JENETTA BOWIE
San Antonio,TX
Summary
Results-driven, enthusiastic, creative, healthcare professional with extensive experience in many facets of healthcare and administration. Excellent problem solver with a strong orientation in customer service and patient care support. Able to work under pressure in fast-paced, time-sensitive environments. Display abilities in assessing problem areas and offering recommendations resulting in increases in productivity and profitability. My background encompasses strong leadership skills, as well as the ability to establish, build and maintain positive relationships with patients and insurance providers. Demonstrate outstanding oral and writing skills, coupled with high energy and an upbeat attitude while working with team members and management.
Overview
10
10
years of professional experience
Work History
Remote Intake Coordinator
UnitedHealth Group
10.2022 - Current
- Applies knowledge/skills to activities that often vary from day to day, demonstrates a moderate level of knowledge and skills in own functions, requires little assistance with standard and non-standard requests
- Solves routine problems on my own, works with team lead and supervisor to solve more complex problems
- Prioritize and organize my own work to meet agreed upon deadlines, works with others as part of a team
- Responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team
- Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff
- Manages the referrals process, processes incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles.
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- **SPECIAL CLAIMS PROJECT** WELLMED CLAIMS CUSTOMER SERVICE - provided general claims support with the ability to thoroughly review, analyze and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations and process them for payment. Navigate across various computer systems to locate critical information - heavy call volume- including claims review, research, problem resolution, negotiating and making adjustments to claims submitted in a proprietary claims server system.
Team Lead - OR Surgery/Radiology/Cardiology
Florida Hospital Carrollwood
03.2014 - 04.2016
- Verify eligibility, coordination of benefits, referrals, authorization, correct billing addresses, web portals and fax numbers for all payers, including the Veterans Administration, Tricare and Champva. The VA later developed the Community Care Network with Optum, as the third party administrator, so that veterans had a wider range of care options. Assure that surgical information is accurate and complete. Then submitted via the computer system to all surgical areas and other departments requiring notification; accept and document all special requests. All requests for specific anesthesiologists and monitored anesthesia schedule for any conflicts; assure effective utilization of the surgical suites and anesthesia time/procedures. Utilize and maintain the standby schedule to replace patient canceled from the daily schedule; communicate planned schedule changes and coordinate requested support services such as imaging; verify surgery schedule, including patient admission status, in all surgical areas, work varied shifts as requested by manager. Call in the OR teams for MOR, CVOR, WCOR, CWOR and Endoscopy for emergency cases; manage on-call schedule for all departments and notify department managers; responsible for after-hours scheduling of emergency add-ons and next day add-ons/changes. Contact case carts for emergencies.
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Coached team members in techniques necessary to complete job tasks.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Worked different stations to provide optimal coverage and meet production goals.
Education
Bachelor of Arts - Alternative And Complementary Medicine And Medical Systems
Ashford University
San Diego, CA12.2024
Skills
- Microsoft Office
- Critical Thinking
- Multitasking and Organization
- Relationship Building
- Strong Leadership Skills
- Adaptability
- Coaching and Mentoring
- Staff Training
- Time Management
- Conflict Resolution
- Customer Service
- Attention to Detail
Timeline
Remote Intake Coordinator
UnitedHealth Group
10.2022 - Current
Team Lead - OR Surgery/Radiology/Cardiology
Florida Hospital Carrollwood
03.2014 - 04.2016
Bachelor of Arts - Alternative And Complementary Medicine And Medical Systems
Ashford University