Highly skilled and accomplished LTSS Coordinator/Star Plus Wavier Specialist and Lead Dental Assistant with a proven track record at WellPoint, Anthem Blue Cross, and Abbeville Dentistry with more than 9 years of experience managing operations in patient-centric medical offices.Excelled in streamlining service delivery, enhancing client outcomes, and mentoring staff. Skilled in patient care assessment and staff management, demonstrating a commitment to excellence and a results-driven approach.
Overview
9
9
years of professional experience
Work History
LTSS Coordinator/Wavier Support Specialist
WellPoint, Anthem Blue Cross
Lubbock, TX/Dallas, TX
06.2022 - Current
Streamlined communication between providers and clients, ensuring timely access to necessary services.
Participated in ongoing professional development opportunities to stay current on industry trends and best practices in LTSS coordination.
Monitored LTSS program progress and made adjustments as needed, improving overall efficiency.
Worked closely with families to address any concerns or questions regarding LTSS services for their loved ones.
Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Improved client outcomes by developing and implementing individualized service plans tailored to specific needs.
Managed caseloads efficiently by prioritizing tasks according to urgency while adhering to Medicaid guidelines.
Mentored new case managers, sharing best practices to ensure success in delivering high-quality care to Medicaid Waiver clients.
Assisted clients in achieving greater independence by identifying opportunities for skill development and growth.
Lead Dental Assistant/Assistant Business Office Manager
Abbeville Dentistry
Lubbock, TX
08.2015 - Current
Managed inventory of dental supplies, minimizing waste while ensuring necessary resources were readily available for all procedures.
Explained treatment procedures and instructed patients on home care guidelines.
Measured and recorded vital statistics by taking patients' blood pressure, temperature, and pulse.
Maintained dental supply inventory by checking stock to determine inventory levels and placing and expediting orders for supplies.
Successfully assisted dentist by performing four-handed dentistry and other chair-side duties.
Took dental images following strict patient protection rules, applying lead aprons.
Recorded patients' health histories, documented current symptoms, and pulled up records from prior visits for dentists to view and evaluate.
Assisted dentists in various procedures, ensuring accurate treatment delivery and high-quality patient care.
Documented patient dental health information, medical history, and vital signs for future reference.
Mentored junior dental assistants, sharing valuable knowledge to strengthen the overall quality of the team''s performance.
Worked closely with insurance companies to ensure accurate billing and timely reimbursement for services rendered.
Communicated corporate objectives to various divisions to meet deadlines and adhere to company budgets.
Collaborated with human resources on recruiting efforts, conducting interviews, and onboarding new hires.
Assisted in budget preparation and monitoring expenses for cost-effective business practices.
Coordinated office events including team building activities, company meetings, holiday parties, enhancing employee morale.
Education
High School Diploma -
Brownfield High School
Brownfield, TX
05.2010
Skills
Client Advocacy
Assessment skills
Policy Knowledge
Service planning
Patient Care Assessment
HIPAA Guidelines
Staff Management
Risk Management
Records Management
Codes Compliance
Clinical Staff Management
Clinical Quality Program Standards
Accomplishments
Received L.O.V.E award.
OSHA compliance officer
Registered Dental Assistant
Proficient in Excel/Teams/Aumi/Facets/HIP
Timeline
LTSS Coordinator/Wavier Support Specialist
WellPoint, Anthem Blue Cross
06.2022 - Current
Lead Dental Assistant/Assistant Business Office Manager
Service Coordinator/Peer Support Specialist at WestCop Supported Services for Veterans FamiliesService Coordinator/Peer Support Specialist at WestCop Supported Services for Veterans Families