Kelly Rome- Bienemy
New Orleans,LA
Summary
Dedicated patient care coordinator skilled in enhancing patient satisfaction through effective communication and streamlined appointment scheduling. Proven ability to manage medication orders and collaborate with healthcare teams to improve care delivery and maintain electronic health records accurately.
Overview
14
14
years of professional experience
Work History
Patient Care Coordinator
Optum Pharmacy
New Orleans, Louisiana
01.2023 - Current
- Managed scheduling for patient consultations and follow-ups to optimize care delivery.
- Coordinated patient medication orders with healthcare providers and pharmacy staff to ensure timely and accurate treatment.
- Facilitated communication between patients, pharmacists, and medical teams to enhance treatment collaboration.
- Processed prescription requests to guarantee precise medication delivery and adherence to care plans.
- Maintained electronic health records by updating patient information and care activities.
- Established strong professional relationships with physicians and staff to improve patient care networks.
- Assisted in creating a supportive environment for patients and families through excellent service.
- Followed up with discharged patients to verify understanding of post-care instructions and support needs.
Patient Access Rep
Ochsner Hospital
03.2019 - 03.2022
- Streamlined patient scheduling, registration, and admission processes to enhance overall patient experience.
- Provided outstanding customer service to patients, guests, and family members, fostering a welcoming environment.
- Ensured accurate completion of forms and gathered necessary documentation.
- Entered demographic and financial information while explaining insurance benefits clearly.
- Conducted financial analysis for cases and communicated responsibilities to patients.
- Maintained compliance with HIPAA regulations while handling patient information.
- Balanced cash drawer daily and prepared deposit slips at end of shifts.
- Built strong relationships with patients, contributing to improved satisfaction scores and care quality.
Patient Access Coordinator
Kroger Specialty Pharmacy
11.2014 - 02.2019
- Communicate with patients to obtain information required to process prescriptions, refills, access benefits and apply charges against co-pay cards.
- Obtain prior authorizations; initiate requests, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers.informed.
- Review for accuracy of prescribed treatment regimen prior to submission of authorization.
- Facilitated appeals process between patient, physician, and insurance company by requesting denial information and obtaining denial letters from relevant parties.
- Composes clinical appeals letters based off of specific denial reason and patient’s clinical presentation.
- Ensures all clinical information and documentation are obtained prior to appeal submission.
- regarding receipt of prior authorization and appeal and approval or denial status.
- Obtains approval information and activates copay cards based off eligibility and specific drug prescribed
- Managed insurance verification processes to facilitate medication dispensing for patients.
- Utilized electronic health record systems to maintain accurate patient information and documentation.
- Adhered to HIPAA guidelines when handling confidential patient information.
Secretary
Children’s Hospital
09.2012 - 06.2014
- Coordinated internal and external meeting logistics, ensuring seamless execution of events and catering.
- Scheduled conference rooms, ensuring all meeting logistics were effectively managed.
- Maintained confidentiality of sensitive information to protect business operations.
- Organized and maintained department files for accurate and timely access to materials.
- Provided clerical support to enhance departmental operations and communication flow.
- Entered data into spreadsheets and databases for accurate record-keeping.
- Generated and distributed routine reports to relevant stakeholders.
- Assisted with payment processing for requisitions, invoices, and purchase orders within the department.
Education
Technical Nursing Degree -
Capital Area College
Baton Rouge, LA07-2007
Skills
- Care coordination
- Patient relationship management
- Medication management
- Clinical documentation
- Electronic health records
- Insurance verification
- Prior authorization
- Appointment scheduling
- HIPAA compliance
- Problem solving
- Attention to detail
- Patient advocacy
References
Available upon request.
Timeline
Patient Care Coordinator
Optum Pharmacy
01.2023 - Current
Patient Access Rep
Ochsner Hospital
03.2019 - 03.2022
Patient Access Coordinator
Kroger Specialty Pharmacy
11.2014 - 02.2019
Secretary
Children’s Hospital
09.2012 - 06.2014
Technical Nursing Degree -
Capital Area College