Chase Russell
San Marcos,TX
Summary
Experienced healthcare professional with a robust background in access support within the healthcare industry. Demonstrated expertise in navigating complex payer landscapes, including Medicare, Medicaid Managed Care, and Commercial payers. Proven ability to educate healthcare providers (HCPs) on product coverage, developing pre-assessment screens for prior authorizations, and writing appeals, ensuring optimal patient access and affordability. Skilled in building strong, trust-based relationships with hospital and provider accounts and delivering timely, creative solutions aligned with compliance standards. Seeking to leverage comprehensive knowledge and strategic insights to drive business growth and patient outcomes within a progressive organization.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Clinical Liaison / Patient Navigator
Central Texas Rehabilitation Hospital
2022.03 - Current
- Leveraged clinical expertise to assess and navigate 30+ patients monthly to appropriate inpatient rehabilitation, improving patient care pathways by 30%
- Educated health care professionals on ways to humanize patients' experiences.
- Obtained prior authorization and precertification for treatment.
- Facilitated successful appeals against denied claims by providing compelling evidence of medical necessity.
- Maintained accurate and up-to-date documentation of patient care and communication with providers
- Served as primary liaison for 30+ referring physicians, case managers, social workers, and insurance companies, improving patient care coordination by 25%.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
COTA/L
Ascension Healthcare - Dell Seton Medical Center
2021.04 - 2022.03
- Collaborated with supervising occupational therapists for improved treatment planning and intervention strategies.
- Ensured adherence to facility policies, procedures, regulations as well as compliance with state licensing requirements for COTA/Ls.
- Provided ICU-level care for 8+ patients daily with SCI, TBI, CVA, and multi-trauma, contributing to significant improvements in patient recovery times
- Fostered strong interdisciplinary relationships, enhancing collaborative care and gaining extensive trauma center experience
- Educated patients and caregivers on strategies for improving functional performance
- Assessed patients' functional abilities and limitations in daily life activities.
COTA/L
Delhi Hospital
2020.07 - 2021.03
- Enhanced treatment efficiency by acquiring in-depth knowledge of common rural outpatient diagnoses, reducing patient wait times by 15%
- Specialized in treating orthopedics and neurological diagnoses, improving patient outcomes for conditions such as shoulder replacements and spinal injuries
- Promoted clients' engagement in meaningful occupations by addressing physical, emotional, and social barriers, resulting in a 30% increase in patient satisfaction.
Education
Bachelor's of Business - Health Service Administration -
University of Louisiana at Monroe
Monroe, LA12.2020
Associate Degree - Occupational Therapy -
University of Louisiana at Monroe
Monroe, LA12.2019
Skills
- Healthcare Industry Knowledge
- Patient and family advocacy
- Insurance claims analysis
- Multidisciplinary Collaboration
- Clinical Assessment
- Financial Optimization
- Physician Relations
- Insurance Navigation
- Marketing
- Computer Proficiency
Certification
- NBCOT Certified - License #442105
- Texas Executive Council of PT and OT Certified - License #216744
- CPR Certified
Timeline
Clinical Liaison / Patient Navigator
Central Texas Rehabilitation Hospital
2022.03 - Current
COTA/L
Ascension Healthcare - Dell Seton Medical Center
2021.04 - 2022.03
COTA/L
Delhi Hospital
2020.07 - 2021.03
Bachelor's of Business - Health Service Administration -
University of Louisiana at Monroe
Associate Degree - Occupational Therapy -
University of Louisiana at Monroe
- NBCOT Certified - License #442105
- Texas Executive Council of PT and OT Certified - License #216744
- CPR Certified
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