ERICA N REVONER

• Collaborated with different home health offices to obtain necessary clinical information for Physical, Occupational, and Speech Therapies as well as RN, Home Health, and Social Work prior authorization submissions.

Provide specialty service care coordination to members. Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services. Responsible for the total care plan, encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules.

• Created, documented and updated company policies to guide front office personnel in service excellence and industry best practices.
• Established and updated work schedules to account for changing staff levels and expected workloads.
• Coached employees through day-to-day work and complex problems.
• Assisted staff with troubleshooting and resolution of software and hardware issues to minimize downtime.
• Assisted with interviewing potential employees by asking appropriate questions and providing feedback after interviews.

• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
• Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
• Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
• Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
• Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
• Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
• Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.

• Delivered top-notch administrative support to office staff, promoting excellence in office operations.
• Handled mail, packages, emails, document transmissions and other types of data with both manual and automated tracking strategies.
• Sorted, opened and routed incoming correspondence and deliveries to help senior leaders respond quickly to business and customer requirements.
• Created and updated physical records and digital files to maintain current, accurate and compliant documentation.
• Handled incoming and outgoing mail.
• Maintained supplies inventory by checking stock to determine inventory level and ordering new supplies when inventory runs lows.