Anquanetta Spain
Frisco,TX
Summary
Accomplished Case Manager at Solis, adept in emergency management and demonstrating exceptional detail orientation. Excelled in developing individualized care plans, enhancing patient wellbeing, and coordinating with healthcare professionals. Achieved a notable boost in customer satisfaction ratings by 85%, showcasing a blend of hard and soft skills in high-stakes environments. Knowledgeable and dedicated customer service professional with extensive experience in different industries. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Specialize in quality, speed and process optimization. Articulate, energetic and results-oriented with exemplary passion for developing relationships, cultivating partnerships and growing businesses.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Security Officer
Allied Universal Security Services
08.2023 - 06.2024
- Monitored and authorized entrance and departure of vehicles, cargo trucks, and visitors.
- Protected facility and property guests by regularly circulating premises and monitoring surveillance feeds.
- Answered alarms, investigated disturbances, and contacted law enforcement personnel to escalate crises.
- Secured premises and personnel by patrolling property and monitoring surveillance equipment.
- Checked and verified photo identification prior to granting facility access.
- Adhered to established procedures and posted orders to enforce company rules, policies and regulations to general public.
Outreach Specialist
Ciox Healthcare
06.2021 - 07.2023
- Maintained patient records in compliance with security regulations.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
Provider Services Representative
BCBSM
08.2020 - 06.2021
- Handles heavy inbound call volume.
- Managed office bookkeeping with insurance billing and patient payments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Researched and resolved disputes, billing discrepancies, and claims efficiently to maintain customer satisfaction, boosting satisfaction ratings [85]%.
Case Manager
Solis
01.2018 - 06.2020
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Developed and implemented safety plans for clients at risk of harm to provide protection.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
- Evaluated treatment plans against individual goals and healthcare standards.
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Patient Care Advocate
StarTek
01.2016 - 01.2018
- Maintained confidentiality of patient data and condition to safeguard health information.
- Assisted disabled clients to support independence and well-being.
- Monitored progress and documented patient health status changes to keep care team updated.
- Maintained clean, safe, and well-organized patient environment.
- Coordinated charitable, government, and community resources for patients.
- Worked with patients and families to develop future plans and discuss care actions.
- Communicating with doctor's offices, pharmacies on high level and time sensitive items
- Patient administration including, new patient intake, patient check-in and check-out, collecting payments, and maintaining patient records and accounts.
Education
Master of Science - Criminal Justice
Grambling State University
Grambling, LA12.2019
Bachelor of Science - Criminal Justice
Grambling State University
Grambling, LA05.2017
Skills
- Access Control
- Scheduling
- Medical terminology knowledge
- Emergency Management
- Detail Oriented
- Problem-solving abilities
- Document Management
- Complex Problem-Solving
- Crisis Management
- Crisis intervention training
- Background Investigations
- Operations Management
Certification
- Licensed Security Officer
Quote
Whether you think you can or whether you think you can’t, you’re right!
Henry Ford
Timeline
Security Officer
Allied Universal Security Services
08.2023 - 06.2024
Outreach Specialist
Ciox Healthcare
06.2021 - 07.2023
Provider Services Representative
BCBSM
08.2020 - 06.2021
Case Manager
Solis
01.2018 - 06.2020
Patient Care Advocate
StarTek
01.2016 - 01.2018
Master of Science - Criminal Justice
Grambling State University
Bachelor of Science - Criminal Justice
Grambling State University