Kelli Jackson
Glassport,PA
Summary
Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
6
6
years of professional experience
Work History
Case Manager
Lash Group
07.2022 - Current
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
- Enhanced communication between clients and providers through consistent follow-ups and progress updates.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
- Streamlined service coordination efforts through diligent maintenance of client files and efficient use of case management software tools.
Patient Services Representative
Lash Group
03.2020 - 07.2022
- Maintained patient confidentiality by adhering to HIPAA regulations and diligently updating records as needed.
- Resolved patient complaints promptly, demonstrating empathy and understanding while seeking mutually beneficial solutions.
- Managed high call volume, prioritizing urgent issues and directing calls appropriately for optimal resolution.
- Implemented effective time management strategies that allowed me to balance multiple responsibilities, resulting in improved productivity and patient satisfaction.
- Provided exceptional customer service to build strong relationships with patients, leading to increased loyalty and return visits.
- Served as a key point-of-contact between physicians, nurses, technicians, administrators, other professionals involved in the provision of quality medical services.
- Assisted with billing inquiries and insurance verification, resulting in a smoother financial experience for patients.
- Fostered a positive environment within the healthcare facility by actively participating in staff meetings and collaborating on continuous improvement initiatives.
- Facilitated patient education by providing clear explanations of treatment plans and addressing any concerns or questions.
- Contributed to team efforts in achieving quality assurance benchmarks related to patient services processes.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Providing excellent customer service by promptly answering patient inquiries.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Verified patient insurance eligibility and entered patient information into system.
Patient Access Team Lead
Conifer Healthcare Solutions
06.2018 - 01.2020
- Streamlined patient registration process by implementing efficient workflows and reducing wait times.
- Managed a team of Patient Access Specialists, ensuring proper training and adherence to policies and procedures.
- Provided ongoing support and guidance to team members, promoting professional growth opportunities within the organization.
- Maintained strict compliance with HIPAA regulations, protecting patient privacy while facilitating access to necessary information for care providers.
- Served as liaison between the Patient Access team and other departments, fostering positive relationships and effective communication.
- Implemented quality control measures to ensure the accuracy of data entry, leading to fewer billing discrepancies.
- Increased accuracy of patient demographic information by implementing a system for regular updates and validation.
- Reduced errors in insurance verification by implementing thorough checks on coverage details and eligibility.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Trained new staff on hospital processes and procedures.
- Verified patient insurance eligibility and entered patient information into system.
- 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.
Education
Medical Assistant Certificate - Healthcare
York Technical College
Rock Hill, SC08.2013
High School Diploma -
Fort Mill High School
Fort Mill, SC05.2006
Skills
- Problem-Solving
- Case Management
- Case Documentation
- Organization and Multitasking
- Documentation And Reporting
- Conflict Resolution
- Positive Attitude
- Email and Telephone Etiquette
- Care Coordination
- Documentation proficiency
- Records Management
- Data Entry and Analysis
Accomplishments
- Supervised team of 20 staff members.
- Achieved team success by introducing educational training material for job specific tasks.
- Collaborated with team in the development of Annual Reverification Project.
Timeline
Case Manager
Lash Group
07.2022 - Current
Patient Services Representative
Lash Group
03.2020 - 07.2022
Patient Access Team Lead
Conifer Healthcare Solutions
06.2018 - 01.2020
Medical Assistant Certificate - Healthcare
York Technical College
High School Diploma -
Fort Mill High School
Similar Profiles
Rose VazquezRose Vazquez
Program Coordinator at Lash GroupProgram Coordinator at Lash Group
Chao XiongChao Xiong
Patient Access Specialist at Lash GroupPatient Access Specialist at Lash Group
Jessica PorteeJessica Portee
Email Support Representative at Lash GroupEmail Support Representative at Lash Group