Jennifer D Nevins

• Provide administrative support services for Referral Management. Contact the referring healthcare provider for any referral returned that requires additional documentation and obtain the information in order to continue with the referral. Reviews all incoming Clinical Laboratory References for patient demographic information and legibility of report. Play an integral role in closing out Tricare referrals while,
• RetrieRetrieving,correcting,merging,querying,rinting data and reports. Complete referrals within the Military Treatment Facility by requesting progress notes from physicians,identifying problem areas,providing guidance to staff to correct errors and advising MTF staff on referral-tracking procedures. Proactively monitor and re-route electronic faxes with maximum efficiency. Improved operational efficiency by regularly reviewing referral processes and implementing data-driven improvements as needed. Streamlined referral services for improved patient outcomes and satisfaction rates.. Provide excellent Customer Service. Facilitated seamless transitions between healthcare providers through comprehensive coordination of medical records and documentation. Receive incoming calls and correspondence, directing to relevant personnel and assist in the creation and dissemination of official correspondence. Developed strong relationships with referring physicians, resulting in increased referrals and overall network growth. Managed high-volume referral requests, ensuring timely responses and accurate documentation. Contributed to the development of referral resource materials, enhancing the overall patient experience by providing accessible information on available services. Provided exceptional customer service to patients and families throughout the entire referral process. Maintained detailed records of referrals, ensuring compliance with regulatory requirements and internal policies. Established open lines of communication with healthcare partners, fostering trust-based relationships that drove consistent growth in referral volumes.
• Responded to patient inquiries to offer timely updates regarding referral status.
• Developed and maintained strong working relationship with referral sources to streamline processing.
• Facilitated referrals to other healthcare providers and resources to bridge service gaps.
• Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
• Monitored referrals to foster timely completion and followed up with physicians to facilitate.
• Communicated with patients, ensuring that medical information was kept private.
• Trained new employees on referral protocols, contributing to a cohesive team environment focused on quality patient care. Prevented potential delays in care by promptly addressing any issues or concerns related to patient referrals.
• Ensure strict compliance with Triwest Management Activity (TMA), Triwest Regional Contractor, and MTF Referral Management policies and guidance while managing all specialty care and Right of First Refusal(ROFR) referrals/consults. Accounted for ensuring that all referrals deferred to the network are appropriately closed. Maintain a patient centered focus and follow the standard operating procedures in retrieving referrals sent from the Triwest Regional Contractor and applying processes necessary for acceptance or denial by the MTF.
• Contribute to informed decision-making and strategic planning by preparing a monthly report with workload statistics, including the number of deferred to network referrals generated by MTF, the number of ROFRs received and accepted by the MTF, and the percentage of referrals that are verified or closed correctly.
• Spearhead team operations,delegating responsibilities effectively and empowering team members with the skills to enhance confidence,knowledge and communication abilities,contributing to the organization's growth. Request CLRs from Corpus Christi, Kingsville and Fort Worth Naval Clinics.

Accomplishments:

• Bolstered documentation accuracy by completing periodic reports, including the percentage of referrals verified or closed correctly.
• Showcased proficiency in utilizing various computer applications including MHS Genesis, Defense Enrollment Eligibility Reporting System (DEERS), Managed Care Support Contract Electronic System, access to databases, electronic fax applications, Referral Management System/Referral Management System Tracking reports, Microsoft office products, including Outlook, Word, Excel, Powerpoint.
• Processed all Right of First Refusal (ROFR) within the timeline outlined in the Tricare Operations manual.

• Supply coordinator for Department of Healthcare Business. Responsible for ordering our Office Supplies, keep track of all orders and made sure that budget needs were met, attend Monthly Supply meeting with all of the Supply Petty Officers in each Directorate and met with Supply officers of Materials Management Department, completed monthly inventory counts, did all the training required for the Supply Petty Officer, provide administrative support services for Referral/Case Management,receive incoming calls and correspondence, directing to relevant personnel and assist in the creation and dissemination of official correspondence, scheduled appointments with specialists on behalf of clients, Processes referrals by faxing to the appropriate provider/facility, determining sources of authorization and enter each one into the local database to initiate the tracking process,collected and verified completeness of intake and enrollment screening packets for facility.
• Reduced wait times for patients by consistently prioritizing tasks and managing front office workflow effectively, ensured compliance with industry regulations by staying up-to-date on relevant laws and guidelines pertaining to patient referrals and medical records management, enhanced customer satisfaction by providing efficient front office support and addressing inquiries promptly, coordinated appointments and follow-up visits, leading to better patient outcomes and increased patient retention, collaborated with healthcare providers to ensure timely processing of referrals and streamlined referral processes for improved patient experience and increased overall efficiency, managed phone lines efficiently, directing calls to appropriate staff members while maintaining a professional demeanor, guided patients through pre-authorization requirements to ensure seamless and efficient referral completion, minimizing any potential delays in care, maintained accurate records, ensuring proper documentation for all referral-related activities, maintained high levels of patient confidentiality, adhering to strict HIPAA regulations while handling sensitive medical records and referral documentation, promoted positive working relationships with outside providers through effective communication and collaboration efforts, participated in continuous improvement initiatives aimed at streamlining front office workflows for greater productivity levels, provided exemplary customer service during high-volume periods, maintaining composure under pressure while attending to multiple tasks simultaneously, resolved scheduling conflicts proactively, minimizing disruptions to both patients and staff schedules, answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff, followed detailed directions from management to complete daily paperwork and computer data entry, performed wide-ranging administrative, financial and service-related functions, planned and coordinated logistics and materials for board meetings, committee meetings, and staff events.

Accomplishments:

• Efficiently handled front desk duties by digitizing schedules.
• Responded to patient concern regarding referrals, appointments.
• Harnessed diplomacy and tact in maintaining the confidentiality of sensitive information in compliance with HIPAA Standards.
• Promoted a positive work environment by accepting interpersonal differences and respecting others' values and opinions.
• Dexterously managed all incoming faxes by disbursing it to the proper Department.

• Support the teacher in preparing instructional materials and classroom displays, helps students with physical and behavioral disabilities, handle secretarial records and preparing requisite reports, work with individual students or little groups to build up skills and conduct instructional exercises allocated by the teacher, supervise students throughout the day; lunchroom, bus duty, and playground, enhanced student learning experiences by implementing individualized educational plans tailored to unique needs, supported students during transitions, promoting independence and self-confidence in new environments, improved classroom management and organization by assisting teachers with daily tasks and lesson planning, promoted inclusion by encouraging collaboration between general education peers and students receiving special education services, facilitated social skill development through group activities and peer interactions during recess and lunchtime periods, communicated regularly with parents, providing updates on their child''s progress and discussing strategies for improvement, assisted teachers in modifying curriculum content according to students'' unique needs, ensuring equal access to learning opportunities, adapted teaching methods to accommodate diverse learning styles within the classroom setting, ensured compliance with federal, state, and district regulations related to special education services by maintaining detailed documentation of all interventions provided, implemented behavior management strategies to create a positive learning environment for all students, provided one-on-one support for students with special needs, helping them achieve academic success, utilized assistive technology tools to enhance accessibility and promote independence for students with disabilities, developed positive relationships with students, fostering a supportive and nurturing classroom atmosphere, served as a positive role model and mentor for students, helping them build resilience and overcome academic challenges, participated in professional development opportunities to stay current on best practices for special education instruction, maintained accurate records of student performance, attendance, and behavior to help guide future instruction, maintained positive attitude and affirmatively communicated with each student, offered student support through special accommodations, extra assistance, and assessments, interacted physically and verbally with students throughout each day, monitored student classroom and outdoors activities to promote student safety, delivered personalized educational, behavioral, and emotional support to individual students to enable positive learning outcomes, encouraged students to participate in school activities and programs to promote well-roundedness and increase confidence, set up visual aids, equipment, and classroom displays to support teacher's lesson delivery, established professional relationships with parents and other teachers to increase rapport and support, alerted instructor to student behavior or issues requiring intervention, created positive and inclusive classroom environment by helping students develop social skills and relationships, provided individualized reading, writing and math instruction to support student development, communicated with teachers and other district personnel to assist in evaluating progress and implementing IEP objectives, responded to emergency situations to resolve immediate safety concerns or direct appropriate personnel for resolution, maintained classroom equipment and work area to promote safe learning environment and meet mandated requirements, assisted with communication methods to keep parents informed about child's development and behavioral issues, promoted good study habits and student independence to improve quality of student outcomes.
• Accomplishments:
• Promoted good study habits and student independence to improve quality of student outcomes, socialization.
• Delivered efficient instruction by providing assistance to the individual students.

Duties:

• Multi-tasking ability while being efficient and organized daily operations.
• Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
• Developed strong working relationships with team members, fostering a positive work environment.
• Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
• Resolved customer issues quickly and notified supervisor immediately when problems escalated.
• Scheduled, coordinated and confirmed appointments and meetings.
• Completed all tasks in compliance with company policies and procedures.
• Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
• Maintained accurate records of visitor logs for security purposes and compliance with company policies.
• Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
• Implemented more efficient mail distribution system, ensuring timely delivery of correspondence to staff.
• Enhanced customer satisfaction by providing efficient and professional front desk services.
• Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
• Handled sensitive customer information with confidentiality, adhering to company privacy guidelines.