Summary
Overview
Work History
Education
Skills
Timeline
Generic

FELICIA STEVENSON

Bangor

Summary

Versatile experienced and Patient-focused Clinical Supervisor with more than 15 years of experience and background in various healthcare fields. Highly analytical, detailed oriented with proven abilities in staff management, clerical and clinical staff training and career development, insightful employee performance coaching, team building, and a collaborative representative in provider and health care profession relations. Driven by promoting positive team cohesiveness and team work dynamics. Eager to bring talent and expertise to growing department.

Overview

10
10
years of professional experience

Work History

Clinical Operations Supervisor

PCHC
08.2023 - Current


  • Directed day to day operations to drive healthcare goals, oversaw clinical staff, patient care, and maintained quality standards.
  • Investigated and reported special incidents, events, or complaints to Quality Department.
  • Spearhead monthly in services, staff meetings to educate staff and reinforce communication goals.
  • Reformed and improved front-desk policies and procedures, developing more efficient flow of office operations.
  • Created a plan to successfully meet quality metric measures.
  • Appraised performance and assisted in staff development.
  • Managed staff schedules to deliver quality care and services.
  • Lead and directed team of 18 clinical personnel and support staff.
  • Responded to crisis situations with calm and professional approach to optimize support.
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
  • Coordinated facilities management, human resources and payroll.

Provider Relations Specialist

Health First
03.2021 - Current
  • Deliver superior new hire experience by providing high level of customer service and maintaining quality throughout pre-employment onboarding process.
  • Ensure completion and accuracy of all pre-employment processes and forms according to policies and guidelines, while maintaining data integrity.
  • Audit all candidate information, verify background investigations and drug-test results, oversee fingerprinting and licensing processes as applicable as well as adhere to record retention guidelines.
  • Providing great customer service while answering questions and providing update status regarding any pre-employment onboarding
  • Communicated with internal resources and outside vendors regarding pre-employment requirements, including background checks, fingerprinting, drug tests, etc.
  • On-boarded new hires into PeopleSoft, processing of relocation paperwork, as applicable
  • Answered provider inquiries via email, telephone and written correspondence.
  • Facilitate orientation, complete I-9 work authorization verification, and compile new hire documents.
  • Work with Legal & Compliance, Background Screening, Human Resources Business Partners, Registrations, and Building Access to make sure that new hires are onboarded compliantly.
  • Monitoring onboarding systems to insure that hiring managers are completing necessary tasks in a timely manner
  • Established positive and effective communication among staff and organization leadership, reducing miscommunications and missed deadlines.

Claims Examiner

Health First Health Plans
03.2020 - 03.2021
  • Assess policy details to determine accurate coverage interpretation
  • Reviewed investigated and adjudicated claims and encounters for medical services through contractual provisions in accordance with provider contracts and authorizations
  • Met individual and department standards with regards to both quality and productivity goals in accordance with provider contracts and authorizations
  • Request and follow-up on additional information as needed for incomplete claims
  • Actively participates and supports department and organization-wide efforts to improve efficiencies while supporting departmental goals and objectives
  • Researched claims and incident information to deliver solutions and resolve problems.

HFHP Administrative Facility Support

HFHP Adminstrative Facility, Health First Health Plans
07.2019 - 03.2020
  • Help Manage facility related projects. i.e., with changes to department layouts, workspaces and cubicles Help manage and maintained relationships with facility vendors
  • Assist in organization and planning for HFHP meetings and events Process invoices, prepare purchase requests, and budget request Inspect office building for any improper functioning of office space
  • Corresponded directly with vendors to ensure quality and timely completion of scheduled work Manage and update excel spreadsheets for weekly meetings
  • Manage and keep updated seating chart's for 3 locations Back-up to Executive Assistants as needed
  • Enter IT and Facility related tickets daily
  • Audit intakes for provider disputes, triage, and web portals Responsible for onboarding, and scheduling of Food Truck Vendors
  • Responsible or Scheduling, and getting communication out for Bi monthly blood drives Manage and maintain Kitchen Cleaning schedule
  • Interact with Vendor's professionally by phone, email or in-person to provide information

Medical Assistant

Health First Medical Group
08.2013 - 07.2019
  • Proficient in tracking patient medical histories and vital signs as well as in administering injections Efficient handling of administrative duties (i.e., answering phones, scheduling appointments, maintaining medical records, billing, processing patients) while still focusing on health concerns of patients
  • Liaison between departments and ensuring proper communications and practices
  • Assist patients with obtaining their medical records from outside sources, make necessary appointments with regard to patients health (I.e., Ultrasound, MRI, lab work, CT, call in medication to patients' pharmacies (under doctors orders)
  • Gather and record all patient information including health insurance eligibility, referring physician, past medical information, and test results
  • Assist with patient procedures
  • Coordinate care with referrals to other providers and/or schedule outside services for patients Create and maintain charts, file, fax/mail record request by outside office/patients
  • Verify customer insurance benefits and handle pre-certification procedures to ensure patient insurance covers medical procedure
  • Accountable for collecting, posting, and managing account payments and charges for office visits, procedures, and labs
  • Monitored expiration of medical supplies and medications
  • Took advantage of opportunities for continuing education, quality assurance and performance improvement activities
  • Responsible for completing reconciliation list HFMG superuser

Education

Bachelor of Science - Advanced Allied Health Specialization

Eastern Florida State College
12.2023

CMA Certification -

Eastern Florida State College
Cocoa, FL
12.2007

Associate of Arts -

Eastern Florida State College
Melbourne, FL
12.2004

Skills

  • Excellent communication and writing skills
  • Strong analytical, problem solving, and organizational skills
  • Highly self-motivated, energetic, with drive for customer satisfaction
  • Profound ability to maintain confidentiality in all aspects of the job
  • Self-starter
  • Outstanding ability to work in a team environment and handle responsibilities
  • Ability to multi-task
  • Flexible
  • Works well under pressure
  • Familiarity with collecting, and compiling business data, and drafting reports
  • Great listener

Timeline

Clinical Operations Supervisor

PCHC
08.2023 - Current

Provider Relations Specialist

Health First
03.2021 - Current

Claims Examiner

Health First Health Plans
03.2020 - 03.2021

HFHP Administrative Facility Support

HFHP Adminstrative Facility, Health First Health Plans
07.2019 - 03.2020

Medical Assistant

Health First Medical Group
08.2013 - 07.2019

Bachelor of Science - Advanced Allied Health Specialization

Eastern Florida State College

CMA Certification -

Eastern Florida State College

Associate of Arts -

Eastern Florida State College

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FELICIA STEVENSON