Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Also willing to relocate
Overview
24
24
years of professional experience
1
1
Certification
Work History
Director of Intake and Alternate Administrator
Abiding Home Health Of Oklahoma
08.2015 - Current
RCD -Pre-Claim Review - 98-99% Affirmation rate
Face to Face Coordinator- created in timely manner and compare to coding for accuracy
Oasis - Export and Importing to IQIES
OIG-Monthly check for staff and physicians
Intake referrals- full process start to finish -coordination of care, eligibility, authorization
Insurance Authorizations- Aetna, BCBS, Humana
Office / Staff compliance in processes
Daily Reports- Pending/Current working referrals
Daily Staff Meetings to coordinate day and triage what needs to be addressed
Monthly Eligibility check -Medicare and Insurance
Pull quarterly CASPER Reports for QAPI
Epic for Medical Records- Mercy, Integris, SSM Hospitals
PECOS checks for all Physicians to maintain compliance
Evaluated employee records and productivity and submitted evaluation reports.
Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
HIPPA Compliant in all aspects of agency
Maintained computer and physical filing systems.
Created, maintained and updated filing systems for paper and electronic documents.
Coached new hires on company processes while managing employees to achieve maximum production.
Increased company revenue by streamlining processes and implementing cost-saving measures.
Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
Improved project efficiency with strategic planning, resource allocation, and time management practices.
Streamlined office processes by implementing efficient organizational systems and procedures.
Curaspan and Extended Care proficient
Admissions Coordinator
Crescent Home Health And Hospice
01.2015 - 08.2015
Duties included all Coordination of Patient Care from intake to discharge.
Lead scheduler for both hospice and home health patients
Implemented new office policies and procedures to help streamline patient care and help keep agency in compliance with all State regulations
Helped to improve Billing and QA procedures to get agency back on track.
Office Manager
Aura Home Health And Northeast Home Health
01.2013 - 01.2015
Coordinate Care for patients for Home Health services . Census 350
Managed Patient Care Coordination team of 4 staff members. Which included for team to comply with State and Federal Medicare guidelines. Provide clinical staff schedules for each patient from Start of Care to discharge.
Also helped run clinical staff of 30 Home health nurses and Therapist
My team also helped to consistently hit our billing monthly and weekly goals and helped company grow from acquisition in 2013 to 2015.
Also maintained quality and compliant care for patients and open lines of communication with families .
Passed State survey for Aura Home Health in October 2014
Passes JCAHO Accreditation in October 2014 for Northeast Home Health.
Processed Payroll for both agencies
Was in Training for Alternate Administration
Was involved with all hiring and training in my department and conducted all performance evaluations
Participated in implementation of PBHS program
Proficient in Kinnser software
Office Manager
Marketing Directors And Associates
04.2012 - 01.2013
Office Manager and Executive Assistant to 5 Insurance Senior Marketing Directors and their team of Managers and associates.
Conducted analysis to address any underwriting issues which led to increase in life insurance policies timely and speedy approval and deliveries
Provided onsite underwriting training to advance agents and newly licensed agents.
Monitored multiple Marketing Directors and licensed agent's clients and portfolios to help maintain books of business
Planned and executed local company conventions and events
Worked with outside vendors to insure timely and best results for clients and agents to complete required physicals and blood work.
Streamlined office operations by implementing efficient filing systems and organizational strategies.
Office Manger and Executive Assistant
World Group Securities
09.2008 - 01.2011
Monitored multiple databases of insurance to keep track of all Marketing Directors insurance portfolio
Processed all insurance sales generated by local agents
Maintained daily office duties and processing of all new recruits
Processed all appointment, licensing, and insurance documents
Conducted analysis to address insurance underwriting and processing which led to increased sales and agent's cash flow, and percentage of good business.
Branch Office Manager
One Main Financial Formerly Citifinancial
07.2000 - 08.2008
Ran Daily Account review for Loan renewals on personal and home equity loans
Reviewed credit reports to make final decision for loan approval on personal and home equity loans
Trained employees to help advance career with company
Help promote 2 employees to Branch Manager Positions
Daily loan closing on personal and home equity loans
Controlled profit and losses of branch on daily basis
Maintained daily collection calls and solicitations
Conducted Monthly audits for compliance for state and company levels
Held excellent compliance audits and reviews to company and state standards
Maintained office portfolio of clients and sold insurance on all loans
Maintained monthly delinquency to company standards
Performed on-site training to follow all state and company procedures
Conducted all hiring, training, scheduling and dismissals when needed.
Increased branch efficiency by streamlining office processes and implementing time-saving strategies.
Oversaw financial reporting to ensure accuracy and compliance with company policies and regulations.
Coached staff on best practices for customer interactions, enhancing overall satisfaction rates.
Conducted performance evaluations of staff members, providing feedback for individual growth and development.
Reviewed monthly financial statements regularly to monitor the branch''s fiscal health accurately.
Education
High School Diploma -
Fort Stockton High School
Fort Stockton , TX
05.2000
Skills
Operations Management
Staff Development
Business Administration
Rules and regulations
Company guidelines
Verbal and written communication
Issues Resolution
Quality Assurance
Proficient in Excel, Adobe, Kinnser/Wellsky, Epic
Continuous Improvement
Self Starter
Calm Under Pressure
Data Entry
Excellent Communication
Certification
HOME CARE ADMINISTRATION , OHCAPA-DECEMBER 2022 TO PRESENT
Timeline
Director of Intake and Alternate Administrator
Abiding Home Health Of Oklahoma
08.2015 - Current
Admissions Coordinator
Crescent Home Health And Hospice
01.2015 - 08.2015
Office Manager
Aura Home Health And Northeast Home Health
01.2013 - 01.2015
Office Manager
Marketing Directors And Associates
04.2012 - 01.2013
Office Manger and Executive Assistant
World Group Securities
09.2008 - 01.2011
Branch Office Manager
One Main Financial Formerly Citifinancial
07.2000 - 08.2008
High School Diploma -
Fort Stockton High School
HOME CARE ADMINISTRATION , OHCAPA-DECEMBER 2022 TO PRESENT
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