Jimecia Barnes
Hampton,GA
Summary
Experienced Remote Medical Coordinator with 10 years of healthcare administration and case management experience. Skilled in coordinating patient care, verifying insurance, managing medical records, and facilitating provider-patient communication. Strong background in HIPAA compliance, telehealth support, and claims processing. Adept at working remotely while ensuring efficiency and accuracy in patient care coordination.
Overview
10
10
years of professional experience
Work History
Remote Medical Coordinator
Molina Healthcare
02.2020 - Current
- Manage patient case files, coordinating care services and overseeing treatment plans.
- Act as a liaison between patients, providers, and insurance companies, ensuring seamless communication and care coordination.
- Verify insurance coverage and prior authorizations for medical treatments and procedures.
- Maintain and update Electronic Health Records (EHR) while ensuring full HIPAA compliance.
- Schedule tele health appointments and provide virtual patient support.
- Assist with claims processing, medical billing, and patient inquiries regarding coverage and payments.
Case Manager
Centene Corporation
04.2017 - 01.2020
- Developed and implemented personalized care plans for patients with chronic and complex conditions.
- Conducted virtual assessments to evaluate patient needs and coordinate necessary medical services.
- Provided patient education on treatment options, medication adherence, and healthcare resources.
- Collaborated with nurses, social workers, and physicians to ensure comprehensive care.
- Managed referrals and authorizations for specialized treatments and therapies.
Medical Coordinator
WellCare Health Plans Inc.
07.2015 - 03.2017
- Assisted in managing case files, medical records, and treatment plans for patients receiving ongoing care.
- Communicated with insurance providers to ensure accurate and timely claims processing.
- Scheduled medical appointments, lab tests, and follow-ups for patients.
- Ensured strict HIPAA compliance when handling sensitive patient information.
- Provided administrative support to medical professionals in a virtual setting.
Education
GED -
Southern Crescent Technical College
Griffin, GASkills
- Medical Case Management
- Patient Advocacy & Support
- Insurance Verification & Prior Authorization
- Electronic Health Records (EHR) Management
- HIPAA Compliance & Confidentiality
- Appointment Scheduling & Coordination
- Claims Processing & Billing Support
- Telehealth Coordination & Remote Patient Assistance
Timeline
Remote Medical Coordinator
Molina Healthcare
02.2020 - Current
Case Manager
Centene Corporation
04.2017 - 01.2020
Medical Coordinator
WellCare Health Plans Inc.
07.2015 - 03.2017
GED -
Southern Crescent Technical College