Jennifer Horton Breakfield
Highly motivated professional with a proven track record in chronic care and worker's compensation management, excelling in patient care coordination and interdisciplinary collaboration. Adept at identifying needs, developing and implementing successful plans of action to provide intervention and assistance, while also monitoring compliance and quality of care. I have the ability and attention to detail to confirm that all documentation is complete and accurate to assist in ensuring medical necessity that is compliant with stand of care. I am committed to empowering clients through education and advocacy. I leverage strong organizational skills in order to evaluate patient's medical records to assess the appropriateness and quality of care provided while ensuring all information is complete and accurate. I am also highly skilled in the ability to take all the information and provide a concise summary while pinpointing areas of improvement for patient care.
I have a strong foundation in comprehensive medical record review to provide concise summaries and pinpoint any inconsistencies in record keeping or treatment recommendations and implementation. I also have the unique ability to understand standard of care and make recommendations on possible other treatment options. While also ensuring that all treatment plans are necessary and all resources are used in most efficient way possible to improve patient outcome.
- Collaborate with healthcare providers to make recommendations for adjustments or improvements in treatment plans.
- Verify insurance coverage and benefits to determine eligibility for services.
- Communicate with insurance providers to obtain authorization for services as needed.
Work History
Medical Case Manager (contract)
5 Years 6 MonthsMedical Case Manager
13 Years 3 Months- Coordinated case management activities to ensure timely service delivery for clients.
- Supported clients in navigating resources and services tailored to individual needs.
- Assisted in developing personalized care plans aligned with client goals and outcomes.
- Maintained accurate documentation and case records for compliance and reporting purposes.
- Collaborated with multidisciplinary teams to enhance client support and service access.
- Monitored client progress and adjusted interventions based on feedback and outcomes.
- Supported Case Managers in monitoring clients'' progress towards goals, adjusting plans as needed for optimal results.
- Streamlined case management processes for increased efficiency and better client outcomes.
- Assisted Case Managers in conducting comprehensive assessments that accurately identified underlying issues impacting clients'' lives.
- Maintained confidentiality of sensitive client information while adhering to legal guidelines and ethical standards of practice.
- Enhanced communication between clients, families, and service providers by maintaining accurate and up-to-date case records.
- Elevated client engagement levels by actively involving them in the decision-making process related to their cases.
- Facilitated client access to necessary resources by providing timely referrals to appropriate services.
- Developed strong relationships with community partners to enhance collaboration on behalf of clients.
- Improved client satisfaction by promptly addressing concerns and implementing appropriate solutions.
- Reduced caseload backlog by efficiently managing time and prioritizing tasks according to urgency.
- Maintained up-to-date and accurate contacts and progress note records.
Medical Records Custodian
5 Years 2 Months- Streamlined processes for medical record requests, improving response times for patient inquiries.
- Trained new staff members on best practices for handling sensitive data, improving overall team performance in managing medical records.
- Contributed to improved patient care by promptly responding to authorized requests for access to relevant health information.
- Streamlined the retrieval process of medical records, expediting response time to requests from healthcare professionals.
- Conducted regular quality checks on filed documents, correcting discrepancies and ensuring accurate long-term record storage.
- Reduced errors in record-keeping by implementing a meticulous filing system for physical and digital documents.
- Implemented an effective system for tracking outstanding requests for medical information, reducing delays in response times significantly.
- Maintained strict adherence to HIPAA guidelines, protecting patients'' personal information and confidentiality rights.
- Coordinated with insurance companies and legal teams, providing necessary documentation for claims processing or court cases related to patient care issues.
- Managed the disposal of outdated or unnecessary medical documents, maintaining an organized and clutter-free storage system.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Printed and photocopied documents to provide patients with copies of medical records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Education
Master of Science - Healthcare Administration
M.D. - Medicine
Bachelor of Science - Biology
Skills
Accomplishments
Personally, I am a wife and mother.