Dyonne M. Cunningham
Philadelphia,PA
Summary
Proactive and goal-oriented Managing professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
14
14
years of professional experience
Work History
Outreach Executive
OAK STREET HEALTH
03.2023 - Current
- Served as a spokesperson for the organization at public events, effectively communicating its objectives and values to Medicare audiences. Conducted in-depth research on target markets to identify outreach opportunities and optimize marketing strategies.
- Plans, coordinates and executes local events within the community (e.g., information tables, health fairs, doc talks, etc.) to help reach our ideal patients (i.e., medically underserved, Medicare-eligible seniors, age 55 and older).
- Leverages marketing and sales tools to identify solutions and sell to new customers. Maintains up-to-date client information in designated customer relationship management (CRM) tool (i.e., SalesForce). Utilizes CRM tool to document interactions with clients and ensures effective management of leads. Established partnerships with local businesses to support the organization''s mission, increasing community presence and impact.
- Collaborated with cross-functional teams such as Physicians, Patient Relations Managers and Insurance Agents to ensure alignment of messaging across all communication channels.
Regional Director of Care
MONARCH OF BUCKS COUNTY
06.2019 - 03.2023
- Responsible for the day to day operations of the Bucks County region of Senior Shared Housing residencies. Manages all HR operations including, hiring and dismissal procedures, training/orientation, billing and payroll. Direct supervisor of all employees by being on call 24/7 in order to create and maintain a highly functioning team environment.
- Closely monitoring work performance to ensuring compliance with HIPPA and home health standard guidelines and practices. Maintains a high customer satisfaction and stable home/ family environment for clients by engagement and constant communication with their families, doctors, and case managers.
- Responsible for tasks on weekly rotation including scheduling, managing call offs, and/or addressing client/family issues in a timely manner.
- Closely monitor and update care plans and all patient documentation to ensure accuracy in completion and adherence to caregiving guidelines. Runs daily and weekly medicare billing reports.
- Orchestrated positive media coverage and stakeholder relations as public face of alternative to nursing facility company.
- Recruited talented individuals bringing nursing assistant skills to the "home".
Lead Admissions Representative
ONWARD BEHAVIORAL HEALTH
10.2017 - 06.2019
- Supervised a team of admission coordinators for a drug/alcohol and mental health program by running daily reports on accuracy, billing verification, call statistics, and keeping abreast of changes to admission criteria, policies and procedures.
- Front line in obtaining client information by conducting and screening interviews via telephone; requesting demographic information, insurance information, substance abuse and mental health history.
- Admits patients by completing admission and financial responsibility(authorization/precerts); coordinating and arranging physical, social, emotional, and support service requirements, including transportation.
- Prepares admissions reports by collecting, analyzing, and summarizing data and trends.
- Assisting with the hiring process of perspective coordinators and training of said coordinators.
- Protects organization reputation by keeping information confidential by following HIPPA guidelines and regulation of PHI.
Admissions Specialist III
DAVITA INC.
01.2011 - 09.2017
- Serve as a liaison between patients, family, physicians, hospitals, clinics and healthcare insurance providers by coordinating outpatient dialysis placement for new and existing dialysis patients, at DaVita facilities.
- Collect patient demographic, medical and insurance information from the referral source and input this Information into DaVita database and applications used (Siebel, REGGIE, SPOC, Allscripts, GUCCI, CMS etc.)Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program Specific SOPs.
- Documenting and initiating prior authorization process, claims appeals, etc.
- Identifies any restrictions and details on how to expedite patient access and communicates findings to payees, Insurance counselors and billing associates within a 24-hour grace period.
- Identifies patient assistance and government programs (Medicare, Medicaid, Veterans Association).
- Comply with all HIPAA regulations regarding patient information to assure confidentiality of patient health when answering all correspondence via email and/or fax, as well as answering incoming and performing outgoing calls.
Education
Business/ Marketing
Community College of Philadelphia
Philadelphia, PAPhoenixville Area Senior High School
Phoenixville, PASkills
- Administrative, Scheduling
- Billing/ Statistics
- Supervisor
- Canvas, Phone
- Leadership
- Managing
- Multitasking
- Client relation
- Customer service
- Database
- Payroll
- Policies
- Processors
- Proposals
- Researching
- Staff Management
- Relationship building
- Proficient in MIcrosoft applications
- Benefits
- Government Programs
- Call center, Telephone
- Insurance
- CMS
- Contracts
- Mental Health
- Back- office
- Excel spreadsheets
- Database and applications
- Documentation
- Profit and loss
- Quality
- Mentoring and coaching
- Budgeting
- Meetings and presentations
Timeline
Outreach Executive
OAK STREET HEALTH
03.2023 - Current
Regional Director of Care
MONARCH OF BUCKS COUNTY
06.2019 - 03.2023
Lead Admissions Representative
ONWARD BEHAVIORAL HEALTH
10.2017 - 06.2019
Admissions Specialist III
DAVITA INC.
01.2011 - 09.2017
Phoenixville Area Senior High School
Business/ Marketing
Community College of Philadelphia
Similar Profiles
MARGARET M BUKOWSKIMARGARET M BUKOWSKI
Senior Associate, Provider Services at Oak Street Health | CVS HealthSenior Associate, Provider Services at Oak Street Health | CVS Health
Bethany GillBethany Gill
Call Rep Oak Street Health at Oak Street HealthCall Rep Oak Street Health at Oak Street Health
Shauntee HegemierShauntee Hegemier
Specialist,Clinical Informatics at Oak Street Health ClinicSpecialist,Clinical Informatics at Oak Street Health Clinic