Summary
Overview
Work History
Education
Skills
Software
Timeline
Generic

Camry Peavy

Houston,TX

Summary

Organized and efficient Patient Specialist with 10 years of experience in patient interaction Committed to ensuring customer satisfaction by providing exceptional service and unmatched support. Proficient in utilizing customer service best practices and adept at exploring different solutions to address customer needs effectively. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.

Overview

2020
2020
years of professional experience

Work History

Patient Qualification Specialist

HCA Patient Account Services
1 2018 - 9 2024
  • The qualification role will perform all regular business hours functions completed by the qualification teams for new patient set ups.
  • coordination of all patient and referral new patient set up functions performed by the local branch.
  • outbound calls to patients/referral sources to complete all order qualification steps.
  • Handle urgent new patient set ups. Reviewing new patients orders and documentation submitted by referral sources in order to obtain required documentation and clinical requirements of individual health insurance plans.
  • allowing our patients to maximize their available health plan benefits and to receive the much-needed care as soon as possible.
  • Requests health plan authorizations/information as required; either electronically or verbally.
  • Demonstrates the ability to develop business relationships within the field leadership through close collaboration, partnership, engagement and communication
  • Established credibility as a Qualification Specialist by displaying professionalism in all interactions with clients and colleagues alike.
  • Provided exceptional customer service, promptly addressing inquiries and resolving issues related to qualifications assessment.
  • Conducted initial patient intake interviews, gathering essential medical history information for chiropractor review.
  • Conducted intake assessments to accurately document patient histories and current mental health status.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Identified opportunities for process improvements within the referral department, leading to increased efficiency and accuracy.
  • Assisted patients in navigating insurance requirements, facilitating approval of necessary treatments.
  • Promoted clear communication between primary care providers and specialists through detailed documentation and follow-up calls.
  • Acted as a liaison between referring physicians and specialists, establishing trust and rapport through professionalism.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Scheduled appointments with specialists on behalf of clients.
  • Assisted with completion of referral forms and verified data accuracy and completion
  • Monitored referrals to foster timely completion and followed up with physicians to facilitate.

Intake Specialist

Texas Children's Pediatrics
03.2013 - 09.2019
  • Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
  • Professionally and courteously verified appointment times with patients.
  • Adeptly managed a multi-line phone system and pleasantly greeted all patients.
  • Verified patients' eligibility and claims status with insurance agencies.
  • Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
  • Maintained strict patient and physician confidentiality.
  • Submitted electronic/paper claims documentation for timely
    filing:
  • Precisely evaluated and verified benefits and eligibility.
  • Evaluated patients' financial status and established appropriate payment plans.
  • Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Liaised between clients and healthcare providers to maintain continuity of care.
  • Trained and supervised new intake staff to deliver high-quality client care.
  • Attended case reviews and provided feedback on client progress.
  • Assessed clients' needs and determined eligibility for intake services.
  • Maintained accurate, up-to-date client records for reliable reference and communications.
  • Enhanced office productivity by handling high volume of callers per day.
  • Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
  • Organized paperwork such as charts and reports for office and patient needs.
  • Supported office staff and operational requirements with administrative tasks.
  • Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
  • Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
  • Explained eligibility requirements, application details, payment methods, and applicants' legal rights during intake assessment.
  • Maintained high levels of accuracy and compliance in data entry, ensuring all information was correctly entered into the required systems.
  • Completed intake assessment forms and filed clients' charts.
  • Answered phone calls and provided new clients with required paperwork to initiate service.

Crisis Stabilization Unit Mental Health Technician

Harris County Psychiatric Center
04.2014 - 03.2017
  • Supported patient confidentiality in accordance with HIPAA regulations.
  • Promoted self-care activities among patients by leading recreational therapy sessions designed to foster relaxation and stress reduction techniques.
  • Assessed patient progress and reported changes to supervising physician.
  • Participated in multidisciplinary team meetings to discuss progress and treatment plans of clients.
  • Maintained patient records, documenting changes in patient condition.
  • Developed and maintained positive relationships with clients to create safe and supportive environment.
  • Established rapport with patients through compassionate listening and empathetic engagement during challenging moments.
  • Developed individualized treatment plans for patients in collaboration with mental health professionals.
  • Facilitated group therapy sessions, encouraging open communication among patients and promoting healthy coping mechanisms.
  • Provided therapeutic activities to assist with patient development.
  • Delivered compassionate patient care, focusing on safety, comfort and emotional support.
  • Recommended continuing care and medications to clients and communicated with family members on treatment and discharge plans.
  • Enhanced patient recovery by implementing individualized treatment plans and monitoring progress.
  • Coordinated discharge planning efforts in collaboration with case managers, social workers, and other professionals involved in patient care transitions.
  • Provided ongoing encouragement and motivation to patients as they progressed toward stabilization goals, celebrating successes along the way.
  • Implemented appropriate de-escalation techniques during crisis situations, preserving patient safety while mitigating risk to staff members.
  • Contributed to a positive therapeutic environment by maintaining cleanliness, organization, and safety within the facility.
  • Observed patient behavior patterns closely for any signs of regression or potential crises requiring immediate attention from clinical staff.
  • Took patient blood pressure and pulse rate, reporting findings in health charts.
  • Conducted thorough room checks for safety hazards, maintaining compliance with regulatory standards and facility protocols for patient protection.
  • Monitored patient behavior and immediately reported changes to supervising physician.
  • Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
  • Applied de-escalation and limit-setting techniques to promote patient cooperation.
  • Assisted in development of therapeutic activities for patients.
  • Took and monitored vital signs, administered medications, and managed patient behavior.
  • Administered medications to relieve symptoms and monitor effects on clients.
  • Organized recreational activities to assist in patient recovery.
  • Monitored patient vital signs regularly as part of overall assessment efforts aimed at ensuring the highest level of care and attention to personal wellbeing.
  • Communicated with clients to assess mental health needs and develop individualized treatment plans.
  • Helped patients with meals, activities of daily living (ADLs) and facility transfers to promote security and patient well-being.
  • Assisted clinical staff with crisis intervention strategies, ensuring a safe and supportive environment for patients.
  • Supported nursing staff during medication administration, ensuring proper dosage and adherence to prescribed schedules.
  • Communicated effectively with both patients and their families, providing resources and guidance throughout the stabilization process.
  • Assisted with patient restraint and seclusion scenarios to create safe environment for patient and medical personnel.
  • Performed scheduled patient safety checks and documented results to establish patients' well-being.
  • Assisted with medication administration and counting and pouring medications.
  • Served as a liaison between patients and their healthcare providers by relaying relevant information about mental health status changes or concerns that arose during stabilization efforts.
  • Assisted patients in developing healthy coping skills through skill-building exercises and guided practice scenarios tailored to individual needs.

Medical Data Reviewer

Methodist Healthcare
11.2011 - 04.2015
  • Maintained patient confidence by keeping patient records information confidential.
  • Uploaded physician progress notes, history, and physicals into electronic medical records.
  • Maintained patient records in compliance with security regulations.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
  • Maintained patient records systems by archiving, scaning and indexing important documents and files.
  • Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
  • Responded to patient inquiries to provide information and details of medical records.
  • Analyzed complex medical records to identify discrepancies in accuracy and completeness.
  • Supported medical staff by providing organized and accurate medical records.
  • Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
  • Printed and photocopied documents to provide patients with copies of medical records.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Scanned medical records in digital format for easy retrieval and accessibility.
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order.
  • Followed exact procedures for handling transfers and other releases of medical records.
  • Input data into computer programs and filing systems.
  • Verified accuracy of patient information in medical records.
  • Followed up with medical staff regarding missing information in patient records.
  • Sorted and distributed incoming and outgoing medical records.
  • Identified new methods to optimize medical records management.
  • Maintained accuracy, completeness, and security for medical records and health information.
  • Utilized electronic medical record systems to store, retrieve and process patient data.

Education

Diploma -

Eisenhower High School
Houston, TX
08.2016

Skills

Ability to work well with others

Very goal oriented

Dependability

Interpersonal skills

Conflict resolution

Active listening

Adaptability

Empathy

Decision-making

Complaint resolution

Multi-line phone talent

Efficient customer service expert

Schedule Management

Clear communication

Intake process

Referral

Patient ecentric

Software

Cerner

Meditech

Epic

Salesforce

Cpt codes

Eclinical

Outlook

Microsoft Suites ,excel,word,PowerPoint

Slack,teams,webex

Timeline

Crisis Stabilization Unit Mental Health Technician

Harris County Psychiatric Center
04.2014 - 03.2017

Intake Specialist

Texas Children's Pediatrics
03.2013 - 09.2019

Medical Data Reviewer

Methodist Healthcare
11.2011 - 04.2015

Patient Qualification Specialist

HCA Patient Account Services
1 2018 - 9 2024

Diploma -

Eisenhower High School

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Camry Peavy