KARMALA THOMAS
Community Health Representative
Baltimore,MD
Summary
Results-oriented credentialed Community Health Worker with several years of experience providing health care practice transformations dedicated to delivering comprehensive process assessment and strategy implementation. Adept at analyzing clinical data to produce operational efficiency, utilizing statistical and business intelligence tools to streamline workflow. Demonstrates leadership on community safety plans to verify safe, healthy neighborhoods and communities.
Overview
10
10
years of professional experience
1
1
year of post-secondary education
Work History
COMMUNITY HEALTH WORKER II
HEALTH CARE ACCESS MARYLAND
Baltimore, MD
04.2021 - Current
- Provides community outreach services under Baltimore City Harm Reduction and Returning Citizens Community Connections programs, assists clients located in Baltimore City by completing applications for services, delivering food and supplies, connecting clients to community resources, and coordinating services
- Working as an advocate while enrolling uninsured clients into Maryland Medicaid and any other applicable public benefit programs
- Assists adults in accessing services, resources, and benefits that mitigate the health, financial and social impact of the Opioid Crisis, Covid-19 Pandemic, and other Social Determinants of Health
- Responsible for providing outreach, social support, care transition, and community resource information to soon-to-be-released and newly released offenders and their families
- Serving as a Care Coordinator serves as a bridge for the returning citizen client, the clinical care team, and the community to assure the necessary services are available to address health-related social needs with a goal of reducing recidivism and emergency room use through coordinating these services
- Maintaining a caseload of up to 35 participating at 100% by scheduling and completing appointment reminder calls, rescheduling missed appointments, and following up with inactive clients.
- Delivered services to customer locations within specific timeframes
- Exceeded goals through effective task prioritization and great work ethic
- Carried out day-to-day duties accurately and efficiently
- Learned new skills and applied to daily tasks to improve efficiency and productivity
- Conducted research, gathered information from multiple sources and presented results
Staffing Coordinator
Amazon.Inc
Baltimore, MD
08.2020 - 12.2020
- Process 75-425 candidates daily for Amazon hiring events and guarantee that candidates accurately complete drug tests erasing the need for re-testing, saving time and money
- Track recruiting activities and report candidate status to verify 100% retention of the right talent to meet business objectives
- Superintend candidate activity, including maintaining accurate qualification screenings to guarantee strategic alignment with company goals and timely completion of all electronic paperwork, resulting in reduced turnover
- Interview all incoming potential employees while maintaining maximum awareness of all contract policies, consistently meeting all company requirements before hiring
- Boost company reputation and engagement by offering follow-up correspondence to candidates on recruiting status via phone and email.
- Created qualification guidelines and requirements for individual positions to identify and measure appropriate candidates against established criteria.
- Managed applicant tracking system (ATS) database by entering, updating and maintaining candidate contact details, resumes and supporting documentation.
CLINICAL SERVICES RESEARCH COORDINATOR
PHARMARON CPC
BALTIMORE, MD
08.2019 - 05.2020
- Coordinated multiple phase 1 & 2 clinical research studies at once for pharmaceutical companies and military government from recruitment of subjects, pre-study planning through successful completion of all study visits, and study documentation
- Conducted outreach for clinical trial subjects with approximately 70 participants daily and designed source documents to optimize the correct data captured
- Maintained timely completion and execution of all clinical processes through active communication with internal departments and adaption while verifying 100% compliance with study protocols
- Documented potential test subjects' medical history and personal information and maintained 100% accuracy of information records while promptly reporting and writing protocol deviations and possible liabilities from test subjects
- Performed a comprehensive evaluation of the initial and subsequent versions of protocols and clinical research data to guarantee accuracy and consistency between documents and informed consent forms before IRB submission.
PATIENT ACCESS SPECIALIST II
JOHN HOPKINS IMAGING
BALTIMORE, MD
01.2019 - 08.2019
- Maintained accurate schedules of approximately 50-100 patients daily for the radiology department, which decreased patient wait time while also improving critical resource utilization
- Oversaw an efficient patient flow by accurately registering new and returning patients to JHH Imaging through telephone communication and consistently met the Radiology department's operational and revenue objectives
- Audited patient charts to guarantee 100% accuracy and completeness of referrals/authorizations and CPT and ICD-9 Codes to facilitate a smooth and concise billing process
- Single-handedly managed all administrative aspects of the patient encounter, including scheduling 40+ patients daily, patient registration, and insurance verification
- Conducted approximately 60 insurance verifications, pre-authorizations, and follow-ups daily before outpatient surgeries and procedures to guarantee proper coverage and authorizations and achieved timely and maximum reimbursement rates.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
SMALL BUSINESS HEALTH ACCOUNT MANAGER
DISTRICT OF COLUMBIA HEALTH BENEFIT EXCHANGE AUTHORITY
WASHINGTON, DC
03.2018 - 12.2018
- Supported the organization's operational objectives by managing approximately 200+ small business accounts between the District of Columbia & Massachusetts and their employees to obtain health insurance under the ACA
- Collaborated with QA to create call scripts and FAQs that guaranteed information consistency and prompt customer responses regarding accounts password reset, initial enrollment, re-enrollment, payments, and cancellations resulting in 90%+ customer satisfaction
- Partnered with the IT team to improve the user experience while mitigating future issues by identifying trends in technical matters and developing standardized solutions, resulting in improved quality and productivity
- Delivered input to exchange authority's policymakers and leadership regarding implementing the Affordable Care Act in the District and Massachusetts; to develop and accomplish goals and strategic plans.
PATIENT SERVICE COORDINATOR
THE JOHN HOPKINS HOSPITAL
BALTIMORE, MD
01.2016 - 03.2018
- Audited patient charts to guarantee 100% accuracy with CPT & ICD-9 & ICD-1 codes resulting in a clear and concise billing period in OB/GYN and Children's Mental Health clinics
- Spearheaded administrative tasks that improved physicians and other health professional operations efficiency, resulting in the enhanced workflow of the OB/GYN and Children’s Mental Health departments
- Maintained 100% accuracy and completeness of intake and new patient forms by calling and emailing new and returning patients while offering additional assistance and explanation, reducing rejected billing submitted to insurance companies
- Coordinated 25+ complex appointments and patient consultations, follow-ups, and fertility procedures for 40+ medical providers within the department, resulting in improved patient flow and 90%+ physician productivity
- Guaranteed accurate and complete filing of all registration forms while explaining insurance benefits, including co-payments and out-of-pocket expenses, resulting in increased reimbursement rates.
TECHNICAL OPERATIONS SUPPORT REPRESENTATIVE
INOVALON, INC
COLUMBIA, MD
06.2015 - 06.2016
- Managed a scheduling calendar that improved task prioritization, including onsite credentialing reviews, risk adjustments, and chart abstractions while guaranteeing 100% accountability
- Offered technical and network problem support and solutions for professional medical users of Inovalon software interface applications and consistently achieved revenue and client satisfaction goals
- Promoted the registration and utilization of Inovalon software to providers and provider offices and submitted electronic SOAP notes and assessments, resulting in a 90% registration rate monthly
- Completed telephonic calls to engage and enroll patients in chronic care management programs.
Education
Certification - GOOGLE PROJECT MANAGEMENT: PROFESSIONAL CERTIFICAT
Coursera
Remote 05.2022 - 09.2022
Certificate - DEI in The Workplace
University of Southern Florida
Remote 05.2021 - 06.2021
Certification - COVID-19 CONTACT TRAINING
Johns Hopkins University
Baltimore, MD 03.2022 - 04.2021
Certification - COMMUNITY HEALTH WORKER PROGRAM
Baltimore City College
Baltimore, MD 10.2021 - 02.2022
Skills
MS Office Suiteundefined
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Everybody gets so much information all day long that they lose their common sense.
Gertrude Stein
Timeline
Certification - GOOGLE PROJECT MANAGEMENT: PROFESSIONAL CERTIFICAT
Coursera
05.2022 - 09.2022
Certification - COVID-19 CONTACT TRAINING
Johns Hopkins University
03.2022 - 04.2021
Certification - COMMUNITY HEALTH WORKER PROGRAM
Baltimore City College
10.2021 - 02.2022
Certificate - DEI in The Workplace
University of Southern Florida
05.2021 - 06.2021
COMMUNITY HEALTH WORKER II
HEALTH CARE ACCESS MARYLAND
04.2021 - Current
Staffing Coordinator
Amazon.Inc
08.2020 - 12.2020
CLINICAL SERVICES RESEARCH COORDINATOR
PHARMARON CPC
08.2019 - 05.2020
PATIENT ACCESS SPECIALIST II
JOHN HOPKINS IMAGING
01.2019 - 08.2019
SMALL BUSINESS HEALTH ACCOUNT MANAGER
DISTRICT OF COLUMBIA HEALTH BENEFIT EXCHANGE AUTHORITY
03.2018 - 12.2018
PATIENT SERVICE COORDINATOR
THE JOHN HOPKINS HOSPITAL
01.2016 - 03.2018
TECHNICAL OPERATIONS SUPPORT REPRESENTATIVE
INOVALON, INC
06.2015 - 06.2016
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