Ciana Cox

• Established a good rapport with the Intake team, Schedulers, Managers, Liaisons, Discharge Planners, Billing team, and Social Workers.
• Reviews of health and insurance data from referral sources for accuracy and appropriateness.
• Enter referrals timely into HomeCare Maryland's EMR system.
• Maintained communication with referral sources, liaisons, physicians, and caregivers to ensure that patients receive appropriate care.
• Distributes referrals to schedulers, managers, leadership team, and clinicians as needed.
• Provide information about HomeCare Maryland's services to families, physicians, and referral sources.
• Coordinate with case managers to assure the timely completion of admission and resumption of care.
• Participate in ongoing training and professional development related to intake, agency procedures, client care, insurance changes, and trends in home care standards.
• Maintained accurate records of intake clients in an electronic database system, with HIPAA and other relevant regulations.
• Assist with insurance verification and performance improvement for Medicare and non-Medicare patients.
• Assist the scheduling department, as assigned, with functions such as updating clinicians' schedules, scheduling visits based on patient needs, staff experience, and location, assigning appropriate Oasis tasks as needed, and monitoring for completion, scheduling visits based on physicians' orders, and insurance requirements.
• Offered crisis intervention techniques when needed.
• Use of EMR, Kinnser, Allscripts, and Forcura.

• Enter patient information into Cerner.

Secures signatures on all required registration forms and/or iPad.

• Register patients for appointments

• Perform registration downtime procedures.

• Validate and/or verify TPA insurance using web portals.

•Verify that all appointments reflect correct insurance

• Demonstrate how to access, review, and register a patient, handle patient inquiries, and select the appropriate patient without creating a duplicate medical record number.

• Request pre-determined co-payments and deductibles to be paid at the time of service.

• Obtain and scan copies of insurance cards and photo identification.

• Participate in the daily huddle.

• Complete HealthStream mandates.

Use Cerner, Revenue Cycle, Power Chart, Clearwave, Tavoca, Omni Flex, and EVS to complete Patient Services.

• Schedules all off-site medical appointments and exams for patients housed in all facilities within the Baltimore region, and maintains an efficient scheduling system.
• Maintaining paper and electronic files, ordering supplies, and organizing/scheduling meetings as the coordinator for the Baltimore region.
• Overseeing eight jails, assisting multiple providers, staff, and patients.
• Monitoring level of care reviews, service record reviews, critical incident reviews, and quality provider reviews, as well as utilization reviews – including verifying the quality and quantity of services delivered by providers.
• Follow the complete schedule process from approval to review of records and recommendations from the providers.
• Uses computer-based applications to manage scheduling systems, including the Offender Case Management System (OCMS) and the Criminal Justice Information System (CJIS).
• Update patient account information using the Electronic Patient Health Record (EPHR) (EHR).
• Maintains service completion logs and collegial logs to ensure that all appointments are secured and completed.
• Maintains healthy rapport with outside hospital personnel. Confers with medical directors, nurses, and medical providers from all sites on a weekly basis via conference for consult approvals, denials, and alternative treatment options.
• Answers phone calls regarding patient inquiries, faxes, and scans, consults, patient histories, test results, and discharge summaries.

• Look up, File and Mail out any incoming paperwork.
• Process Patients, Doctors, and Attorneys Release of Information for.
• Medical Records.
• Validate and ensure that forms for releases of information are.
• Current, accurate and complete as defined by HIPPA.
• Complete Transfers of Patients.
• Complete Audits on Transferred, Released, and Current Patients.
• Scanned incoming documentation.
• Maintained complete confidentiality in accordance with organization and legal requirements.
• Kept department clean, organized and professional.
• Purged outdated files.
• Consolidated diverse medical records.
• Updated daily logs to track information movements.
• Wrote reports, emails, memoranda, letters and releases.

• Assisted with processing forms for the “National Flu Program”
• Completed timely billing of corporate clinics and insurance claims
• Collected corporate and insurance accounts receivable
• Process Incomplete & Rejected Insurance Claims Complete Spreadsheets Billed Insurance Co.
• Such as BCBS, MVP, Harvard Pilgrim, Connecticare, Tufts Companion.
• Filed paperwork according to standard operating procedures and entered data points into tracking system.

• Accompany patients with daily functions, activities, and travel.
• Maintained clean and well-organized environment for client happiness and safety.
• Assisted clients with bathing, dressing and incontinence care.
• Helped clients stay happy and healthy by providing mental and emotional support.
• Improved patient outlook and daily living through compassionate care.
• Tracked and reported clients' progress based on observations and conversations.
• Managed patient transportation and appointment scheduling.

• Kept records of Clients Filed documents in files in a timely manner Made appointments and scheduled doctor's visits.
• Followed standards, promoting data accuracy and confidentiality when reviewing claimant's files prior to presentation.
• Updated daily logs for tracking file movements.

• Schedules all off-site medical appointments and exams for patients housed in all facilities within the Baltimore region and maintains an efficient scheduling system.
• Maintaining paper and electronic files, ordering supplies, and organizing/scheduling meetings as the coordinator for the Baltimore region.
• Overseeing eight jails, assisting multiple providers, staff, and patients.
• Monitoring level of care reviews, service record reviews, critical incident reviews, and quality provider reviews, as well as utilization reviews – including verifying the quality and quantity of services delivered by providers.
• Follow the complete schedule process from approval to review of records and recommendations from the providers.
• Uses computer-based applications to manage scheduling systems, including the Offender Case Management System (OCMS) and the Criminal Justice Information System (CJIS).
• Update patient account information using the Electronic Patient Health Record (EPHR) (EHR).
• Maintains service completion logs and collegial logs to ensure that all appointments are secured and completed.
• Maintains healthy rapport with outside hospital personnel. Confers with medical directors, nurses, and medical providers from all sites on a weekly basis via conference for consult approvals, denials, and alternative treatment options.
• Answers phone calls regarding patient inquiries, faxes, and scans, consults, patient histories, test results, and discharge summaries.