - Current
Job overview
- Reduces errors in benefit calculations by regularly reviewing and updating financial data in client records.
- Expedite resolution of client concerns by addressing questions promptly or escalating issues to supervisors as needed.
- Improves efficiency by developing standardized documentation templates for case records and correspondence.
- Provides compassionate support to clients facing challenging life circumstances while helping them navigate the income maintenance system.
- Developes individual plans for self-sufficiency.
- Streamlines application processes by implementing efficient filing and tracking systems for income maintenance cases.
- Utilizes data analysis skills to identify trends or patterns within caseloads, informing strategic decision-making processes for the agency.
- Conducts thorough interviews with clients to assess their needs and determine appropriate services or referrals.
- Promotes positive relationships with community partners by maintaining professional communication at all times during referrals or service coordination efforts.
- Increases staff collaboration by participating in team meetings, sharing best practices, and supporting colleagues with challenging cases.
- Enhances client satisfaction by providing timely and accurate information regarding benefits eligibility and program requirements.
- Operates computer and imaging equipment to retrieve and enter data into electronic case records.
- Gatheres information via telephone, mail, or in person from clients applying for assistance.
- Ensures client confidentiality through strict adherence to privacy policies when handling sensitive personal information.
- Developes tailored case plans that addressed individual client needs while adhering to program guidelines.
- Assists clients with completing complex forms and applications, ensuring accuracy and completeness of required information.
- Makes referrals to appropriate services.
- Contributes to ongoing process improvement initiatives within the agency by providing valuable feedback on current operations based on experience as an Income Maintenance Caseworker.
- Manages a large caseload of diverse clients, prioritizing tasks effectively to meet deadlines and maintain organized case files.
UnitedHealthcare
Business Development Analyst
04.2005 - 04.2014
Job overview
- Duration: 9 years 1 month
- Perform quality control procedures of case submissions for Medical, Vision, Dental, Life and Disability coverage quotes (for groups 2-99 and 100+) to ensure accuracy
- Communicate to the Broker and Account Executives via email, telephone or letter in regards to the submission
- Strategically use data to initiate warranted rate relief, medical rates or final rates
- Create presentations to clients for enrollment meetings
- Analyze all information received and perform financial underwriting and follow state guidelines to calculate and generate illustrative financial exhibits
- Compose proposals that are prepared for the broker and the clients for review prior to finalization of the contract with the organization
- Compose letters of declination for the client when the specific criteria cannot be met, according to set contractual guidelines
- Create and maintain a report to track all requests that have been received and if there is any missing of information which has been requested from the Broker and the Account Executive
- Maintain several spreadsheets to analyze data and create reports with the necessary results for quarterly progress reporting
- Train new and existing employees on existing procedures as well as anticipated new desk procedures in a user friendly environment and language
- Act as a designated mentor for all new hires in the department, during the first 2-3 months of on the job training
- Perform implementations of new accounts for 51-99 size sold groups and make necessary changes to existing accounts and manage renewal accounts for 2-50 size groups
- Organize all information regarding emails and attachments for the purpose of having written documentation, of all activities and progress for each step in both the implementation and the proposal process
- In addition, play the supporting role in assisting senior staff and others in a team environment
Independence Blue Cross
Member Appeals Investigation Specialist
04.2003 - 04.2005
Job overview
- Duration: 2 years 1 month
- Interview members, facilities, and providers regarding complaints and grievances of benefit issues and claims payments
- Investigate each claim by analyzing all information submitted by the provider, the member and the facilities
- Maintain documentation of all information received and all phones made and received in regards to the appeal
- Present all related findings and discoveries to the Appeal Board Committee in order to seek either resolution or decision to forward to the parties involved
- If an adjustment was required for a claim, send the request to the adjustment department to correct the claim issue
- Ensure that any benefit questions were answered to inform the individual of their rights and benefits
Independence Blue Cross
Claims Adjuster
04.1999 - 04.2003
Job overview
- Duration: 4 years 1 month
- Review and analyze claims that were processed and payment was released
- Claims requests were initiated by telephone made by members and providers
- Once the review was complete the option to adjust the claim for additional payment or to subtract payments made were completed
Independence Blue Cross
Claims Processor
12.1996 - 04.1999
Job overview
- Duration: 2 years 5 months
- Evaluate, process, and finalize a broad range of medical claims (up to 500 per day from front to end), including dental, DME, ambulance, anesthesia, home infusion, and out-of-area
- Respond to calls from providers and contact them to elicit information needed to finalize a claim for payment
- Prepare and fax any necessary documents
- Utilize online systems including Image and Oscar
Education
Drexel UniversityPhiladelphia, PA
from Healthcare Administration
Saint Joseph's UniversityPhiladelphia, PA
from Elementary Education
University City High School
Diploma
06.1991
Skills
- Insurance
- Employee Benefits
- Disability Insurance
- Health Insurance
- Invoicing
- Claim
- Medicare
- Analysis
- Medical Billing
- Venipuncture
- Order of draw
- Patient Care
- HIPAA Compliance
- Patient confidentiality
- Blood collection techniques
- Specimen labeling procedures
- Communication abilities
- Blood culture collection
- Data Entry
- Specimen Preparation
- Medical terminology knowledge
- Infection Control
- Quality Control
- Paperwork Processing
- Recording data
- Patient preparation
- Quality control guidelines
- Sample storage
- Adaptable approach
- Attention to Detail
- Customer Service
- Specimen Collection
- Butterfly Venipuncture
Certification
Completion of Phlebotomy Training Certificate
Timeline
Mobile Phlebotomist
Magnificent Touch Phlebotomy
06.2022 - Current
Income Maintenance Caseworker
Commonwealth Of Pennsylvania
12.2016 - Current
Business Development Analyst
UnitedHealthcare
04.2005 - 04.2014
Member Appeals Investigation Specialist
Independence Blue Cross
04.2003 - 04.2005
Claims Adjuster
Independence Blue Cross
04.1999 - 04.2003
Claims Processor
Independence Blue Cross
12.1996 - 04.1999
Drexel University
from Healthcare Administration
Saint Joseph's University
from Elementary Education
University City High School
Diploma
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