Summary
Overview
Work History
Education
Skills
Timeline
Generic

Diedrah Baah

Dallas

Summary

Dedicated and results-driven healthcare management professional with over four years of experience in operational management, patient care coordination, and team leadership within healthcare settings. Proven ability to enhance service delivery, improve patient satisfaction, and streamline processes. Committed to fostering a positive environment for both patients and staff.

Overview

9
9
years of professional experience

Work History

Care Management Support - Remote

Healthmap Solutions
Oklahoma City
10.2023 - Current
  • Support in oversee daily operations of a call center healthcare department ensuring compliance with healthcare regulations and standards.
  • - Implement process improvements that increased patient satisfaction scores by specific metric.
  • - Coordinate with medical staff to optimize patient care workflows, reducing call wait times and enhancing service delivery.
  • - Manage patient and chart reports, identifying opportunities and ensuring efficient allocation of resources.
  • Monitored team performance metrics, such as average handle time, first call resolution rate, and customer satisfaction scores, to identify areas for improvement and training needs.
  • Developed customer service policies and procedures to ensure quality assurance standards were met.
  • Resolved escalated customer complaints in a timely manner while maintaining high levels of professionalism.
  • Created reports summarizing key performance indicators for upper management review.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Assisted with customer requests and answered questions to improve satisfaction.
  • Assisted in hiring new personnel when needed as well as provided ongoing training and development initiatives.
  • Ensured compliance with relevant laws, regulations and policies related to customer service operations.

Insurance Verification Specialist- Part Time

Medica
Dallas
09.2023 - 02.2024
  • Advised clients on suitable insurance plans, achieving measurable customer satisfaction improvements.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
  • Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
  • Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
  • Researched third party payer guidelines related to prior authorizations, coding and billing processes.
  • Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
  • Participated in training sessions on new software programs used for verification purposes.
  • Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.

Senior Operations Team Leader- Call Center

Baystate Health - Baystate Medical Center
Dallas
06.2022 - 10.2023
  • Created monthly reports for senior management summarizing operational performance metrics.
  • Ensured compliance with regulatory requirements and industry standards.
  • Ensured compliance with all applicable laws, regulations, industry standards.
  • Analyzed customer feedback data to develop action plans for improving services offered.
  • Resolved conflicts between employees by providing guidance on company policies and procedures.

Coordinate with healthcare providers to streamline patient information flow, enhancing operational

efficiency.

Maintain accurate patient records, contributing to a 20% reduction in data entry errors.

Provide empathetic support to patients, fostering a collaborative and supportive environment.

Spearhead innovative projects, driving substantial improvements in efficiency.

Collaborate across teams to

implement strategic solutions, yielding tangible results.

Administrative Assistant

CCS Medical
06.2020 - 06.2022

- Supported administrative functions within the healthcare facility, including scheduling, patient intake, and record management.

- Maintained accurate patient records and ensured confidentiality in compliance with HIPAA regulations.

- Assisted in the coordination of community health outreach programs, promoting wellness and preventive care initiatives.

  • Answered questions from customers regarding products and services offered by the company.
  • Managed incoming calls while providing information or transferring callers to appropriate personnel.
  • Managed office supplies inventory and placed orders when necessary.
  • Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
  • Facilitated communication between different departments within the organization.

Credit Union Advisor

Tulsa Teachers Credit Union
06.2018 - 06.2020

Help customers open and manage their bank accounts and finances.

• Advise clients on financial services and resolve issues.

• Reach out to prospective customers to sell our services.

• Advise customers on bank services for their needs (e.g. Loans and credit cards).

• Manage customer bank accounts; open, close and oversee transactions.

• Resolve issues with banking services and accounts.

• Refer clients to in house financial experts, as needed.

• Reach out to potential customers to generate new business.

• Present financial products and services to existing and prospective customers.

• Perform administrative duties Entering data into banking software.

Receptionist

Tinker Federal CU
07.2016 - 07.2018
  • Provided administrative support to staff members including typing letters, filing documents, and scanning and copying documents when necessary.
  • Coordinated with vendors for repairs and maintenance of office equipment.
  • Organized travel arrangements for staff members including flights, hotels, car rentals.
  • Scheduled appointments for clients, customers, and other visitors.
  • Updated daily log book with information about visitors entering the premises.
  • Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
  • Performed data entry tasks into various computer systems accurately and promptly.

Education

Bachelor of Arts - Health Administration

Mid-America Christian University
Oklahoma City, OK
06-2026

High School Diploma -

Moore High School
05-2015

Skills

  • Patient care coordination
  • Customer service
  • Process improvement
  • Insurance verification
  • Report generation
  • Remote office availability
  • Verbal communication
  • Written communication
  • Conflict resolution
  • Organization and time management
  • Data management
  • Quality assurance

Timeline

Care Management Support - Remote

Healthmap Solutions
10.2023 - Current

Insurance Verification Specialist- Part Time

Medica
09.2023 - 02.2024

Senior Operations Team Leader- Call Center

Baystate Health - Baystate Medical Center
06.2022 - 10.2023

Administrative Assistant

CCS Medical
06.2020 - 06.2022

Credit Union Advisor

Tulsa Teachers Credit Union
06.2018 - 06.2020

Receptionist

Tinker Federal CU
07.2016 - 07.2018

Bachelor of Arts - Health Administration

Mid-America Christian University

High School Diploma -

Moore High School
Diedrah Baah