Diana Horton
Chicago
Summary
Professional with strong background in care coordination. Skilled in patient advocacy, healthcare planning, and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with communication and organizational skills. Reliable and focused on delivering high-quality care outcomes.
Overview
10
10
years of professional experience
Work History
Care Coordinator
Strive Health Services, LLC
04.2023 - 05.2024
- Performs outbound calls to patients to understand their clinical needs and connect them with appropriate resources
- Performs outbound calls to providers to make appointments for patients or follow up on care
- Answers inbound calls from patients, providers, and other resources
- Follows up with patients to ensure their needs are met and schedules future check-ins
- Coordinates with clinical resources and providers to ensure smooth continuum of care for patients
- Monitors patient hospitalizations and follows up as necessary with care team members and outside resources to confirm Strive gathers all relevant patient information
- Notifies patients of location and appointment times as needed
- Ensures all patient records are up to date
- Provides patients with education materials and sends communications to primary care physicians, nephrologists, and specialists for new enrollments/appointments
- Assists with the referral process when needed
- Provides excellent customer service and treats patients
- Help patients and their families navigate the healthcare system and multitude of visits
- Partnered with NP to manage all pieces of care related to resources, appointments, care transitions, and care gaps
- Complete in person visits with members (in home or where convenient to patient)
- Serve as liaison between multiple service providers
- Assist with enrollment in services and community resources
- Assist with completing applications for resources, paperwork for provider visits, etc
- Followed up on referrals for pharmacy, DME, home care, etc
- Assist with finding and scheduling transportation
Clinic Coordinator
Rogers Behavioral Health
01.2020 - 02.2023
- Perform departmental clerical and receptionist functions timely and accurately
- Coordinate with Intake team to plan and perform patient admission on the patient's first day of programming
- Completing daily attendance tasks - including monitoring of attendees and absences as well as those that are changing levels of care
- Answer telephones in a courteous manner within three (3) rings, and direct calls appropriately
- Greet and screen visitors and assist in meeting requests for information
- Make appointments for the clinic
- File documents in the unit manuals and resource areas
- Copy documents for clinic staff
- Sort and distribute mail
- Maintain the filing system and ensure that needed forms are readily available
- Perform departmental billing functions timely and accurately
- Produce complete and accurate claims
- Prepare the Hospital deposit worksheet, the bank deposit ticket, and scanning all checks
- Balance accounts receivable and prepare deposit reconciliations
- Prepare professional, all-inclusive fee bills for submission to Accounts Payable
- Prepare vendor bills for submission to providers
- Post payment denials of insurance Explanation of Benefits into the billing system
- Assist with producing and mailing monthly statements
- Maintain medical records in a functional, detailed and accurate manner
- Review all active medical records for filing needs, correct placement of forms, and new orders to be transcribed
- File laboratory and other diagnostic reports in an accurate and timely manner
- Maintain appropriate supplies for the unit and enter charges for patient-specific supplies and treatments
- Sign out and distribute supplies in a fiscally prudent manner
- Anticipate and arrange for department supplies to avoid interruptions in patient care or complaints from caregivers
- Place weekly food orders
- Facilitate communication and assist in providing information to patients, families, visitors and health care providers
- Report relevant information to the manager, appropriate health care provider or department
- Prioritize tasks and demonstrate ability to organize workload
- Respond to requests from physicians, patients, families, visitors and health care providers
- Take appropriate action
- Respond to codes and crisis situations as needed, under the direction of clinical staff
- Assist with patients at arrival and departure times under the direction of clinical staff
Patient Access Representative
Northshore University Health Systems
01.2017 - 04.2020
- Handle patient request over the phone for multiple Medical Group/Hospital while applying correct workflows and protocols
- Simultaneously collect information from patients and key data into EPIC
- Schedule appointments, procedures, and events at Northshore locations
- Register and verify insurance eligibility, inform patients of financial responsibility
- Adhere to strict HIPPA guidelines when speaking to patients and families
- Route calls to correct administrative and clinical departments after assessing the patients needs
Admissions Coordinator
VITAS Innovative Hospice
12.2013 - 06.2016
- Process new referrals that arrive by telephone, email, fax and website inquiries
- Verify Medicare and Medicaid Hospice Benefits
- Follow up with patients and families - Explain Hospices Benefits
- Assign Registered Nurse using scheduling software to complete patients admission
- Ordered Durable Medical Equipment per request of RN
- Provide verbal case report to Admission Nurse
- Provide telephone and clerical support to team members as needed
Education
BACHELORS OF SCIENCE - PUBLIC HEALTH
WALDEN UNIVERSITY ONLINE
05-2026
MANAGEMENT LAW & PUBLIC POLICY -
CENTER FOR MANAGEMENT LAW
06.1993
Skills
- Case management
- Patient advocacy
- Multidisciplinary team collaboration
- Care planning
Timeline
Care Coordinator
Strive Health Services, LLC
04.2023 - 05.2024
Clinic Coordinator
Rogers Behavioral Health
01.2020 - 02.2023
Patient Access Representative
Northshore University Health Systems
01.2017 - 04.2020
Admissions Coordinator
VITAS Innovative Hospice
12.2013 - 06.2016
MANAGEMENT LAW & PUBLIC POLICY -
CENTER FOR MANAGEMENT LAW
BACHELORS OF SCIENCE - PUBLIC HEALTH
WALDEN UNIVERSITY ONLINE
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