Derrick Judson
Baton Rouge,LA
Summary
Accomplished Intake Coordinator and Care Management Specialist with a proven track record at Blue Cross and Blue Shield of Louisiana. Expert in insurance verification and HIPAA compliance, demonstrating exceptional multitasking and organizational skills. Enhanced provider satisfaction and streamlined processes, achieving significant improvements in data accuracy and patient service efficiency.
Overview
13
13
years of professional experience
Work History
Intake Coordinator I
Blue Cross and Blue Shield of Louisiana
02.2021 - Current
- Contributed to a positive work environment through effective teamwork and open communication among colleagues.
- Ensured regulatory compliance by maintaining up-to-date records and documentation.
- Enhanced company productivity by handling high volume of callers per day.
- Expedited critical cases through close coordination with clinical teams, reducing wait times for essential services.
- Improved data management with introduction of new software, streamlining intake process and enhancing record accuracy.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Care Management Specialist
Blue Cross and Blue Shield of Louisiana
02.2018 - 02.2021
- Responsible for accurately and efficiently distributing clinical information received via fax to the appropriate nurse teams.
- Maintained accurate records and documentation, ensuring compliance with regulatory requirements and facilitating seamless audits.
- Facilitated timely transitions between care settings by coordinating with healthcare providers.
- Communicated with supervisor regarding issues related to case management, resourcing, service collaboration and development of new resources.
- Created well-written, effective care plans appropriately matching needs of clients following standards and guidelines of funders, contractors and governmental regulations.
Intake Coordinator I
Blue Cross Blue Shield of Louisiana
10.2015 - 02.2018
- Inform provider telephonically/ electronically of benefits, eligibility and pre-authorization.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
- Enhanced providers satisfaction with timely and accurate information during the intake process.
- Expedited critical cases through close coordination with clinical teams, reducing wait times for essential services.
- Handled escalated calls efficiently, finding satisfactory resolutions for both provider's and the company alike.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
Medical Records and Health Information Technician
East Baton Rouge Detox Center
01.2012 - 10.2015
- Managed the release of information process, safeguarding sensitive patient data while adhering to legal requirements.
- Acted as a liaison between departments, coordinating efforts to achieve efficient interdepartmental communication concerning health information management.
- Trained fellow technicians on best practices for managing health information, fostering a high-performance team environment.
- Enhanced patient care by accurately organizing and maintaining medical records and health information.
- Collaborated with healthcare professionals to ensure accurate documentation of patient conditions and treatments.
- Assisted patients in understanding their rights regarding personal health information privacy under HIPAA regulations.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Maintained patient records systems by archiving, scanning and indexing important documents and files.
Education
Certified Medical Assistant - Medical Assistant
Delta College of Arts & Technology
Baton Rouge, LA02.2012
General Marketing Diploma I I - General Marketing
Baton Rouge Community College
Baton Rouge, LASkills
Insurance Verification
Epic Training (2024)
MS Office
Multi-line phone talent
Multitasking and Organization
Microsoft Office
Jiva System (Blue Cross Blue Shield of Louisiana (2015-2024)
Data entry proficiency
HIPAA Compliance
Timeline
Intake Coordinator I
Blue Cross and Blue Shield of Louisiana
02.2021 - Current
Care Management Specialist
Blue Cross and Blue Shield of Louisiana
02.2018 - 02.2021
Intake Coordinator I
Blue Cross Blue Shield of Louisiana
10.2015 - 02.2018
Medical Records and Health Information Technician
East Baton Rouge Detox Center
01.2012 - 10.2015
Certified Medical Assistant - Medical Assistant
Delta College of Arts & Technology
General Marketing Diploma I I - General Marketing
Baton Rouge Community College
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