Seeking a position in the medical filed with the responsible for handling patients care. Very energetic and positive person who is also a quick learner.
Overview
12
12
years of professional experience
Work History
QA/Case Manager
Noel Home Health Agency
02.2023 - 11.2023
Conducted home visits to assess the safety of living environments for clients.
Collaborated with healthcare team to improve care quality, reduce costs and gauge patient progress.
Coordinated support services and optimized communication between healthcare workers and patients.
Reviewed treatment plans against individual goals and healthcare standards.
Developed individualized care plans with input from clients and their families.
Communicated with legal services providers, social services agencies, and local judicial systems regarding cases.
Maintained accurate case records and documentation according to agency guidelines.
Evaluated patient's ability to live independently or function within an assisted living facility prior to release from the hospital.
Administered medication to patients according to strict schedules.
Planned and coordinated discharge from care facility to patient's home.
Case Manager/Order Coordinator
Eden Home Healthcare
11.2021 - 04.2022
Maintained accurate case records and documentation according to agency guidelines.
Compiled reports on cases and submitted them to supervisors as required.
Completed day-to-day duties accurately and efficiently.
Understood and followed oral and written directions.
Prioritized and organized tasks to efficiently accomplish service goals.
Coordinated support services and optimized communication between healthcare workers and patients.
Recruited, interviewed, and hired volunteers and staff.
Assessed clients' needs, developed service plans and monitored progress towards goals.
Monitored and kept meticulous records of patient treatment plans and response of patient to medication.
QA/ CASE MANAGER
Lotus HH
04.2020 - 03.2021
Participated in weekly case conferences with clinical staff regarding treatment planning and goal setting.
Answered phone calls to provide assistance, information and medical personnel access.
Collaborated with multidisciplinary team members to ensure quality care is provided to all clients.
Created individualized service plans for each client based on their unique needs and goals.
Met regularly with clients to review progress towards established goals and objectives.
Coordinated the intake process for new clients, including scheduling initial assessments and providing necessary paperwork.
Delegated work to staff, setting priorities and goals.
Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
Maintained accurate records of client intakes in electronic database system.
Resolved customer complaints or answered customers' questions.
Maintained up-to-date case records with case activity status.
Intake Cordinator/Medical Biller
Bonum Home Health Services
04.2012 - 05.2018
Delegated work to staff, setting priorities and goals.
Maintained accurate records of client intakes in electronic database system.
Answered phone calls to provide assistance, information and medical personnel access.
Created individualized service plans for each client based on their unique needs and goals.
Coordinated with other supervisors, combining group efforts to achieve goals.
Conducted patient intake interviews to collect medical information and insurance details.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Handled billing, waivers and claims for private and commercial clients.
Reviewed claims for coding accuracy.
Input statement information, reconciled accounts and resolved discrepancies.
Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Education
High School Diploma -
Coding Diploma -
Skills
Posting charges/payments on account/Entering demographics/48 Form, CMS 1500 Form, ADA Form ICD-9 Coding
HIPPA Compliancy For Health Care Professionals course, 2016
MEDISOFT billing software/ MEDICIN (EHR) electronic health records system MS Exel, Office, Power point 2013 Aging Report/Follow-ups/Correspondence/Appeal letters Insurance Verification/Obtaining Authorizations/TAR's/EOB and EOMB; accounts receivable Knowledge of manages care (HMO, PPO, & private)/Medical Records/ Scheduling appoitments
American Dream at Certified Home Health Aide, Better Home Health Care AgencyAmerican Dream at Certified Home Health Aide, Better Home Health Care Agency
HOME CARE CAREGIVER at LifeSavers Home Health, ONE HEART REFERRAL AGENCY, ARCHANGEL REFERRAL AGENCYHOME CARE CAREGIVER at LifeSavers Home Health, ONE HEART REFERRAL AGENCY, ARCHANGEL REFERRAL AGENCY