Cheryl Phillips

· Procedure Nurse/Provider Line/Refill Phone Line- Averaging 30-50 clinical and other phone calls per day.

· Completed accurate charting in EMR (Prognosis).

· Created RXs for provider review, contacted pharmacies, and resolved patient medication issues through effective problem-solving.

· Communicated with providers and office staff to resolve patient issues, delivering accurate information and addressing clinical and non-clinical needs in real-time.

· Medical Records

· Maintaining all incoming and outgoing medical records requests. Using excel to track and keep requests organized.

· Sending out requests for in office providers and medical staff within a timely manner for patient care

· Responded to incoming requests from outside providers, legal offices, and state record requests, ensuring timely and compliant handling of all inquiries.

· Following HIPAA guidelines while using EMR and Cerner/Powerchart. Including properly handling hard copies, the mail service and electronic requests. Communicating with data centers and outside medical offices.

· Referrals

· Entering all incoming referrals 10-30 per day.

· Entered data accurately and obtained additional information from referral sources.

· Utilized Cerner/Powerchart to obtain imaging and documentation.

· Communicated with the referral coordinator and referring providers.

· Other duties

· Maintaining and sorting/attaching all incoming electronic faxes

· Sending weekly text messages using Klara to alert patients of patient balances obtained from the billing office

· Responded to all patient portal inquiries and clinical needs.

· Enrollment Averaging 10-15 new clients per day. For Clinical individual therapeutic services and case management

· Creating new charts in EHR system (Credible)

· Insurance verification

· Obtaining coordination of care information with outside providers and coordination with DCS, Drug Court and unmarried parents, as well as obtaining and reviewing all court orders or documents

· Scheduling- Scheduled clients after completed screenings to new providers schedule for reoccurring weekly or biweekly appointments. Updating calendar and client chart as needed. Scheduling for 20-35 providers calendars.

· Maintaining client EHR- 500-1,000 fluctuating clients

· Opening and closing all clinical accounts

· Updating scheduling on client and provider calendars

· Updating client contact information, ROIs, contacts, and completed treatment plan and consent attestations.

· Client relations and Crisis management

· Engagement calls for clients not adhering to attendance policy and assisting with scheduling or crisis needs.

· Submitting requests for transfers or schedule changes

· Crisis case management- Providing de-escalation, crisis resources, or contacting crisis mobile response

· Billing assistance and Insurance Renewals

· Creating Billable or Non billable notes for all allowable instances

· Daily insurance verifications per day of between 50-100 clients

· Tracking client with terming AHCCCS (State of AZ insurance) plans

· Certified HEA+ Assistor- Assisting clients with insurance renewals

· Placement for all new and continued patients- internal or contracted nursing.

· Reviewing all medical records and orders for level of care

· Reviewing all insurance for proper placement and coverage

· Maintaining relationships with home health agencies throughout all of Tennessee and Louisiana for placement

· Daily communication and follow-ups with home health agencies

· Daily communication for set up/follow up of scheduling with Coram internal nursing

· Daily communication with pharmacy/pharmacists and sales team for coordination of care

· 30-40 intakes daily

· Follow ups with all clients to ensure patients have been seen by nursing staff and will be on continued needed schedule

· Data entry into HCN360 database for all clients. Progress notes, uploads of all nursing agreement contracts, nurse scheduling and contracted agencies.

· Maintaining several expansive excel sheets, email threads and chats

• Assisting members with all medication home delivery and prescription needs.
• 300+ incoming phone calls per day.
• Full account knowledge. Full scale understanding of patient’s insurance coverage.
• Skills in de-escalation and quality customer service.
• Knowledge of standard medication and specialty medications.
• Understanding of the prior authorization process and clinical needs.
• Oversaw customer complaints and quality review calls in interim role.
• Conducted peer reviews focused on education, corrections, and policy compliance.
• Seasonal training assistant for training new hires.
• Reviewing documentation and training before publication.
• Traveled for offsite training of vendors.
• Highly involved with assisting teams as a team lead- chat and email advisor.
• Involved with several projects assigned by the supervisor.

• Intake and admissions.
• Supervision of support staff.
• Hiring and firing of staff.
• Supervision of logistics.
• Supervision of OP center and sober living homes.
• Insurance processing and data entry of patient information in KIPU.
• Data Entry and Billable Case Management notes in EHR.
• Maintained relationships with outside PHP/IOP/OP Programs to coordinate resident progress and attendance and referrals.
• Clinical Meetings and communication with program case management and therapists.
• Individual Case Management/ Life Skills/ 12 Step Guidance/ Job Searching/ Applying for state assistance, insurance coverage and EBT assistance.
• Group Facilitation for Drug and Alcohol Treatment.

• House Supervision of 32 men and women suffering from homelessness.
• Admissions and exit from program.
• House and room Inspections.
• Daily medication distribution.
• Updating data banks for HMSI and OSCAR.
• Enforcement of schedules, curfew, drug and alcohol testing and chores.
• Support and counseling for clients.