Dedicated Intake Specialist skilled in claim eligibility analysis and records management. Excellent communication and interpersonal skills. Familiar with industry standards and requirements. Managing duties to facilitate smooth workflow and operational efficiency.
Overview
15
15
years of professional experience
Work History
Mental Health Intake Specialist III
Denton County MHMR Center
06.2021 - Current
Collects, prepares, and reviews cases to facilitate access to medical, educational, social, and other services and providing intervention and frequent contact with individuals, facilities, and service providers
Responsible for completing Mental Health (MH) Intake Assessments for individuals requesting MH Services which includes determining a diagnosis using DSM-IV/V Classification
Complete all client-related paperwork within agency guidelines
Assists UM Program Manager to ensure effective intake function; ensures intake staff reserve adequate time to make wait list contacts when there is a wait list; monitors walk-in flow for capacity to maintain goal of seeing all walk-ins same day or as soon as possible
Authorizes assessments and determine medical necessity, for assessments completed by other staff; has discretion to consult and make diagnostic decisions with other staff
Medical Credentialing & Payor Enrollment Special
Healthcare.gov
01.2017 - 06.2021
Oversaw and managed overall credentialing and contracting process for NIHC clients
Obtained and verified all required and pertinent credentialing and re-credentialing documentation
Managed provider data within our credentialing software (MD Staff) as well as the Provider’s CAQH ProView account
Completed and submited applications for providers to be credentialed and contracted with payors
Communicated and collaborated with clients to ensure their credentialing and contracting process is completed as quickly and efficiently as possible
Contacted payors via phone and/or email to follow-up on applications to ensure timely completion
Maintained and monitored all licenses and certifications in the database to ensure compliance within all markets
Ensured all assigned facility and practitioner licenses and certifications are accurate and in good standing at all times
Patient Registration Supervisor
Walnut Hill Medical Center
04.2013 - 01.2017
Enhanced patient experience by streamlining the registration process and reducing wait times.
Implemented a new digital registration system, increasing efficiency and accuracy of records management.
Led a team of patient registration staff, ensuring consistent quality service and adherence to hospital protocols.
Reduced errors in patient data entry by implementing thorough training programs for all team members.
Collaborated with other department supervisors to improve overall hospital operations and patient satisfaction.
Developed performance metrics for the Patient Registration team, driving continuous improvement initiatives.
Patient Intake Coordinator
Parkland Hospital
02.2009 - 04.2013
Improved patient satisfaction by efficiently managing intake processes and addressing concerns promptly.
Streamlined appointment scheduling for increased patient convenience and reduced wait times.
Enhanced communication between patients, healthcare providers, and administrative staff to ensure seamless coordination of care.
Maintained accurate medical records, contributing to better-informed treatment decisions by healthcare providers.
Collaborated with interdisciplinary team members to optimize patient outcomes throughout the intake process.
Assisted in developing new procedures for efficient management of patient flow within the clinic setting.
Qualified Mental Health Professional (Crisis Residential Unit) at Denton County MHMR CenterQualified Mental Health Professional (Crisis Residential Unit) at Denton County MHMR Center