Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Strong leadership skills. Willingness to take on added responsibilities to meet team goals. Eager to learn all aspects of the department. Well rounded candidate with Health Experience and some Human Resource background. Excellent communication and computer skills.
Overview
17
17
years of professional experience
Work History
Medicaid Specialist/Bookkeeper
Genesis Skilled Nursing Facility-Dunbar Center
Dunbar, WV
12.2022 - Current
Scheduled appointments with applicants to gather information and explain benefits processes.
Interviewed applicants and explained scope of different available benefits.
Assisted clients with completion of applications and paperwork.
Worked well in a team setting, providing support and guidance.
Worked effectively in fast-paced environments.
Worked Accounts payable for the center.
Managed resident RFMS(Resident Fund Petty Cash) Accounts.
Managed Center Petty Cash account
Monitor Spending Accounts
Collection of payments
Process payments
Ensure business office is in compliance with state audit regulations
work with funeral homes, DHHR and other outside agencies to help assist residents with Medicaid..
Discuss with resident and family insurance coverage
Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
Communicated with people from various cultures and backgrounds on application process.
Use multiple computer websites and prorgans to determine eligibility..
Patient Services Coordinator
Amedisys Home Health
Charleston , WV
10.2020 - 12.2022
Work closely with a large team of multi discipline clinicians. Assisting in their individual schedule needs with their patients broken down weekly in a 60 day episode. Working with the patient to provide the best schedule that accommodates their needs as well.
Complete tasks in workflow console- scheduling visits, patient calls, services are scheduled to match doctors orders, referrals completed and scheduled based on medical need, billing codes are correct
Correspond with hospitals and other facilities where patients are located if necessary.
Obtaining signed documents uploading to charts electronically. HIPPA and PHI related information
Nursing Home PAS CSR
KEPRO
CHARLESTON , WV
02.2020 - 10.2020
Keyed in Medicaid/CHIP Prior Authorizations and Nursing Home Prior Authorizations requests in C3 system.
Communicated via phone/fax/email with physician offices, hospitals, patients, and social workers.
Collected and analyzed customer information to prepare authorization requests and other service reports.
Updated account information to maintain customer records.
Answered customer telephone calls promptly to avoid on-hold wait times.
Increased efficiency and team productivity by promoting operational best practices.
Cross-trained and backed up other customer service managers.
Nurse Extern
CAMC Memorial Hospital
CHARLSTON , WV
06.2019 - 02.2020
Maintained continuity of care by communicating changes in patient condition with physicians, family members and other care team members.
Assisted with activities of daily living by helping patients with bathing, changing clothes, eating and daily hygiene tasks.
Communicated with patients to ascertain feelings and need for assistance or social and emotional support.
Assessed patients and assisted in devising treatment methods designed to reduce pain and discomfort.
Applied clean dressings, slings, stockings and support bandages to protect patient wounds and prevent infections.
Collected, labeled and transported specimens to prepare for laboratory testing.
Practiced patient care by taking vital signs and providing wound care for patients.
Recorded vital signs and intake and output of patients and documented information in CAMC system.
Correctional Officer
Tiger Morton Juvenile Center
Dunbar, WV
11.2014 - 07.2015
Tracked inmates through head counts, visitor logs and scheduled activities.
Observed and supervised inmates throughout visits, meal time, recreation, phone calls and showers.
Booked new inmates into facility and processed inmates for release.
Completed intake paperwork, and searches.
Observed behavior of residents individually and in groups.
Escorted inmates to and from cells, court, hospitals and medical appointments.
Prepared, processed and maintained forms, reports, logs, records and activity journals.
Worked control room via CCTV monitors and walk byes.
Attended/observed class for minor inmates
Loss Prevention Manager
Lowes Home Improvment
Barboursville, WV
07.2006 - 10.2012
Extensively trained loss prevention staff, retail managers and store employees on loss control and prevention measures.
Collaborated with law enforcement in investigating and solving theft and fraud cases.
Collaborated with law enforcement to detain and prosecute theft perpetrators, appearing in court hearings to provide honest and full eyewitness testimony of events.
Attentively monitored store and surrounding areas for signs of attempted theft by customers or personnel, intervening when necessary.
Monitored paperwork procedures to prevent error-related losses.
ORC (Organized Retail Crime) Captain for 11 stores.
Surveillance via CCTV
Investigated Internal and External Fraud
Education
RN Program
BridgeValley Community And Technical College
Charleston, WV
RN Program
West Virginia University At Parkersburg
Parkersburg, WV
High School Diploma -
Buffalo High School
Buffalo, WV
Nurse Assistant
Putnam Career And Technical Center
Eleanor, WV
Associate of Applied Science - Criminal Justice
West Virginia State University
Institute, WV
12.2005
Skills
Microsoft Office
Non Violent Crisis Intervention
Medical Terminology
Communication
Management
Multitasking
HIPPA/PHI
Timeline
Medicaid Specialist/Bookkeeper
Genesis Skilled Nursing Facility-Dunbar Center
12.2022 - Current
Patient Services Coordinator
Amedisys Home Health
10.2020 - 12.2022
Nursing Home PAS CSR
KEPRO
02.2020 - 10.2020
Nurse Extern
CAMC Memorial Hospital
06.2019 - 02.2020
Correctional Officer
Tiger Morton Juvenile Center
11.2014 - 07.2015
Loss Prevention Manager
Lowes Home Improvment
07.2006 - 10.2012
RN Program
BridgeValley Community And Technical College
RN Program
West Virginia University At Parkersburg
High School Diploma -
Buffalo High School
Nurse Assistant
Putnam Career And Technical Center
Associate of Applied Science - Criminal Justice
West Virginia State University
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