Felicia Tunstall
Lutherville Timonium,MD
Summary
Health Specialist with education and 15 years of experience in clinical operations and healthcare delivery, supporting organizational implementation and maintenance of health delivery regulatory compliance and best practices. Remarkable knowledge of medical terminology and HIPAA regulations.Strong commitment to exemplary customer service and maximizing patient safety and satisfaction.
Overview
14
14
years of professional experience
Work History
Insurance Coordinator
LifeWorks
07.2021 - Current
- Conducts telephonic consultations with clients seeking resources for behavioral health and social service issues not covered by EAP
- Coordinates with insurance carriers to obtain the most up-to-date information about specific policies and to obtain the most up-to-date information on policies
- Informs clients by explaining procedures; answering questions; providing information
- Maintains communication equipment by reporting problems
- Maintains and improves quality results by adhering to standards and guidelines, recommending improved procedures
- Contact behavioral health care providers to confirm their availability and ability to work with insurance policies and support specific presenting issues
- Delivers a clear, concise list of approved resources best positioned to help the client.
Resource Service Coordinator
Resource Connections, Inc.
08.2020 - 02.2023
- Assist individuals with disabilities and their families to find the most appropriate services and support within available resources once they have been authorized for services funded by the Developmental Disabilities Administration
- Advocate with individuals to assure rights; monitor and act as a third-party advocate for implementing and satisfaction with services and health and safety assurance.
Director of Admissions
United Community Supports of MD
10.2021 - 12.2021
- Recruit individuals with developmental disabilities and coordinate the enrollment process with clients, families, and referral sources to ensure all aspects of the admissions process
- Composed budgets and P & L statements; responsible for completing and distributing weekly/monthly/quarterly reports
- Develop and implement ideas/programs to increase the efficiency of departments
- Maintain staffing levels, interview, hire, and train staff members to maximize productivity and minimize turnover.
Health Information Specialist
General Dynamics Information Technology, Inc.
02.2020 - 10.2021
- Contracted for the CDC Vaccine Adverse Event Reporting System (VAERS), accessing VAERS VPN
- Collected critical information on VAERS reports from patients and multiple medical facilities
- Reviewed and analyzed data from 25-30 reports of adverse events after administering US-licensed vaccines
- Collided w/ team regarding updated new procedures being implemented
- Monitored assigned caseload while providing support, referrals, and answers to questions that patients/families may have.
Registry Support Specialist
CHAMPS Oncology
03.2019 - 03.2021
- Monitor and obtain patient outcome (follow-up) information, including but not limited to disease status or recurrence
- Provide required weekly, monthly, and quarterly reporting to appropriate personnel (i.e., work logs, timecards, registry status reports, etc.)
- Responsible for correspondence needed with physicians’ offices or other hospitals via phone, mail, or fax for the patient's last date of contact.
Service Coordinator
Service Coordination
10.2017 - 06.2019
- Assist individuals in identifying life goals and specific preferences and utilizing community connections and natural support networks
- Coordinated Person-Centered Planning, specifying preferences, supports, and services for each assigned individual
- Participate in activities that promote community awareness and acceptance of people with disabilities that promote and enhance skills and professional development
- Specific content to build knowledge on disabilities of the population served.
Service Coordination Associate
The Coordinating Center
10.2015 - 10.2017
- Established and monitored Plan of Services, Reportable Event Reports, Mortality Reviews, ER Visitations & Hospitalizations
- Performed data analysis for the Quality Division and developed Quality reports as an excel spreadsheet to provide recommendations to benefit the organization's workload and structure
- Processed Waivers, Authorizations, 257's, MFP, OTP, DME/EM referral process, chart reviews, coverage for Intake division, and Medical Assistance Applications with Maryland Department of Health.
Nursing Assistant Health Technician
U.S. Department of Veterans Affairs
10.2014 - 10.2015
- Provided technical nursing care to geriatric patients according to the plan of care established by their registered nurse to increase their quality of life
- Conduct necessary vital signs, including blood pressure, blood glucose reading, weight, height, temperature, insertion of Foley Catheter, Tube Feeding (Manually or by Programmed Machine), and any other assigned items
- Processed patients’ data into their electronic medical files to increase access when providing health care
- Trained and orientated new nursing assistants/ techs as they were brought on board to ensure policies and procedures were enforced accurately.
Nursing Assistant
Hospice of the Chesapeake
10.2009 - 10.2014
- Provided patient care needs to terminally ill patients in homes and occasionally in medical facilities
- Provided clerical and administrative support and assistance to the Nursing Staff in all administrative aspects of the day-to-day operations
- Documented all encounters, schedules, and calendar maintenance, maintained relevant project logs, travel logs, equipment stocking, and preparation, and relayed pertinent project information to the Registered Nurse or Social Worker
- Assisted Intake Coordinator with processing all referrals and distribution of information, verifying services delivered and ensuring a smooth transition from hospital to home health care hospice services
- Assisted Volunteer Coordinator with recruitment Volunteers, especially during company events, i.e., Hospice Gala.
Education
Bachelor of Science - Health Care Management Health Informatics
Colorado Technical University
Colorado Springs, CO06.2017
Associates of Science - Health Care Administration
Colorado Technical University
Colorado Springs, CO11.2015
Skills
- Customer Service and Assistance
- Medicare and Medicaid Knowledge
- Strategic Thinking Skills
- Insurance Verification
- Data Entry
- Customer Service
- Teamwork and Collaboration
- Recordkeeping Organization
- Records Management
- Microsoft Office
- Medical Terminology
- Attention to Detail
- Patient Relations
- Patient Assessments
- Electronic Charting
- Supply Restocking
- Quality Assurance
- Patient Feeding
- Medication Administration
- Vital Sign Monitoring
- Specimen Collection
- Case Management
- Client Documentation
- HIPAA
- Recruitment
- Organization and Multitasking
- Court Mandated Reporter
- Home Visits and Inspections
- Regulatory Compliance
- Administrative Coordination
- Chart Management
- Data Management
- Problem-Solving
- Clerical Support
- Call Control
- Interpersonal Skills
- Call Center Operations
- Inbound Phone Calls
- Outbound Phone Calls
- Call Center Customer Service
- Utilization Review
- Referral Coordination
- Care Coordination
- Client Advocacy
- Health History Documentation
- EMR / EHR
Timeline
Director of Admissions
United Community Supports of MD
10.2021 - 12.2021
Insurance Coordinator
LifeWorks
07.2021 - Current
Resource Service Coordinator
Resource Connections, Inc.
08.2020 - 02.2023
Health Information Specialist
General Dynamics Information Technology, Inc.
02.2020 - 10.2021
Registry Support Specialist
CHAMPS Oncology
03.2019 - 03.2021
Service Coordinator
Service Coordination
10.2017 - 06.2019
Service Coordination Associate
The Coordinating Center
10.2015 - 10.2017
Nursing Assistant Health Technician
U.S. Department of Veterans Affairs
10.2014 - 10.2015
Nursing Assistant
Hospice of the Chesapeake
10.2009 - 10.2014
Bachelor of Science - Health Care Management Health Informatics
Colorado Technical University
Associates of Science - Health Care Administration
Colorado Technical University
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