Jerode Wonsley
Dallas,Texas
Summary
A highly driven individual seeking to leverage and expand my knowledge to further contribute to your organization’s future. Collaborate and execute the organizations values by strengthening relationships with internal and external business entities.
Overview
10
10
years of professional experience
Work History
Discharge Planner/Social Worker
Hickory Trail Hospital
01.2020 - 08.2024
- Facilitate the paperwork process for discharging patients from the facility
- Document patients progress during therapy sessions and rehabilitation through comprehensive charting
- Ensure the proper preparation of patients for placement in a facility to receive care in compliance with government agency mandates
- Initiate and process referrals to hospitals, facilitating the placement of patients in appropriate facilities
- Lead and facilitate group counseling sessions for effective engagement and support of patient’s mental stability.
Claims Compliance Analyst
Humana
01.2018 - 01.2020
- Assigned high priority Medicare complaints in which I collaborate with internal partners to ensure processes are being followed/meet Medicare policies/procedures
- Collaborated on bi-weekly CMS calls with risk advisors to ensure issues are getting completed in a timely and accurate manner
- Utilized technological tools such as SQL, Access, & Excel to execute root cause analysis, data collection and analysis for both project, process, and operational needs
- Facilitated training classes; educating analysts on recent or newly adopted processes, CMS updates, and new CPT/HCPCS codes
- Vast knowledge of audit procedures, including but not limed to Center for Medicare/Medicaid, PDP, and provider complaints
- Executed quality control procedures to ensure data accuracy for both internal and external audits
- Participated in external and internal audits that assists in improving compliance and Medicare Adherence of claims processing and adjudication
- Improved provider relations by encouraging interactive two-way informative relationships that builds on Humana’s core values.
Behavioral Health Specialist
Piney Ridge Treatment Center
01.2017 - 01.2019
- Implemented the stand and scan technique for observing residents’ behavior, promptly reporting and notable changes to a registered nurse for through assessment
- Ensure precise documentation of residents’ behavior in the medical records system, adhering to ethical and legal standards for confidentiality and accuracy
- Concluded miscellaneous administrative tasks efficiently and with attention to detail
- Thoroughly reviewed medical records before each shift to gain a comprehensive understanding of patient medical and behavior history
- Conducted training for new employees, tailoring the approach to align with the organizational standards and individual learning style.
Leasing Consultant
The Links at Fayetteville
01.2015 - 01.2018
- Assisted with application process, including collecting necessary documentation, conducting background checks, and ensuring leasing agreement is completed accurately
- Collaborated in the development and implementation of marketing strategies to attract new tenants, including online listings, social media promotions, and hosting open houses
- Supported property management by addressing concerns, coordinating move-ins and move-outs, and ensure property is maintained to facilities standards
- Encouraged cohesive behavior amongst the clients and the facility by transparent communication, collaborative efforts, conflict resolution, and positive affirming techniques
- Maintained accurate records of tenant interactions, leases, and maintenance records
- Preparing leasing reports and assist in the preparation of budgets and financial reports as needed.
Education
Specialist in Psychology -
Arkansas Technical University
01.2022
Skills
- Facilitation
- Group counseling
- Charting
- ICD-10 coding
- Root cause Analysis
- Process Improvement
- EPIC
- Auditing
- SQL
Timeline
Discharge Planner/Social Worker
Hickory Trail Hospital
01.2020 - 08.2024
Claims Compliance Analyst
Humana
01.2018 - 01.2020
Behavioral Health Specialist
Piney Ridge Treatment Center
01.2017 - 01.2019
Leasing Consultant
The Links at Fayetteville
01.2015 - 01.2018
Specialist in Psychology -
Arkansas Technical University
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