Joanna Geltz
Davenport,FL
Summary
Adaptable professional with 10 years
of work experience and proven knowledge of leadership, problem- solving, and workflow prioritization. Aiming to leverage my abilities to
successfully fill the Manager Pharmacy Prior Auths role.
Overview
10
10
years of professional experience
Work History
Manager 1 Customer Care
Elevance/ Bioplus
12.2022 - Current
- managing staff and responsibilities for a combination of operations functions that might include claims, customer service, membership, mail, document management, appeals, etc..
- Establishes policies, practices and efficient/effective procedures.
- Develops specific work plans and implements to accomplish operational results.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
- Responsible for All programs such as HOC, 2-Click, Schweiger, and ECMP.
- Established team priorities, maintained schedules and monitored performance.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Learned and adapted quickly to new technology and software applications.
- Assisted with migration and training for all new sites and new system.
Patient Care Coordinator Team Lead
Bioplus SP
11.2021 - 12.2022
- Conducted training of personnel.
- Analyzed facility activities and data to aid in improving service Utilization.
- Monitor individual and team performance to ensure performance and quality standards are met or exceeded.
- Develop staff to be more effective in their roles by providing on-going coaching and on-the-job training
- Provide supervisor daily confirmation report and assist in setting daily team goals to assist in achieving department required outbound calls are achieved.
- Actively and consistently support all efforts to simplify and enhance the patient and employee experience.
- Performs call evaluations and provides feedback and/or suggestions for improvement and education.
Patient Care Coordinator
Bioplus
12.2020 - 11.2021
- Assisted patients with coordinating deliveries.
- Answered incoming calls, scheduled appointments and filed medical records.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Ensured regulatory compliance by staying up-to-date on industry standards and best practices related to patient care coordination.
Quality Assurance Administrator
Ocean Holidays
01.2017 - 03.2020
- Responsible for scheduling daily routes for inspectors, Allocation of all homes.
- Insure all homes passes health and safety state.
- regulations, Answer phones and Email correspondence, Assist all guest with check In's.
- Handled all complaint issues, Data entry.
Outpatient Access Coordinator
Park Place Behavioral Health Care
01.2014 - 01.2017
- Assist new clients with intake paperwork
- Responsible for registering, scanning client documents into chart and creating client's in our electronic health record system.
- Set up new client medical, therapy and comprehensive assessment appointments.
- Process encounters with insurance information for the billing department.
- Call HMO's to verify patient's participation and eligibility.
- Process no-show letters and client follow up for missed intake appointments.
- Fax documents to Specialty doctors.
- Responsible for pulling and re-filling of charts.
- Translate for clients and providers when needed
- Demonstrate a supportive, caring, professional attitude towards prospective clients and visitors.
- Answer telephones, direct calls to appropriate departments if needed and take accurate messages.
- Assist Day treatment Therapists with miscellaneous clerical work and including but not limited to filing and obtaining charts from medical records.
- Assist Coordinators and Director with any clerical work as requested.
- In charge of disbursing petty cash when needed and the preparation of petty cash vouchers to be turned in to administration.
- In charge of preparing lab receipts and ensuring delivery to the business office.
- Responsible for preparing billing sheets for the Residential program.
- Provide coverage in satellite offices as needed and other departments when short staffed.
Education
High School Diploma -
Continental Academy High School
Miramar, FL01.2004
Skills
- HIPAA Compliance
- Patient Care Coordination
- Interdepartmental Collaboration
- Explaining Policy and Procedures
- Prescriptions Management
- Time Management
- Articulate Communication
- Database Search and Data Entry Skills
- New Hire Training
- Meeting Preparation
- Organizational Standards
- Caring and Empathetic
- Medical Terminology
- Patient Care
- Patient Registration
- Administrative and Office Support
- Medical Data Collection
- Quality Standards and Protocols
- Customer Service
- Building Rapport and Credibility
- Gathering Information From Patients
- Resolving Problems
- Providing Information and Resources
- Documenting and Recording Information
Languages
Spanish
Native or Bilingual
Timeline
Manager 1 Customer Care
Elevance/ Bioplus
12.2022 - Current
Patient Care Coordinator Team Lead
Bioplus SP
11.2021 - 12.2022
Patient Care Coordinator
Bioplus
12.2020 - 11.2021
Quality Assurance Administrator
Ocean Holidays
01.2017 - 03.2020
Outpatient Access Coordinator
Park Place Behavioral Health Care
01.2014 - 01.2017
High School Diploma -
Continental Academy High School