Jacqueline O'Rourke
Parker
Summary
Healthcare professional with 13 years of comprehensive background in transitional medical care coordination. Proven ability to manage patient transitions effectively, ensuring continuity of care and positive patient outcomes. Expertise in insurance claims processing and medical scheduling, ensuring optimal patient care and service retention. Skilled in utilizing applicable systems to streamline operations and improve patient outcomes, with a commitment to innovative solutions in healthcare delivery. Highly collaborative team player known for adaptability and results-driven approach. Skilled in patient advocacy, communication, and care planning.
Overview
13
13
years of professional experience
Work History
Patient Transitional Care Coordinator
Optimal Home Care
02.2014 - Current
- Proficient in the implementation of comprehensive medical services and dedicated to ensuring the consistent retention of these services for patients.
- Skillful in providing expert guidance to patients concerning healthcare and medical services as prescribed by their physician.
- Coordinating care to resume services when patients are sent out to hospital or rehab facility.
- Building relationships with care coordinators and social workers at hospitals and skilled nursing facilities while following up on current patients.
- Reviewing orders and uploading documents for our intake department.
- Communicating with scheduling and intake department to ensure patients are seen in a appropriate time.
- Checking all hospital portals ( Epic, AllScripts, Navi) for communication and orders.
- Proven ability to effectively negotiate and promote agency services, aligning them with physician recommendations to achieve optimal patient care.
- Demonstrated expertise in advising patients about their insurance benefits, particularly in relation to the level of care required.
- In-depth understanding and proficiency in navigating Medicare and other relevant health insurance benefit systems.
- Exceptional capability in managing a demanding daily call volume of over 60 calls, maintaining high-quality interactions with patients and stakeholders.
- Efficiently manage and coordinate Durable Medical Equipment (DME) orders to ensure timely and appropriate supply for patients' needs.
- Highly skilled in orchestrating the seamless coordination of medical care, overseeing the execution of daily care plans.
- Proficiently oversee the management of medical services transitions, ensuring continuity of care and facilitating post-hospitalization support.
- Advocacy Administrative Care award 2024
- Respect Administrative care award 2023
Insurance Processor
Clear Vision
10.2012 - 02.2014
- Diligently managed the end-to-end processing of insurance claims while providing exemplary client services.
- Skillfully processed insurance claims with meticulous attention to detail.
- Facilitated seamless communication and rapport with clients, addressing inquiries and concerns promptly.
- Collaborated with cross-functional teams to ensure timely and accurate claims resolution.
- Assisted clients in navigating complex insurance processes, enhancing their overall experience.
Education
High school diploma -
Chaparral High School
Parker, COundefined
Arapahoe Community College
Littleton, CO01.2010
Skills
- Exceptional interpersonal and communication skills, fostering positive relationships with clients and colleagues
- Demonstrated inside sales expertise, driving revenue growth through effective sales strategies
- Proven retention abilities, ensuring client satisfaction and loyalty
- Proficient in negotiation techniques, paying meticulous attention to detail in all interactions
- Competent in Medical Scheduling, optimizing appointment management for efficient patient care
- Strong command of Medical Terminology, enhancing comprehension and communication within healthcare settings
- Dedicated to providing top-tier customer support, resolving issues and inquiries with professionalism
- Experienced in developing and implementing comprehensive care plans, ensuring optimal patient well-being
- Proficient in obtaining consent for treatment, upholding ethical and legal standards in healthcare practice
- Care planning
- Quality improvement
- Clinical assessments
- Problem-solving
- Organizational skills
- Effective communication
Timeline
Patient Transitional Care Coordinator
Optimal Home Care
02.2014 - Current
Insurance Processor
Clear Vision
10.2012 - 02.2014
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Arapahoe Community College
High school diploma -
Chaparral High School
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