Audrey Cotton
Sacramento,CA
Summary
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. Devoted to giving every customer a positive and memorable experience.
Overview
28
28
years of professional experience
Work History
Director of Business Development
McKinley Park Care Center
Sacramento, CA
01.2023 - Current
- Managed and oversaw the Admissions process efficiently to ensure a positive experience for residents families and supporting staff at Skilled Nursing facility.
- Planned, directed, and monitored the daily operations of the Admissions department to ensure census goals were met.
- Maintained contact with existing partners through phone calls, emails, and visits to build strong relationships.
- Created and maintained relationships with key clients, partners, vendors, and industry professionals.
- Worked collaboratively with Department heads to ensure timely communication of appropriate information and to enhance the admission experience.
- Screened patients by comparing patients' condition to admissions criteria.
- Developed and significantly grew assigned territory using strong engagement and marketing skills.
- Delegated work to staff, setting priorities and goals.
- Updated web pages and social media profiles with engaging and current content. Monitored Google reviews account and responded appropriately.
- Oversaw the creation of marketing collateral, including brochures, presentations, and digital content, to support sales efforts.
- Interviewed and hired talented individuals to add value to marketing team.
- Developed marketing strategies based on corporate objectives and market trends.
- Negotiated contracts with outside vendors and out of network providers
Case Management Specialist III
Sutter Health
Sacramento, CA, CA
10.2015 - 02.2023
- Send outbound referrals for acceptance and placement to Skilled Nursing Facilities, Home Health Agencies, Home Infusion, Hospice, Durable Medical Equipment, Acute Rehab, and Long Term Care Facilities.
- Independently Managed over 100 patients for placement daily
- Ensure all orders and medical records are uploaded or sent to for placement
- Increased patient placement resulting in shorter length of Hospital stay
- Create discharge packets packets for admission to skilled and acute care facilities
- Coordinate and implement transition of care/discharge plan for ambulatory patients.
- Follow up with vendors via phone or fax or internet platform
- Able to identify preferred vendor based on patient insurance, verify insurance eligibility, send initial insurance authorization for services
- Complete Medicare appeals process
- Prioritize and coordinate plan across care of continuum through critical thinking, teamwork, and communication between care providers, patients, families and external vendors to ensure timely discharge.
- Complex case manager, used effective interpersonal skills in managing complex case interactions involved with care coordination
- Team leader who train others and implement change for process improvement
- Developed and maintained courteous and effective working relationships with outside vendors and internal departments
- Improved operations through consistent hard work and dedication
- Developed team communications and information for meetings, educate colleges on new process and procedures
- Identify issues, analyzed information and provided solutions to problems
- Exceed goals through effective task prioritization, great work ethic, and effective communication
- Developed and maintained courteous and effective working relationships
Intake Specialist
Sutter Care At Home, Sutter VNA & Hospice
Sacramento, CA, CA
06.2008 - 10.2015
- Accepted and evaluated incoming home health and hospice referrals
- Completed intake assessment for new admissions
- Screened patient records for appropriateness to admit
- Communicated with referral sources, physicians, case managers, and associated staff to ensure clinical documentation and orders were received
- Explained plan information to providers and patients on services offered
- Communicated any copays or out of pocket expense
- Verified client demographics, insurance information
- Demonstrate knowledge of HIPPA Privacy and Security Regulations
- Team leader who scheduled, coached, and organized work assignments
- Provided training for new employees
- Coordinated home health and hospice visits with field staff
- Submitted insurance authorization for continued and ongoing home health visits
- Determined eligibility for over 50 referrals daily
- Constantly met census goals
- Entered referrals into appropriate system based on type of referral obtained
Claims Processor II
VSP Vision Care
Sacramento, CA, CA
06.1996 - 09.2007
- Evaluated accuracy and quality of data entered into agency management system.
- Followed up with customers on unresolved issues.
- Coordinated benefits
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
- Maintained confidentiality of patient finances, records and health status.
- Calculated adjustments, premiums, and refunds.
- Processed over 150 invoices daily and mailed documentation to clients.
Education
High School Diploma -
Sacramento High
Sacramento, CA06.1991
Some College (No Degree) - Health Administration
University of Phoenix
Tempe, AZSkills
- Networking
- Corporate Communications
- Vendor Management
- Direct Marketing
- Partnership Development
- Financial Acumen
- Social Media Marketing
- Admissions Processes
- Specialize in Healthcare Referrals
- Insurance eligibility verification
- Careport/Wellsky, EHR
- Interdisciplinary Collaboration
- HIPAA Compliance
- Critical Thinking
- Patient Rights
- Task Prioritization
References
References available upon request.
Timeline
Director of Business Development
McKinley Park Care Center
01.2023 - Current
Case Management Specialist III
Sutter Health
10.2015 - 02.2023
Intake Specialist
Sutter Care At Home, Sutter VNA & Hospice
06.2008 - 10.2015
Claims Processor II
VSP Vision Care
06.1996 - 09.2007
High School Diploma -
Sacramento High
Some College (No Degree) - Health Administration
University of Phoenix
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