Jesse Whalen
Sun Prairie
Summary
Results-oriented Supervisory Program Specialist with a strong focus on leadership, training, and process improvement. Proven success in implementing training programs that enhance operational efficiency and accuracy in medical reimbursement processes.
Overview
10
10
years of professional experience
Work History
Supervisory Program Specialist
Department of Veterans Affairs
Middleton
09.2023 - Current
- Supervised up to 15 Medical Reimbursement Technicians on a daily basis to ensure policy and procedures were being followed
- Provided provisioning and training for 21 Medical Reimbursement Technicians for the Oracle Health EHRM System
- Conducting and oversaw training for over 300 MSA's at the North Chicago FHCC hospital
- Oversaw enforcement of all integrity procedures and policies
- Provided user assistance for primary database access
- Collaborated with the Billing and Accounts Management departments to resolve discrepancies and improve overall claim processing
- Implemented new training programs, resulting in more accurate encounter production
- Monitored and updated all data transition and transmission processes *Resolved disputes in collaboration with contract Administrators
- Maintained and updated insurance information for patient files
- Worked with the leads, individual staff, and management to facilitate our overall T-7 goal, revenue generation and customer experience excellence
- Monitored staff productivity and perform weekly quality reviews, identifying issues, and providing training to improve key performance indicators for the staff and overall team
- *Counseled and initiated corrective action for deficiencies in performance and other work expectations as necessary, following departmental guidelines
- Organized daily workflow, identify potential issues and recommend viable solutions to maintain smooth, effective, and efficient operations
- Ensured the appropriate set up, maintenance, and deactivation of system/website logons and passwords, for new, existing, and released employees
- Worked with management on initiatives and projects. Manage department projects that encompass improvements and modifications to current processes, implementation of new processes, and skills training
- Coordinated patient data collation with various external referral sources
- Adhered to HIPAA regulations by verifying pertinent information to determine caller authorization level receiving information on account. Ensures proper documentation is followed to uphold patient confidentiality
- Investigated and resolved queries and complaints pertaining to rapid response from other departments
- Orchestrated a workflow tool presentation to the Director of Operations for the Consolidated Patients Account Center
Supervisory Correctional Officer
Federal Bureau of Prisons
Oxford
01.2016 - 09.2023
- Supervised and directed daily operations of the entire Federal Institution on both day and evening shifts
- Worked as a Special Investigative Lieutenant for 4 years, investigating both staff and inmate misconduct with the Office of Internal Affairs
- Regulated staffing by utilizing roster programs
- Monitor facility security via regular patrols and video surveillance
- Inspect cells and communal living areas against strict hygiene and safety standards, reporting any hazards to senior leadership *Draft and submit end-of-shift and incident reports to the appropriate department
- Helped reduce need for forceful intervention by 34%
- Met 100% of report submission deadlines
- Investigated grievance reports submitted by inmates
- Used force and restraint devices appropriately in high-risk situations
- Conducted fire drills quarterly
- Helped monitor visitors and check for forbidden items
- Maintained safety and control during an emergency incident on multiple occasions
- Oversaw high-security wing, ensuring over 80 inmates’ safe and orderly movement to and from meals, work, and recreation
- Use early intervention tactics with disruptive inmates
- Performed periodic patrols of common areas and exercise rooms, ensured all inmates maintained clean housing units at all times, and responded promptly to emergencies occurring both inside and outside the buildings
- Intervened with suicidal inmates and reached out to the proper Psychology and Medical services for treatment.
- Trained in suicide prevention by being able to recognize warning signs of potential suicidal intentions and behaviors.
- Provided and working alongside the (PREA) Prison Rape Elimination Act Coordinators to analyze the process and quality of eliminating sexual and verbal harassment for inmates at risk, which would often lead to intervening with inmates about possibilities of self harm and suicidal intentions after exposure to harassment.
Education
High School Diploma -
Fillmore Central High Schoolq
Harmony, MN05-2006
Skills
- EHR management
- Compliance auditing
- Process implementation
- Training development
- Workflow optimization
- Conflict resolution
- Performance evaluation
- Team coordination
- Revenue generation
- Effective communication
- Leadership development
- Time management abilities
- Computer skills
- Training and development
- Recruitment and hiring
- Process optimization
- Scheduling and coordinating
- Hiring and training
- Problem-solving abilities
- Professional demeanor
Timeline
Supervisory Program Specialist
Department of Veterans Affairs
09.2023 - Current
Supervisory Correctional Officer
Federal Bureau of Prisons
01.2016 - 09.2023
High School Diploma -
Fillmore Central High Schoolq
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