Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
RegisteredNurse

JOYCE THOMAS

Indianapolis,USA

Summary

“ Highly motivated & full of energy” Well-seasoned healthcare worker with 20+ years of experience in the medical field. My goal has always involved helping better our community and the world as a whole.

Overview

29
29
years of professional experience

Work History

IPM Operator/ Inspections

Eli Lilly, LTC South
09.2022 - Current
  • Operated forklift in compliance with OSHA guidelines and organizational policies.
  • Operated equipment safely and efficiently to prevent damage to items and avoid injuries.
  • Unloaded and stacked materials by raising and lowering lifting devices.
  • Wrapped pallets in plastic wrap and attached merchandise tags to prepare for shipping.

Home Health Aide

Caregivers Home Health
11.2019 - Current
  • Performs a variety of tasks associated with the daily care and treatment of patients
  • Works under the clinical supervision of a licensed nurse to provide patient care, helping patients meet their physical and emotional needs
  • Accurately administers authorized medications and treatments
  • Conducts and assists with nursing programs as assigned
  • Administers and documents authorized medications and treatments per hospital policies and procedures
  • Reports side effects of medications to RN
  • Recognizes the potential need for a prn medication and reports the need to RN
  • Follows controlled substance procedures
  • Carries out or assists with physical care of patients including bathing, feeding, taking vital signs, heights, weights and other activities of daily living as indicated
  • Maintains current CPR and Bridge Building certifications
  • Initiates and participates in therapeutic interventions by using principles of de- escalation, redirection and approved Bridge Building techniques for prevention and management of behavior
  • Escorts patients to and from therapies, and other areas of the hospital for treatment and programming
  • Escorts and/or drives patients to off-grounds appointments and activities
  • Observes patients’ physical condition and reports changes to the RN
  • Appropriately and accurately reports pertinent information, both verbal and written
  • Appropriately applies skills in psychosocial care of patients: Encourages patients and interacts with them to socialize and participate in activities and programming
  • Medicare ABN Superuser & trainer EPIC Superuser & trainer McKESSONS
  • Superuser trainer Star Superuser & trainer ORSI trained Trained on commercial, federal and state insurance Insurance COB
  • Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
  • Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
  • Traveled to clients' homes to complete healthcare services and promote continuity of care.
  • Assisted disabled clients to support independence and well-being.
  • Completed entries in log books, journals, and care plans to accurately document and report patient progress.
  • Followed nutritional plans to prepare optimal meals.
  • Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor.
  • Encouraged patients to participate in safe physical activity to help boost mood and improve overall wellness.
  • Monitored client health by performing routine pulse, temperature and blood pressure checks.
  • Developed rapport to create safe and trusting environment for care.
  • Provided transportation and appointments management.
  • Monitored changes in clients' conditions to report concerns to supervisor.
  • Assisted clients with living independently through skill-building and mentoring in areas such as housekeeping adaptations and preparation of healthy meals.
  • Transported clients for medical and personal outings.
  • Provided direct personal care and administrative services to clients.
  • Helped clients with managed home care, ensuring efficacy of care by monitoring health status.
  • Communicated regularly with clients' families to provide updates on health and wellbeing.
  • Utilized universal precautions and infection control principles in all aspects of care.
  • Scheduled and coordinated medical appointments.
  • Supported families through difficult times by offering emotional support and education on important care tasks.
  • Directed patients in simple prescribed exercises to assist with daily physical therapy routines.
  • Researched and recommended community resources to meet clients' needs.
  • Developed and implemented care plans for clients.
  • Constructed cognitively stimulating activities.
  • Trained new staff members on best practices for home health care.
  • Improved patients' comfort with massage and application of topical treatments.
  • Documented vital statistics and coordinated with health care providers.

Revenue Cycle Plastic Surgery Specialist

IU Health University Hospital
06.2022 - 09.2022
  • Serve as primary contact for all ambulatory department prior authorization requirements
  • Serve as primary resource to ambulatory clinics reading the prior authorization process and requirements
  • Collect clinical information regarding services to be rendered
  • Contact payer to obtain prior authorization
  • Gather additional clinical and or coding information, as necessary, in order to obtain prior authorization
  • Provide standardized documentation within Cerner One to identify prior authorization and the criteria surrounding such authorization
  • Advise providers and their clinical staff when issues arise relating to obtaining prior authorization
  • English
  • REFERENCES
  • Reached out to insurance companies to verify coverage.
  • Created and maintained precise and accurate models, charts and reports.
  • Improved emergency resolution processes to save time.

Centralize Referral Coordinator

Health And Hospitals Corporation
10.2013 - 10.2018
  • Coordinated referral appointments, sending referral forms to health records, answering phone calls, obtaining prior authorization and precerts for office visits and procedures ,transporting patients to specific facilities, and verifying insurance information.
  • Processed referral requests from patients, doctors and other health care professionals.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Responded to patient inquiries to offer timely updates regarding referral status.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Monitored referrals to foster timely completion and followed up with physicians to facilitate.
  • Accessed and reviewed patient records to verify receipt completed referral paperwork.
  • Scheduled appointments with specialists on behalf of clients.
  • Assisted with completion of referral forms and verified data accuracy and completion
  • Developed and maintained strong working relationship with referral sources to streamline processing.
  • Facilitated referrals to other healthcare providers and resources to bridge service gaps.
  • Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
  • Scheduled surgeries, managed pre-certifications and verified insurance coverage.
  • Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
  • Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
  • Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
  • Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
  • Provided education and instruction to referral sources on referral processes.
  • Assisted with discharge planning coordination and post-acute care referrals.
  • Attended continuing education courses to stay current on referral processes and best practices.
  • Developed and implemented effective strategies to increase referral sources.
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
  • Communicated with patients, ensuring that medical information was kept private.

General Surgery Scheduling Referral Coordinator

Health And Hospitals Corporation
06.2007 - 10.2013
  • Obtained prior authorization, charge entry ,ICD9/CPT coding , responsible for obtaining and organizing insurance coordination of benifits
  • Obtain precerts for operations and major radiology procedures as well radiation therapy
  • Organized / coordinated future oncology related appointments needed to insure a successful outcome while working with the tumor board
  • Rewarding outcomes
  • Dedicated teamwork to assure a positive experience
  • Super User of Star
  • Medicare ABN user pro
  • Eskenazi
  • Arranged pre-operative and post-operative appointments for surgical patients.
  • Resolved scheduling conflicts to maintain high-quality patient services.
  • Expertly managed planning, scheduling, and coordination of outpatient procedures.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
  • Verified insurance coverage and obtained pre-authorizations.
  • Coordinated with facilities to set up surgeries for Number Surgeon type.
  • Updated patient records to reflect upcoming surgeries and medical histories.
  • Collated pre-operative lab and imaging results to facilitate surgery planning.
  • Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
  • Checked patients in and out and collected payments.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
  • Managed office bookkeeping with insurance billing and patient payments.
  • Received and routed laboratory results to correct clinical staff members.
  • Answered phone calls and messages for 21 different physicians & their resident and fellows at Wishard Hospital, scheduling appointments, and handling patient inquiries.
  • Assisted with medical coding and billing tasks.
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
  • Registered and verified patient records before triage with most up-to-date information.
  • Prepared and processed patient referrals and transfer requests.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Completed administrative patient intakes with case histories, insurance information and mandated forms.
  • Organized and maintained patient chart filing system to promote quick data finding for staff.
  • Obtained payments from patients and scanned identification and insurance cards.

Central Registrar

Health And Hospitals Corporation
10.2005 - 06.2007
  • Retrieved and verified the necessary billing documents needed prior to patients being seen by medical provider
  • Obtained , maintained the upkeep of prior authorization and visits office visits and organize insurance coordination of benifits
  • Collect insurance cards
  • Obtained prior authorizations and visits allowed
  • Management and maintained a variety of monetary tenders.
  • Organized, reviewed, and filed paperwork for secure recordkeeping.
  • Verified paperwork accuracy and checked for completion prior to processing.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Monitored enrollment processes to meet regulations and accreditation standards.
  • Updated computer system with latest information to keep records current and accurate.
  • Developed and implemented registration policies, procedures and timelines for smooth administration processes.
  • Facilitated student registration with admissions and records departments for smooth administration processes.
  • Addressed registration, student accounts and billing inquiries to limit enrollment disruptions.
  • Scheduled and maintained centralized appointment calendars for students, faculty and staff.
  • Processed tuition payments and fees, providing guidance to students and families on payment options.
  • Upheld HIPAA regulations and standards for protecting patient information.
  • Retrieved medical data for physicians and patients.
  • Secured confidential patient information from unauthorized access.
  • Performed regular quality and validation assessments on patient data to verify accuracy.
  • Catalogued patient data in clinical databases and registries according to regulatory practices.
  • Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
  • Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
  • Studied and researched various medical terms as well as software and coding systems.
  • Greeted every guest with personable approach and provided knowledgeable service.
  • Performed software updates, upgrades and data backups.

Neurology Patient Service Associate

Wishard Memorial Hospital
08.2001 - 10.2005


  • Obtaining prior authorization , charge entry, medical coding , billing , greeting, upkeep medical records, cash management , book keeping for medical management review ,check in /check out clerk and duties as assigned., I maintained a high accuracy level in insurance , prior authorization and charge entry quarterly , monthly and annually.
  • Verified patient insurance eligibility and entered patient information into system.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Provided excellent customer service to patients and medical staff.
  • Greeted and assisted patients with check-in procedures.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Facilitated communication between patients and various departments and staff.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Trained new staff on filing, phone etiquette and other office duties.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Compiled and maintained patient medical records to keep information complete and up-to-date.
  • Resolved customer complaints using established follow-up procedures.
  • Engaged with patients to provide critical information.
  • Helped address client complaints through timely corrective actions and appropriate referrals.
  • Organized patient records and database to facilitate information storage and retrieval.
  • Delivered support to medical staff in completion of patient paperwork.
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.
  • Recommended service improvements to minimize recurring patient issues and complaints.

Patient Intake

Bell Flower Clinic
01.1999 - 01.2001
  • Upheld HIPAA regulations and standards for protecting patient information.
  • Retrieved medical data for physicians and patients.
  • Secured confidential patient information from unauthorized access.
  • Performed regular quality and validation assessments on patient data to verify accuracy.
  • Generated medical reports on patient admissions, treatment and discharge for disbursement to various departments.
  • Catalogued patient data in clinical databases and registries according to regulatory practices.
  • Conducted quality improvement and customer satisfaction surveys to evaluate patient care.
  • Studied and researched various medical terms as well as software and coding systems.
  • Performed software updates, upgrades and data backups.
  • Skilled at working independently and collaboratively in a team environment.
  • Self-motivated, with a strong sense of personal responsibility.
  • Proven ability to learn quickly and adapt to new situations.
  • Worked well in a team setting, providing support and guidance.
  • Worked effectively in fast-paced environments.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Excellent communication skills, both verbal and written.
  • Passionate about learning and committed to continual improvement.
  • Cultivated interpersonal skills by building positive relationships with others.
  • Participated in team projects, demonstrating an ability to work collaboratively and effectively.
  • Identified issues, analyzed information and provided solutions to problems.
  • Developed and maintained courteous and effective working relationships.
  • Worked flexible hours across night, weekend and holiday shifts.
  • Paid attention to detail while completing assignments.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Organized and detail-oriented with a strong work ethic.
  • Strengthened communication skills through regular interactions with others.
  • Proved successful working within tight deadlines and a fast-paced environment.

Loan Officer

NBD Bank
02.1995 - 12.1995
  • Developed strong relationships with customers through high levels of customer service.
  • Assisted customers in understanding loan terms and conditions to make informed decisions.
  • Originated, reviewed, processed, closed, and administered customer loan proposals.
  • Submitted loan applications to underwriter for verification and recommendations.

Education

Cerificate - Medical Billing And Coding

Penn Foster College
Scottsdale, AZ

Certificate Of Completion - Allied Health And Medicine

Penn Foster College
Scottsdale, AZ
06.2023

Certificate Of Completion - Introduction To Pathology

Penn Foster College
Scottsdale, AZ
06.2023

Qualified Inspector - Eli Lilly - Certificate of Completion

Eli Lilly Workday
Indianapolis, IN
03.2023

Associate's Degree - Health Information Technology

12.2022

Diploma - Criminology

Ivy Tech State College
12.2019

Qualified Inspector - Eli -

10.2017

Epic Superuser - Eskenazi Health -

03.2017

Certificate Of Completion - Medical Business And Administration

IndyPendence Career Development Center
Indiana, PA
05.2001

Skills

  • Microsoft Office Oracle ERP Cloud
  • McKesson Medicare IBM
  • Epic Super User Medical Billing
  • Medical Coding (ICD-10)
  • Safety Standards
  • Safety Awareness
  • Business Ethics
  • Communication and Presentation
  • Process Management
  • Efficient Data Entry
  • Optimizing Efficiency
  • OSHA Workplace Safety
  • Teamwork and Collaboration
  • Material Sourcing and Distribution
  • Production Assistance
  • Verbal and Written Communication
  • Hazardous Materials Endorsement
  • Materials Transport
  • Incident Reporting
  • Certified Pallet Jack Operator
  • Team Player
  • Inventory Control
  • Pallet Construction
  • Shipping Documentation
  • Production Deadline Management
  • Safe Driver
  • Inventory Reporting
  • Spreadsheet Tracking
  • Pallet Disassembly and Assembly
  • Discharge and Dumping Operations
  • Parts Cleaning and Lubrication
  • Wrapping and Banding
  • Palletizer

Accomplishments

  • Blog - Finance in Focus2010 - 03/2011 http://www.financeinfocus.myblog.net

Timeline

IPM Operator/ Inspections

Eli Lilly, LTC South
09.2022 - Current

Revenue Cycle Plastic Surgery Specialist

IU Health University Hospital
06.2022 - 09.2022

Home Health Aide

Caregivers Home Health
11.2019 - Current

Centralize Referral Coordinator

Health And Hospitals Corporation
10.2013 - 10.2018

General Surgery Scheduling Referral Coordinator

Health And Hospitals Corporation
06.2007 - 10.2013

Central Registrar

Health And Hospitals Corporation
10.2005 - 06.2007

Neurology Patient Service Associate

Wishard Memorial Hospital
08.2001 - 10.2005

Patient Intake

Bell Flower Clinic
01.1999 - 01.2001

Loan Officer

NBD Bank
02.1995 - 12.1995

Cerificate - Medical Billing And Coding

Penn Foster College

Certificate Of Completion - Allied Health And Medicine

Penn Foster College

Certificate Of Completion - Introduction To Pathology

Penn Foster College

Qualified Inspector - Eli Lilly - Certificate of Completion

Eli Lilly Workday

Associate's Degree - Health Information Technology

Diploma - Criminology

Ivy Tech State College

Qualified Inspector - Eli -

Epic Superuser - Eskenazi Health -

Certificate Of Completion - Medical Business And Administration

IndyPendence Career Development Center

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