CAROLYN DEL DEBBIO
Plantsville,CT
Summary
Organized and dependable candidate with a proven track record of effectively managing multiple priorities while maintaining a positive attitude. Demonstrates a strong willingness to take on additional responsibilities to contribute to the overall success of the team.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Case Manager / Medical Claims Specialist
PRIA Healthcare
09.2023 - Current
- Cultivated a well-versed environment of the LivaNova & Vertos teams of PRIA
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Maintained accurate documentation on all cases through SalesForce, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Conducted 40+ calls daily to insurance companies across the nation
- Handled over 100+ cases with confidential patient information
- Scheduled meetings and contact LivaNova members daily via email & Microsoft Teams
- Created Prior Authorizations, Predeterminations, Appeals (Levels 1 & 2), Letters of Medical Necessity, External Review Appeals, and conducted State Fair Hearings.
Lifeguard/ Swim Instructor
MSMC, Southington Parks and Recreation, Southington YMCA
03.2017 - Current
- Learned and maintained proficiency in first responder skills such as First Aid and CPR to offer individuals in distress optimal support.
- Instruct children’s swim lessons for both indoor and outdoor environments.
- Ensured swimmer safety by vigilantly monitoring pool area and enforcing rules.
- Provided friendly customer service to guests and addressed concerns.
- Handled incident reporting accurately and efficiently, documenting any occurrences that required intervention or assistance from lifeguard staff.
Substitute Teacher
Southington Public Schools & Bishop Dun Memorial School
12.2020 - 05.2023
- Assisted in creating a safe and nurturing classroom environment that promoted emotional well-being and academic growth for students Pre-K - 8th grade.
- Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
- Upheld classroom routines to support student environments and maintain consistent schedules.
- Monitor children’s development and prepare educational materials for daily program
- Assisted in creating a safe and nurturing classroom environment that promoted emotional well-being and academic growth for all students.
- Developed strong rapport with students through consistent encouragement and support, fostering a positive learning atmosphere conducive to academic growth.
- Provided one-on-one support for students with learning disabilities, enabling them to excel in their coursework.
Human Resources Internship
Montefiore Saint Luke’s, Inpatient
09.2022 - 12.2022
- Provide administrative support, including calendar management, organizing systems, file management, and completing reports
- Supported staff members in their daily tasks, reducing workload burden and allowing for increased focus on higher-priority assignments.
- Coordinate HR-sponsored events, including Retirees and Service Award Banquet and Catch-A-Star.
- Attend job fairs and recruitment events.
- Gained hands-on experience in various software programs, increasing proficiency and expanding technical skill set.
- Utilized strong communication abilities during presentations which led to increased understanding among colleagues regarding project goals and objectives.
- Prepared project presentations and reports to assist senior staff.
- Collaborated with senior management on new initiatives to build confidence.
- Provided project progress updates and proposed solutions to issues.
- Supported with creating project marketing materials to promote services.
- Created and distribute new hire orientation packages
- Sorted and organized files, spreadsheets, and reports.
Medical Billing Business Clerk
Hancock Pharmacy
12.2019 - 01.2022
- Handled accounts receivable with 90% or higher accuracy
- Utilized medical billing software, McKesson, and Liberty, to track payment and insurance coverage.
- Managed multiple priorities effectively while maintaining a high level of accuracy in a fast-paced environment.
- Completed data input support for various office administration systems.
- Developed strong client relationships by providing exceptional service in all interactions.
- Ensured smooth workflow by maintaining an organized workspace and updating office policies as needed.
- Streamlined office processes by implementing efficient filing and record-keeping systems.
Education
Bachelor of Science - Healthcare Management
Mount Saint Mary College
Newburgh, NY01.2023
Skills
- Medical Terminology
- Case Documentation & Reporting
- Organization & Multitasking
- Problem-Solving
- Efficient In All Microsoft Applications
- Relationship Building
- Conflict Resolution
- Email & Telephone Etiquette
- Client Advocacy
- Medical Terminology
- Records Management
- HIPAA Compliance
Volunteer Experience
- Youth Works, Mary Our Queen, Youth Ministry Group, 09/2015 - 2020. Participated in annual mission trips to provide community service. Worked with communities to better their place of residence
- Save the Sound, 10/2023 - Present. Volunteer at beach clean ups for Bridgeport & Fairfield
- Southington Lacrosse Association, 04/2024 - Present. U12 Girls Lacrosse Assistant Coach. Create a close knit environment for girls ages 11-12 while teaching them the sport of lacrosse. Invoke a safe & fun environment for young women.
Certification
- First Aid/CPR Certified
- Licensed Lacrosse Coach
Timeline
Case Manager / Medical Claims Specialist
PRIA Healthcare
09.2023 - Current
Human Resources Internship
Montefiore Saint Luke’s, Inpatient
09.2022 - 12.2022
Substitute Teacher
Southington Public Schools & Bishop Dun Memorial School
12.2020 - 05.2023
Medical Billing Business Clerk
Hancock Pharmacy
12.2019 - 01.2022
Lifeguard/ Swim Instructor
MSMC, Southington Parks and Recreation, Southington YMCA
03.2017 - Current
Bachelor of Science - Healthcare Management
Mount Saint Mary College
- First Aid/CPR Certified
- Licensed Lacrosse Coach
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