Delores Shelton Houchens
Richmond,VA
Summary
Competent Medical Outreach Assistant experienced in providing patients with necessary education, coordinating program referrals and determining appropriate treatment plans. Proficient in documenting changes, maintaining records and working with insurance companies. Prepared to apply 20 years' experience in the field and take on a dynamic new role at Aetna in Richmond.
Overview
1
1
Certification
35
35
years of professional experience
Work History
Medical Outreach Assistant
VCU Health System
Richmond, VA
06.2002 - 05.2016
- Assist patients at VCU Health Center for Advance Health Management serving as a liaison between the patient/ family and the health systems to facilitate access to health care. I have experience working directly with diverse group of clients, co-workers and agencies in a human services to accomplish collaborative and individual goals for the Patients. I have years of experience providing high volume case management supervision and documenting case activities on an on-going basis in a fast pace medical hospital. I have experience providing counseling, peer support and targeted intervention to clients on an ongoing basis in a high volume setting. Provide assistance to patients with Medicaid, manage care organizations (MCO) and private insurance. Educated them on the benefits of connecting with a Primary Care Provider. Coordinate patient clinic appointments to Center for Advanced Health Complex Care clinic, help them with transportation and identify barriers in health care and document my findings in the VA-CMS system. Completed a risk stratification questionnaire to tier patient and inform the medical provider and staff of patient needs prior to arrival. Educate the patient on their manage care organization and help patients understand their benefits. Educated patient on the appropriate use of the ED, Primary Care and community resources. Developing relationships with the patients and monitor compliance via clinic visit, telephone calls and home visits. I work closely with RN Case Manager, Providers and RN to provide patient and families with access to resources for their health care-related needs. Educate patient on chronic disease management, diabetic and hypertension training. Provide ongoing casework and monitor patient progress by creating and presenting comprehensive reports to medical staff on the effectiveness of the interventions. Experience making referrals to resources /programs providers and assist patient with barriers in completing documentation for eligibility screening for various programs as needed.
- Supervisor Title: Manager
- Supervisor Name: Kim Lewis
- Supervisor Phone: 804-828-6063
- Job Title: Medical Outreach Assistant
- From: 06/2002
- To:
- Reason For Leaving:
Patient Financial Counselor
VCU Health System
Richmond, VA
05.1998 - 05.2002
- Preform financial counseling, Medicaid applications, Affordable Care Act Enrollment and Governor Access Plan to all patients regardless of where patient has been seen. To ensure a timely and accurate financial outcome base on obtaining accurate and completed demographic and financial information along with appropriate signatures and forms. Collect appropriate so-pays, deductibles and/ or service deposits from patients and /or guarantors to benefit receivable reduction. Insurance verification for inpatient, outpatient and ED patients. Calculate and communicate Insurance benefits to medical staff and patients. Coordinate the allocation of the MCV Foundation Funds. Precertification patient for Inpatient and outpatient procedures, Communication of healthcare requirements with patients. Strong ability to problem solve and take appropriate action when necessary to make referral to outside resources. Ability to analyze financial date to determine documents needed for applications approval and/or to establish appropriate payment arrangements.
- Supervisor Title: Manager
- Supervisor Name: Linda Brooks
- Supervisor Phone: 804-828-9000
- Job Title: Patient Financial Counselor
- From: 05/1998
- To: 05/2002
- Reason For Leaving: Promotion
Asst Store Manager
Ashley Stewart
Richmond, VA
08.2005 - 03.2009
- Manager of the daily process of a Retail department store. I provided manager duties, budgets, schedules, reviews and daily meets with staff focusing on sales goals, deadlines, and training of staff. I manage and working on a computerized point of sales and complete bank deposits. I maintain and order new merchandise and help organize inventory three times a year.
- Supervisor Title: Store Manager
- Supervisor Name: Danielle Davis
- Supervisor Phone: 757-871-5404
- Job Title: Asst Store Manager
- From: 08/2005
- To: 03/2009
- Reason For Leaving: Promotion
Patient Access Auditor/Lead
VCU Health System
Richmond, VA
03.1993 - 03.1998
- I perform Daily verification/audit of all information entered into the IDX system. Achieved 100% accuracy of all charge errors by correcting errors in Patient registrations. I completed this task for ED visits, Inpatient, outpatient, CSR charges and forward to Charge control. Research entries diagnostic CPT-4 codes by reviewing medical records documentation. Knowledge of ICD9 and CPT4 coding. Collect and document audit results in QI data base and report information to Department Managers. Help Managers with training of new staff. Works independently and makes decisions when Manager is off.
- Supervisor Title: Manager
- Supervisor Name: Ann Banner
- Supervisor Phone: 804-828-9000
- Job Title: Patient Access Auditor/Lead
- From: 03/1993
- To: 03/1998
- Reason For Leaving: Promoted
Office Service Assistant
VCU Health System
Richmond, VA
03.1991 - 02.1996
- Provide clerical and administrative support to a very busy medical office. Greet patients; secure the appropriate patient and insurance information; ensure the registration data is correct and accurate; validates insurance eligibility, enter information in appropriate systems; collect co-pay; and inform patients of providers delays. Provide quality customer service to patients, families, visitors, medical staff, clinicians and coworkers ensuring that everyone is treated courteously, quickly and with respect. Maintain office medical records, billing system and update clinic charts, answer a very busy clinic phones. Provide support to Medical Staff. Produce administrative reports and correspondences. Schedule all medical appointments, medical test. Verify medical insurance and precertification patients for surgery. Calculate and communicate insurance benefits to medical staff and patients. Demonstrate positive interpersonal skills, good office skills and math aptitude and medical terminology.
- Supervisor Title: Manager
- Supervisor Name: Ann Banner
- Supervisor Phone: 804-828-9000
- Job Title: Office Service Assistant
- From: 03/1991
- To: 02/1996
- Reason For Leaving: Promotion
Manager
Best Products
Richmond, VA
10.1981 - 03.1991
- I was the manager of a very busy Toy Department. I preform manager duties, budgets goals, staff schedules, training and evaluations. I manage the daily department process. I ordered and manage the inventory. I worked on an computerized point of sale system, Maintain inventory orders and organize a organized Inventory twice a year.
- Supervisor Title: Store Manager
- Supervisor Name: Sam Wells
- Supervisor Phone: 804-747-7000
- Job Title: Manager
- From: 10/1981
- To: 03/1991
- Reason For Leaving: Hours
Education
Some College - Human Service
Skills
- Conducting assessments
- Gathering referrals
- Managing records
- Coaching patients
- Improving well-being
- Educating families
- Coordinating services
- Team collaborating
Certification
- Certified Community Health Worker
- Certifying Body: Virginia
- License Number: 2281
- Expiration Date: 05/16/2020
- Certified Soar Worker
- Certifying Body:
- License Number:
- Expiration Date: 12/10/2021
- DBHDS Peer Recovery Specialist Training
- Expiration Date:
Supplemental Questions
- 1.
- Do you have an Interagency Placement Screening Form (Yellow Form) as issued under Policy 1.30 Layoff? (Commonwealth of Virginia Employees Only); [ ] 1. Yes [X]2. No [ ] 3. Not Applicable [ ] 4. No Answer
- 2.
- Do you have a Preferential Hiring Form (Blue Form) as issued under Policy 1.30 Layoff? (Commonwealth of Virginia Employees Only) [ ] 1. Yes [X]2. No [ ] 3. Not Applicable [ ] 4. No Answer
- 3.
- How did you find this employment opportunity? [X]1. State Recruitment Management System (RMS) [ ] 2. Agency Website or Bulletin Board [ ] 3. Job Board (Indeed, Monster, Dice, etc.) [ ] 4. Social Media (Twitter, Facebook, LinkedIn, etc.) [ ] 5. Newspaper or Professional Journal (Please specify below) [ ] 6. Career Fair or Job Event (Please specify below) [ ] 7. VEC (Virginia Employment Commission) [ ] 8. Radio/TV (Please specify below) [ ] 9. Other (Please specify below) [ ] 10. No Answer
- 4.
- Please specify the actual source from your response to question #3 above (Name of newspaper, Journal Title, Job Board, Career Fair, Agency Website, Social Media Type, etc.) If unknown or none, enter: N/A. none
- 5.
- Please describe your experience working with a diverse population. I have worked with a diverse population for 30 years at VCU Health System.
- 6.
- Have you held a position requiring interviewing skills and working with a diverse population? I have worked with a diverse population for 30 years at VCU Health System
- 7.
- If you answered yes to the previous question, please list where on your application you obtained your interviewing skills/experience working with a diverse population. I have worked with a diverse population for 30 years at VCU Health System
Documents
- Required Documents: No required documents added.
- Optional Documents: Kind: Resume, Name: Resume 12-23-19 16:01:26, Conversion Status: PDF complete
- Kind: Cover Letter, Name: -, Conversion Status: -
Personal Information
- Title: Health Counselor
- Gender: She
Disclaimer
I hereby certify that all entries on both sides and attachments are true and complete, and I agree and understand that any falsification of information herein, regardless of time of discovery, may cause forfeiture on my part of any employment in the service of the Commonwealth of Virginia. I understand that all information on this application is subject to verification and I consent to criminal history background checks. I also consent that you may contact references, former employers and educational institutions listed regarding this application. I further authorize the Commonwealth to rely upon and use, as it sees fit, any information received from such contacts. Information contained on this application may be disseminated to other agencies, nongovernmental organizations or systems on a need-to-know basis for good cause shown as determined by the agency head or designee. [X] I certify that all information provided is true and complete DSH Please enter your initials to verify your identity Submitted on October 26, 2021 at 04:37 PM (UTC) by Delores Houchens
Veteran Status
- VQ1: For purposes of compliance with Section 2.2-2903 of the Code of Virginia, are you a veteran who has received an honorable discharge and has provided more than 180 consecutive days of full-time active-duty in the armed forces of the United States or reserve components thereof, including the National Guard? No
- VQ2: For purposes of compliance with Section 2.2-2903 of the Code of Virginia, are you a veteran who has received an honorable discharge and has a service connected disability rating fixed by the United States Department of Veteran Affairs? No
- VQ3: If you answered yes to either question VQ1 or question VQ2, did you serve during the Vietnam Conflict 22861-3775? No
- VQ4: For purposes of compliance with Section 2.2-2903 of the Code of Virginia, are you the surviving spouse, or child, of a veteran who was killed in the line of duty? No
- VQ5: For purposes of compliance with Section 2.2-2903 of the Code of Virginia, are you a member of the National Guard who (i) is presently serving as a member of the Virginia National Guard and (ii) has satisfactorily completed required initial active-duty service? No
Timeline
Asst Store Manager
Ashley Stewart
08.2005 - 03.2009
Medical Outreach Assistant
VCU Health System
06.2002 - 05.2016
Patient Financial Counselor
VCU Health System
05.1998 - 05.2002
Patient Access Auditor/Lead
VCU Health System
03.1993 - 03.1998
Office Service Assistant
VCU Health System
03.1991 - 02.1996
Manager
Best Products
10.1981 - 03.1991