Summary
Overview
Work History
Education
Skills
Certification
Timeline
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Diadtrick Williams

St Hedwig,USA

Summary

Results-driven case management professional with track record of effective client advocacy and support. Experienced in conducting thorough assessments and creating individualized care plans to meet client needs. Collaborates seamlessly with multidisciplinary teams and adapts to dynamic situations to ensure optimal client outcomes.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Case Manager

AACOG
11.2024 - Current
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Enhanced communication between clients and providers through consistent follow-ups and progress updates.
  • Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
  • Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
  • Developed and implemented comprehensive case management plans to address client needs and goals.
  • Monitored clients' progress and tracked client services to provide crisis interventions.
  • Participated in regular professional development opportunities to stay current on best practices within the field of case management.
  • Streamlined case documentation procedures, reducing processing time and increasing efficiency.

Clinical Reviewer Pharmacy Tech

Centene Corp
12.2022 - 06.2024
  • Perform clerical work in medical settings.
  • Verify accuracy of patient information.
  • Enter codes or other information into computers.
  • Enter information into databases or software programs.
  • Enter patient or treatment data into computers.
  • Process medical billing information.
  • Record patient medical histories.
  • Maintain inventory of medical supplies or equipment.
  • Prepare medications or medical solutions.
  • Receive written prescription or refill requests and verify that information is complete and accurate.
  • Establish or maintain patient profiles, including lists of medications taken by individual patients.
  • Receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages.
  • Answer telephones, responding to questions or requests.
  • Assist customers by answering simple questions, locating items, or referring them to the pharmacist for medication information.
  • Enter prescription information into computer databases.

Hospital Scheduling Coordinator

Ensemble Health Partners
09.2020 - 12.2022
  • Transcribe spoken or written information.
  • Answer telephones to direct calls or provide information.
  • Maintain medical records.
  • Compile data or documentation.
  • Schedule appointments.
  • Prepare documentation for contracts, transactions, or regulatory compliance.
  • Send information, materials or documentation.
  • Refer customers to appropriate personnel.
  • Relay information between personnel.
  • Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
  • Complete insurance or other claim forms.
  • Transmit correspondence or medical records by mail, e-mail, or fax.
  • Receive and route messages or documents, such as laboratory results, to appropriate staff.
  • Interview patients to complete documents, case histories, or forms, such as intake or insurance forms.
  • Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.
  • Maintain medical records, technical library, or correspondence files.
  • Perform bookkeeping duties, such as credits or collections, preparing and sending financial statements or bills, and keeping financial records.

Healthcare Benefit Specialist

Cigna
08.2018 - 09.2020
  • Code data or other information.
  • Classify materials according to standard systems.
  • Collect medical information from patients, family members, or other medical professionals.
  • Communicate with management or other staff to resolve problems.
  • Create databases to store electronic data.
  • Develop procedures for data management.
  • Evaluate applicable laws and regulations to determine impact on organizational activities.
  • Gather medical information from patient histories.
  • Maintain medical facility records.
  • Maintain security.
  • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
  • Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds.
  • Design databases to support healthcare applications, ensuring security, performance and reliability.
  • Develop in-service educational materials.
  • Evaluate and recommend upgrades or improvements to existing computerized healthcare systems.
  • Facilitate and promote activities, such as lunches, seminars, or tours, to foster healthcare information privacy or security awareness within the organization.
  • Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department.
  • Monitor changes in legislation and accreditation standards that affect information security or privacy in the computerized healthcare system.
  • Identify, compile, abstract, and code patient data, using standard classification systems.
  • Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information.

Medical Billing -TeamLead

Precise Healthcare
06.2007 - 11.2017
  • Verify accuracy of financial or transactional data.
  • Maintain financial or account records.
  • Prepare documentation for contracts, transactions, or regulatory compliance.
  • Operate office equipment.
  • Provide information to coworkers.
  • Maintain operational records.
  • Discuss account status or activity with customers or patrons.
  • Reconcile records of sales or other financial transactions.
  • Train personnel.
  • Explain regulations, policies, or procedures.
  • Supervise clerical or administrative personnel.
  • Respond to customer problems or complaints.
  • Examine documents to verify adherence to requirements.
  • Compile data or documentation.
  • Prepare research or technical reports.
  • Develop organizational policies or programs.
  • Check data for recording errors.
  • Review customer insurance information.
  • Enter information into databases or software programs.
  • Calculate costs of goods or services.

Education

Diploma -

Continental Academy
Miami Lakes, FL
01.2003

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Texas School of Phlebotomy
China Grove, TX
01.2024

Healthcare Admin

University of Phoenix
Tempe, AZ
03-2026

Skills

  • Quality-oriented team player
  • Critical thinking
  • Customer service
  • Teamwork and collaboration
  • Multitasking and organization
  • Work prioritization
  • Account management
  • Account follow-up
  • Correspondence

Certification

  • HIPAA Certification Texas School of Phlebotomy - 2024
  • CPR Certification Texas School of Phlebotomy - 2024
  • BLS / CPR Certification Texas School of Phlebotomy - 2024
  • Completion of Phlebotomy Program Texas School of phlebotomy - 2024
  • Caregiver Certification MyCNAJobs - 2024

Timeline

Case Manager

AACOG
11.2024 - Current

Clinical Reviewer Pharmacy Tech

Centene Corp
12.2022 - 06.2024

Hospital Scheduling Coordinator

Ensemble Health Partners
09.2020 - 12.2022

Healthcare Benefit Specialist

Cigna
08.2018 - 09.2020

Medical Billing -TeamLead

Precise Healthcare
06.2007 - 11.2017

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Texas School of Phlebotomy

Diploma -

Continental Academy

Healthcare Admin

University of Phoenix
Diadtrick Williams