Diligent Case Management Assistant with strong background in administrative support within healthcare settings. Proven ability to manage patient records efficiently while ensuring compliance with confidentiality standards. Demonstrated proficiency in multitasking and communication skills, enhancing team collaboration and patient care.
Overview
19
19
years of professional experience
Work History
Unit Secretary
Encompass Health Rehabilitation Hospital
11.2024 - Current
Coordinated patient admissions and discharges to ensure smooth workflow within nursing unit.
Facilitated communication between healthcare providers, patients, and families to enhance care coordination.
Coordinated transportation services for discharged patients when needed, ensuring safe arrivals at their destinations.
Maintained strict confidentiality of patient information in compliance with HIPAA regulations.
Provided exceptional customer service to patients and families through empathetic listening and clear communication skills.
Participated in unit meetings, offering valuable input on process improvements and patient care initiatives.
Managed inventory of unit supplies, placing timely orders to maintain adequate stock levels.
Expedited discharge processes, coordinating necessary paperwork and appointments for optimal patient satisfaction.
Enhanced communication between nursing staff and physicians by promptly relaying critical information.
Contributed to efficient unit operations by accurately scheduling patients diagnostic tests and outside procedures.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Assistant Case Manager
Encompass Health Rehabilitation Hospital
03.2024 - 11.2024
Assisted in development of a new hospital that tailored to CM needs and goals.
Coordinated case management activities, ensuring timely communication with patient & team members.
Monitored discharged patients progress and maintained accurate records in case management systems.
Collaborated with multidisciplinary teams for comprehensive patient support and care coordination.
Enhanced communication between patients, families, and therapy team by maintaining accurate and up-to-date case records.
Subrogation Examiner
Anthem B.C.B.S.
03.2018 - 10.2022
Investigated valid Subro files to identify legal liability, verify information on injury claims, & evaluate recovery potential for our dedicated ERISA groups.
Researched CPT/ICD 10 codes in claims for accident indicators & necessary details.
Openly communicated daily with attorneys, insurance companies, and our members.
Prepared appropriate reimbursement right letters of interest to be sent out.
Trained new associates for Subrogation Examiner and Analysts.
Met individual & team productivity and recovery monthly, quarterly, & annual goals.
CCR II
Anthem B.C.B.S.
12.2017 - 03.2018
Participates in group chats within teams to help with open communication, knowledge sharing, and ways to improve efficiencies among customer services.
A leading representative in MCC usage.
Participates in training/mentoring new hires.
Assists and guides our new hire class with inventory to ensure quality and compliance in customer service worksheets.
CCR I
Anthem B.C.B.S.
04.2017 - 12.2017
Answers calls for a dedicated commercial PPO group with the state of Kentucky that has 250 thousand members.
Followed up with members in a timely manner after resolving claims issues or researching policy questions.
Leader in MCC model.
Culinary Manager
Chilis Bar & Grill
05.2010 - 04.2017
Responsible for interviewing, hiring, & training of new team members.
Trained new hire managers in the only Louisville training store.
Responsible for scheduling and task assignment for the front of house, back of house, and bar staff.
Oversaw the procurement & inventory need of supplies & equipment valued in excess of $250,000 monthly.
Responsible for organizing my kitchen, storage, inventory, walk in cooler/freezer and training all team members and colleges for all new roll outs.
Head Bartender and Server Trainer
Chilis Bar & Grill
03.2007 - 05.2010
Skills
Two decades of customer service expertise
Clear communicator
Strong organizational skills
Effective multitasking
Effective time management
Proven background in management and staff development
Proficient in many CS, Subrogation, & Coding based software as well as Microsoft Office
Area Controller at Encompass Health Rehabilitation Hospital of Toledo & The Rehabilitation Hospital of Western WisconsinArea Controller at Encompass Health Rehabilitation Hospital of Toledo & The Rehabilitation Hospital of Western Wisconsin
Licensed Practical Nurse (LPN) at Encompass Health Rehabilitation Hospital of Fort SmithLicensed Practical Nurse (LPN) at Encompass Health Rehabilitation Hospital of Fort Smith