Cerner
JaNae Carr
Healthcare Coordination and Training
Terrell,TX
Summary
Quality Coordinator with management experience, providing training to new hires, while performing quality
audits to ensure proper billing and collections. Reliable worker with great interpersonal skills and knowledge
of office procedures. Efficient in a fast-paced environment with ability to multi-task. Quick learner, tech
savvy, familiar with computer systems including Microsoft, G-suite, Salesforce, and Slack.
Overview
10
10
years of professional experience
Work History
Care Coordinator II
Included Health
12.2022 - 02.2024
- Have full ownership of member requests to support them through their entire healthcare journey including helping members to find culturally competent providers, answering health plan benefits questions, and connecting members to relevant resources via investigative measures
- Proactively and creatively solve complex member issues, both independently and with other care team members, to reach the best possible outcome for members
- Advocate for members with vendors, health plans, and other organizations
- Communicate with members in a timely manner and follow up on their requests diligently
- Communicate via chat, email, and/or phone with members, providers’ offices, health plans, and other organization
- Learn and become proficient in all operational tools including member CRM, workflow management tools, telephony systems, and G-Suite
- Build out resources to be utilized within the team and for members
Quality Coordinator
East Alabama Medical Center
09.2020 - Current
- Ensure accurate information obtained post registration process via investigative measures
- Verify insurance to ensure insurance requirements met to prevent denials
- Identify, log, and correct errors
- Coordinate with staff for on-going training as it pertains to audits
- Ensure compliance to departmental policies and procedures
Patient Information Quality Coordinator/Educator
EAMC
03.2018 - 09.2020
- Conduct on boarding/on-going training for the Registration Department, including but not limited to: basic registration/computer skills, Cerner training (revenue cycle/scheduling/FirstNet), insurance verification (identify precert requirements/obtain precerts), collections and basic CPT/ICD10 training
- Conduct extensive insurance payer training, including Medicare, Medicaid, BCBS, and commercial insurance
- Ensure compliance to policies and procedures by supervising employees during live-site training, post live- site training, and as needed, when other management is unavailable
- Coordinate informational meetings designed to provide continued educational opportunities to the department
- Participate in human resource management, personnel and professional development
Registration Representative
EAMC
10.2014 - 03.2018
- Greet and register patients as appropriate for services
- Ensure correct demographic and insurance information received for patients
- Perform general administrative duties and office procedures, such as filing, answering phones, and scanning documents
- Perform general financial duties to include accounts payables, account receivables and reconciliation
- Verify insurance, including obtaining precertification
- Train new hires, including shadowing as a “Super User”
Education
Bachelor of Science - Exercise Science
December 2016
National Society of Leadership and Success – Executive Board: IT Coordinator
Associate of Science - Applied Science
May 2014
Skills
- Customer Service
- Monitoring Data Quality
- Policy and Procedure Implementation
- Critical Thinking Skills
- Effective Prioritization
- Quality Improvements Implementation
- Document Quality
- Best Practices and Standards
- Quality Performance Measures
- Educational Materials
- Reading Comprehension
- Employee Performance Reviews
- Leadership Proficiency
- Audit Compliance
- Documentation Management
- Quality Education
- Training and Development
- Train Staff
- Insurance Plan Verification
- Insurance Terminology
- Prior Authorization Processing
- Patient Contact
- Medical Terminology
Software
Salesforce
Slack
G-Suite
Microsoft Suite
Mac
Clearwave
Timeline
Care Coordinator II - Included Health
12.2022 - 02.2024
Quality Coordinator - East Alabama Medical Center
09.2020 - Current
Patient Information Quality Coordinator/Educator - EAMC
03.2018 - 09.2020
Registration Representative - EAMC
10.2014 - 03.2018
Columbus State University - Bachelor of Science, Exercise Science
Southern Union State Community College - Associate of Science, Applied Science