Kathryn Giorgio Pirkey
Wilmington,USA
Summary
Strategic Partner known for high productivity and efficiency in task completion. Skilled in negotiation, strategic planning, and relationship management. Excel in communication, leadership, and problem-solving to achieve goals and foster partnerships.
Overview
10
10
years of professional experience
Work History
BEHAVIORAL HEALTH COMMUNITY HEALTH PARTNER
Cityblock Health
Essex County
11.2022 - 01.2026
- Outreach, engage and follow a panel of members with complex behavioral health needs to coordinate all aspects of their care. This includes phone calls, co-visits with another member of the care team, home visits and/or hospital visits.
- Foster lasting and trusting relationships as the face of the team and key point-of-contact to assist members in achieving goals, identifying new needs, and coordinating care.
- Guided members in obtaining high-quality evidence-based care, including injectable antipsychotic medications for schizophrenia and medication-assisted treatment for opioid or alcohol use disorders.
- Facilitated access to community care for members, reducing avoidable emergency room visits and hospitalizations.
- Support members after a discharge from a hospital or emergency room, ensuring members understand discharge instructions, are connected to care providers, attend follow up appointments, and are aware of resources such as our urgent care line and external warm lines.
- Conducted holistic assessments to identify barriers and needs, developing tailored interventions aligned with member goals.
- Meet with members in their homes, neighborhoods, and throughout the complicated paths of the healthcare system.
- Coordinate care for members, identifying and addressing their barriers to good health.
- Participate in interdisciplinary care team meetings, huddles and care conferences.
- Work daily within our custom-built care facilitation platform, which will enable you to collect data, organize information, track tasks, and communicate with staff, members, and family members. This platform is built for a mobile workforce, and you will use our technology in the contact center, provide feedback to the product development team, and, over time, become part of a super-user group to assist in onboarding and supporting others.
CLINICAL OPERATIONAL SUPERVISOR
Commonwealth Care Alliance
Charlestown, MA
11.2019 - 11.2022
- Supervised 16 clinical support coordinators in admin department to streamline operations.
- Oversee clinical protocols and documentation.
- Outreach to members for clinical and authorization support.
- Oversee the inputting of timely medical authorizations.
- Creating training materials and SOP's.
- Conducted training sessions for new employees to facilitate integration into company culture.
- Coordinate with vendors to provide excellent customer service to help support our members.
- Monitor inbound and outbound calls.
- Tracking performance to ensure we meet our KPI's.
- 1:1 weekly meeting with employees.
- Weekly team meeting for updates, questions or concerns.
- Yearly performance reviews.
- Monitored team deadlines to ensure timely completion of projects and tasks.
- Tracking and ordering of medical supplies for our location.
- Upholding security of member's PHI in accordance of HIPPA.
- Interviewing potential employees.
CLINIC MANAGER/ BILLING ANALYST
Column Health
Arlington, MA
07.2017 - 06.2019
- Clinic Workflow: Front End, Call Center, Operations.
- Process/ Submit Claims.
- Managed billing tasks to ensure accurate financial records and effective patient account management.
- Collaboration with insurance for reprocessing of claims/ denials.
- Outpatient Authorizations.
- Monitoring of outstanding balance/co-pay collection.
- Client billing errors/ patient inquiries on balances or insurances.
- Explanation/ breakdown of billing summaries to patients.
- Receiving over 200 calls a day, providing solutions and customer service to clients.
- Solving patient conflicts/ grievances.
- Onboarded and trained new employees.
- Developed SOPs to standardize daily tasks and enhance operational efficiency.
CASE MANAGER
Acadia Health Services
Boston, MA
10.2016 - 07.2017
- Coordinated care with external providers and resources to effectively meet client needs.
- Developed initial treatment plans and scheduled follow-up admission appointments for clients.
- Processed and completed client intakes to ensure timely access to services.
- Organize, file, and fax reports and confidential information regarding clients.
TRANSITIONAL COORDINATOR
Eliot Community Human Services
Saugus, MA
09.2015 - 09.2016
- Support youth in transition to next placement including foster home, independent living, etc.
- Linked youth to ongoing community treatment and support services, including medication, individual therapy, mentoring, tutoring, and transportation to facilitate successful transitions.
- Gathered information for comprehensive strengths and needs assessments and treatment planning to support youth in achieving their goals.
- Coordinate and execute the plan of the day in accordance with program.
Education
BS - Psychology
Bridgewater State University
05-2014
Skills
- Behavioral health support
- Care coordination
- Operational efficiency
- Patient advocacy
- Program development
- Performance tracking
- Performance analysis
- Workflow optimization
- Data management
- Team collaboration
- Community engagement
- Relationship building
- Conflict resolution
- Time management
- Multitasking
- Stakeholder engagement
Timeline
BEHAVIORAL HEALTH COMMUNITY HEALTH PARTNER
Cityblock Health
11.2022 - 01.2026
CLINICAL OPERATIONAL SUPERVISOR
Commonwealth Care Alliance
11.2019 - 11.2022
CLINIC MANAGER/ BILLING ANALYST
Column Health
07.2017 - 06.2019
CASE MANAGER
Acadia Health Services
10.2016 - 07.2017
TRANSITIONAL COORDINATOR
Eliot Community Human Services
09.2015 - 09.2016
BS - Psychology
Bridgewater State University