Dedicated healthcare professional with customer service experience, adept at coordinating training, paperwork and specific community-based resources. Exceptional communication and planning abilities with an organized and thorough nature.
Overview
16
16
years of professional experience
Work History
Community Health Worker
Elevance
01.2023 - Current
Responsible for being a liaison connector between the patient, the care team and the community.
Enhanced patient outcomes by providing education on disease prevention and healthy lifestyle choices.
Handle and research administrative tasks to support community outreach and program initiatives.
Acquire and maintain knowledge of all company policies and procedures.
Help to bridge conversations with patients and remove barriers that prevent them from accessing health and social services.
Conduct telephonic and or face to face outreach to a panel of patients for appointment scheduling, needs, assessments and care gap closure.
Medical Insurance Coordinator, HANGER
American Prosthetics & Orthotics
08.2009 - 01.2023
Submit electronic claims to IL Public Aid and follow up on payment status
Review and discuss payment options with patients
Obtain prior authorizations and referrals with insurance carriers while making sure procedure codes meet medical criteria and supporting documentation is sufficient
Review write off accounts and verify benefits with insurance companies to confirm co-pays, out of pocket expenses and deductibles for patients
Document and follow up on past due accounts and send out past due notices and statements
Follow up with patients to gather information before sending them to collections
Work denied claims to strategically process appeals
Submit redeterminations to, for claims processing
Sales Associate/Customer Service Representative
Childrens Place Inc.
06.2016 - 11.2018
Worked on a small team to help customers and portray leadership skills
Quickly processed customer credit card and cash payments
Assisted customers with finding a certain clothing size or style
Suggested accessory options to create complete outfits
Stocked and organized shelves with new inventory
Loan Documentation Specialist
PALMER GROUP/WELLS FARGO
06.2009 - 08.2009
Worked as a receiver entering documents in a timely manner sent in by brokers, customers and agents
Notified vendors of information received by email, fax or mail correspondence as well as ordered appraisals
Communicated daily with other departments to ensure information was processed promptly and efficiently to fulfill loan applications.
Direct Support Professional
MOSAIC
03.2008 - 05.2009
Provided physical and direct support services for adults with developmental disabilities in a group home setting
Served as an advocate and leader for clients by teaching work ethic and social emotional skills
Planned and coordinated recreational and educational activities and events for clients
Monitored and assisted with personal care and provided constructive active treatment.
Education
Chronic Care Certification - Community Health Services
Iowa Chronic Care Consortium
Des Moines, IA
08.2023
Basic Life Support Certification -
National CPR Foundation
Des Moines, IA
10.2022
Life Coach Certification -
Life Coach Training Institute
Des Moines, IA
09.2022
Medical Knowledge Certification -
Des Moines University
06.2021
Human Resources Training
Des Moines Area Community College
Des Moines, IA
06.1999
H.S. DIPLOMA -
EAST HIGH SCHOOL
Des Moines, IA
06.1995
Skills
Proficient in electronic medical records
Excellent interpersonal communication skills
Intuitive learner and able to multitask
Electronic Filing System Organization
Billing Procedures
Verbal and Written Communication
Word & Excel
Customer Service
Insurance Claims
Insurance Verification
Epic Systems
HIPAA Compliance
Medical Billing Processing
Appointment Scheduling
Timeline
Community Health Worker
Elevance
01.2023 - Current
Sales Associate/Customer Service Representative
Childrens Place Inc.
06.2016 - 11.2018
Medical Insurance Coordinator, HANGER
American Prosthetics & Orthotics
08.2009 - 01.2023
Loan Documentation Specialist
PALMER GROUP/WELLS FARGO
06.2009 - 08.2009
Direct Support Professional
MOSAIC
03.2008 - 05.2009
Chronic Care Certification - Community Health Services