Jaymi-Reigh Dark
The Colony,TX
Summary
Experienced healthcare professional at Cook Children's Home Health with strong leadership skills, dedication to high-quality care, and meticulous attention to detail. Established as a capable leader and staunch patient advocate. Demonstrated ability to lead teams and deliver exceptional care. Prioritizes patient well-being and advocates for their needs, making a positive impact on their lives. Committed to excellence and continuous professional growth, staying up-to-date with the latest advancements in healthcare.
Overview
7
7
years of professional experience
Work History
HH Admin Train/Education/Audit Assistant
Cook Children's Health Care System
11.2020 - 10.2021
- Providing comprehensive new hire training encompassing Home Health/Healthcare System policies, State and Federal regulations, documentation training, and computer software training
- Providing continuous training for field and administrative staff
- Developing and implementing all training materials and templates for staff
- Monitoring of quarterly compliance, policy education, and competency validation for all billing and administrative staff
- Conducting audits of billing and administrative departments to ensure compliance with corporate policies and State and Federal regulations
- Coordination of quarterly staff meetings to accommodate remote, field, and on-site staff
- Granting and tracking system access across 50+ sites for all administrative staff and field staff
- Collaboration with department managers to enhance existing processes.
Orthotic and Prosthetic AR
Cook Children's Health Care System
10.2015 - 11.2020
- Obtain benefit eligibility information and prior authorization from all third-party payers
- Verify insurance coverage and update all applicable systems
- Manage the unbilled revenue report to ensure all claims are released and processed in a timely manner
- Run a weekly audit report to ensure that all patients are being addressed
- Submit appropriate documentation to Medicaid, MCOs, and commercial insurance carriers for prior authorization requests
- Audit HDMS accounts to ensure that patient information is accurate and up to date
- Assist clinicians during evaluations
- Provide financial counseling for families
- Track clinical documentation sent to physicians and follow up if needed
- Schedule patients for initial evaluations
- Work with and develop relationships with charitable organizations
- Serve as a point of contact for all charitable organizations
- Screen incoming referrals to ensure they meet all necessary criteria.
Medical Records Clerk
Cook Children's Health Care System
01.2015 - 10.2015
- Perform preliminary analysis of patient chart to ensure all documentation has been received
- Perform daily audit analysis for monthly CQI reports
- Report chart discrepancies to CBO manager
- Responsible for the processing of subpoenas and affidavit requests of patient files
- Discharging patients from services or agency in all applicable systems
- Responsible for scanning documentation into patient chart
- Organize and prepare patient documents
- Accurately merge duplicate accounts
- Assist in locating documentation for all staff.
Education
High school diploma or GED -
Tarrant County Community College
Skills
- DISPUTE RESOLUTION
- Typing
- Customer service
- Medical Terminology
- Medical Records
- Medical Office Experience
- Insurance Verification
- Administrative Experience
- ICD-10
- Medical Billing
- Anatomy Knowledge
- Patient Care
- HIPAA
- Data Entry
- Account Reconciliation Proficiency
- Continuous Improvement Mindset
- Pastry preparation
- Sanitation Practices
- Food Safety
- Holiday baking
- Traditional baked goods
Timeline
HH Admin Train/Education/Audit Assistant
Cook Children's Health Care System
11.2020 - 10.2021
Orthotic and Prosthetic AR
Cook Children's Health Care System
10.2015 - 11.2020
Medical Records Clerk
Cook Children's Health Care System
01.2015 - 10.2015
High school diploma or GED -
Tarrant County Community College
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