ERICA JOHN
Binghamton,NY
Summary
Detail-oriented healthcare professional skilled in insurance authorization and patient transport management. Demonstrates strong communication and documentation abilities, ensuring compliance with HIPAA while effectively coordinating between clinical staff and insurance providers to enhance patient care.
Overview
16
16
years of professional experience
Work History
Personal Aide
Interim HealthCare
Johnson City, New York
11.2025 - Current
- Provided home care support to individuals with disabilities, illnesses, or limited mobility.
Assisted with activities of daily living, including bathing, dressing, grooming, and meal preparation.
Supported light housekeeping and transportation for appointments and community engagement.
Monitored and reported changes in patient behavior, mood, and health concerns to families.
Maintained a clean and safe environment for vulnerable individuals.
Respected client dignity and preferences while adhering to personalized care plans.
Managed documentation for timesheets, scheduling, and compliance with guidelines. Transporting patients to and from bed, commode, toilet, shower / bath. - Facilitated mobility and transportation for patients to medical departments, ensuring comfort and safety during transitions.
- Coordinated with nursing staff to streamline patient transfers and discharges, enhancing overall patient care and experience.
- Communicated effectively with patients to provide reassurance during transit.
- Ensured transport equipment and patient areas were consistently clean and organized to promote a safe and welcoming environment.
AUTHORIZATION SPECIALIST - INPATIENT / BEHAVIORIAL HEALTH / CHEMICAL DEPENDENCY
UNITED HEALTH SERVICES
01.2022 - Current
- Processed inpatient behavioral health and chemical dependency prior authorizations and continued stay reviews, ensuring timely approvals from insurance companies.
- Collaborated with treatment teams to gather essential clinical information, facilitating authorization approvals and improving patient care continuity.
- Verified insurance eligibility, benefits, and coverage for behavioral health admissions and substance use treatments, enhancing patient access to necessary services.
- Coordinated with utilization management to assess medical necessity and ensure compliance with payer guidelines.
- Documented all authorization notes, payer updates, appeal decisions, and admission status changes in EMR.
- Maintained current knowledge of payer rules, Medicaid managed care plans, and commercial insurance policies.
- Resolved authorization denials and escalated urgent cases to prevent care delays.
- Provided exceptional customer service to patients, families, and providers while safeguarding sensitive information.
CAREGIVER / PERSONAL ASSISTANT
PUBLIC PARTNERSHIPS LLC (PPL) / CDPAP
01.2022 - Current
- Assist with activities of daily living (ADLs) including bathing, dressing, grooming, meals and medication reminders.
- Delivered home care support to individuals with disabilities, illnesses, or limited mobility, enhancing their quality of life.
- Monitored and reported changes in patient behavior, mood, symptoms, or health concerns to family and care coordinators, ensuring timely interventions.
- Maintain a safe, clean, and supportive environment for vulnerable individuals.
- Respect client dignity, preferences, and independence following personalized care plans.
- Support light housekeeping, transportation to appointments, and community engagement tasks.
- Coordinated documentation for timesheets, scheduling, and compliance with PPL guidelines, maintaining accurate records and efficient care delivery.
Central Scheduling / Interim Manager
Wilson Dental
Binghamton, NY
10.2015 - 07.2020
- Scheduled patient appointments while optimizing dentist availability.
- Managed daily operations of dental practice to ensure smooth workflow.
- Supervised staff to foster collaboration and boost productivity.
- Implemented patient care protocols to elevate service quality.
- Coached and mentored team members to enhance job performance.
- Evaluated staff performance and provided constructive feedback regularly.
- Developed training programs for new employees in office procedures.
- Oversaw compliance with health regulations and safety standards in practice.
- Enforced customer service standards and resolved customer problems to uphold quality service.
- Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
- Trained employees on additional job positions to maintain coverage of roles.
- Coordinated with suppliers to maintain inventory and equipment readiness.
- Collaborated with nursing staff to ensure timely patient transfers and discharges.
- Monitored patient comfort and safety during transport within the facility.
- Communicated effectively with patients to provide reassurance during transit.
Office Manager
Dr. John Franconeri
Bayonne, NJ
05.2010 - 10.2015
- Managed daily office operations and maintained a professional work environment.
- Coordinated schedules and appointments for Dr. Franconeri and staff, optimizing time management for improved workflow.
- Developed and implemented office procedures to enhance efficiency.
- Trained new administrative staff on office protocols and systems.
- Oversaw office supply inventory and ordered materials.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Handled patient inquiries, ensuring timely communication with healthcare teams to enhance patient experience.
- Maintained accurate patient records in electronic health record systems.
- Facilitated meetings and prepared agendas, ensuring focused discussions and alignment among team members.
- Monitored payments due from clients and promptly contacted clients with past due payments.
Education
High School Diploma -
BAYONNE HIGH SCHOOL
BAYONNE, NJSkills
- Patient Care Coordination
- Assistance with Daily Living
- Patient Advocacy
- Patient Assistance
- Caregiver support
- Scheduling & Coordination
- Scheduling management
- Eligibility Verification
- EMR Systems (Epic/Dragonfly)
- EMR documentation
- Medical Terminology
- Medical terminology
- HIPAA Compliance
- Communication documentation
- Information verification
- Detail orientation
- Time management
- Compassionate Care
References
- Ann Robertson, United Health Services, 607-338-1211
- Caroline Richardson, PPL, 607-242-6947
Relevant Training
- HIPPA Compliance
- Behavioral Health Safety
- Crisis Intervention
- Medical Terminology
- CPR/First Aid
Timeline
Personal Aide
Interim HealthCare
11.2025 - Current
AUTHORIZATION SPECIALIST - INPATIENT / BEHAVIORIAL HEALTH / CHEMICAL DEPENDENCY
UNITED HEALTH SERVICES
01.2022 - Current
CAREGIVER / PERSONAL ASSISTANT
PUBLIC PARTNERSHIPS LLC (PPL) / CDPAP
01.2022 - Current
Central Scheduling / Interim Manager
Wilson Dental
10.2015 - 07.2020
Office Manager
Dr. John Franconeri
05.2010 - 10.2015
High School Diploma -
BAYONNE HIGH SCHOOL