JAIME KERTH UTT

• Conduct outreach and engagement for eligible patients for ECM enrollment.
• Complete Comprehensive Health Assessments (CHA) to identify medical, behavioral, and social needs.
• Develop and update individualized care plans based on patient goals and barriers.
• Coordinate care between PCPs, specialists, behavioral health, hospitals, and community agencies.
• Perform Transition of Care (TOC) follow-ups after ER visits or hospital discharges.
• Assist patients with appointment scheduling, transportation, referrals, and follow-up care.
• Connect patients to community resources such as housing, food, utilities, IHSS, and financial assistance.
• Help patients obtain DME (wheelchairs, walkers, braces, heating pads, etc.).
• Monitor chronic conditions and support goals like BP control, A1c improvement, pain management, and mental health stability.
• Provide education on medication adherence, preventive care, and self-management.
• Document all patient interactions, PGIs, and care coordination activities in the EMR.
• Advocate for patients to reduce barriers to care and improve overall health outcomes.

Key skills: communication, documentation, care planning, resource navigation, patient advocacy, time management, and teamwork.

• Welcome, greet patients as they walk through the door, and give them the proper paperwork and UDS when needed.
• Keep patients updated on their wait time, and offer water.
• Answer all calls throughout the day in a professional manner, and direct messages to providers and staff through Teams.
• Place calls to the pharmacy to update and cancel the patient's Rx.
• Enrollment of new patients thoroughly involves explaining the program treatment and attendance requirements, checking insurance eligibility, capturing pictures to add to the patient profile, and entering demographics.
• Provide stellar customer service when assisting patients in creating appointments, either in the office or over the phone.
• Returning patients' phone calls in a timely manner.
• Maintain a safe and clean work environment by complying with procedures, rules, and regulations.
• Uphold the company vision and values by catering to patients in their time of need, by going above and beyond to help assist patients.
• Perform other duties consistent with the above responsibilities.

• Answering all incoming calls, routing calls to delegated staff
• Providing patient information for appointment and referrals, and authorization
• Scheduling appointments for new and existing patients
• Verifying insurance benefits and eligibility
• Checking in and out patient and assisting visitors at the front desk
• Collecting copays and past due balances
• Verifying, imputing patient demographics, information while scheduling patient appointments
• Updating new and existing patient demographics by helping patient's complete patient packet forms
• Uploading patient medical records to appropriate charts, maintaining and distributing medical records, and ensuring that record-keeping procedures follow health privacy laws and facility policies.

• Responsible for all vaccine management, training, ordering, receiving, storing and monitoring
• Instruct patients with physicians' instructions, ensure all reports, labs, information, and medical records are up to date and available at all time
• Escorted patients to exam rooms, interviewed, take vitals, and document all data
• Act as liaison between physicians, patients, insurance providers and outside services
• Maintain all logs and required checks for VFC, private, emergency and expired medications along with oxygen and refrigerator temperatures
• Prepare and maintain patient referrals and authorizations while working with providers and insurance carriers
• Schedule and confirm appointments, surgeries, consultations and follow up referrals were kept and received
• Verify insurance and create superbills
• Prepare and maintain exam rooms, supplies, and instruments
• Ensure complete and accurate registration using excel
• Assemble information pertaining to patients (per guidelines) and provide to specialists
• Contact organizations and insurance companies to ensure prior approval requirements are met
• Review referral details and expectations with patients
• Assist patients in solving potential issues related to health care, financial situations and social barriers
• Point of contact for patients and family questions and concerns.
• Completed bi-weekly payroll for [Number] employees.