To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills, while also incorporating previous skills such as billing, reimbursement, customer service, and medical information.
Overview
16
16
years of professional experience
Work History
Case Manager
Pro-Spectus
09.2023 - Current
Developed and implemented comprehensive case management plans to address client needs and goals.
Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Assisted clients in navigating legal services and public benefits to gain access to valuable resources.
Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
Provided evidence-based therapeutic interventions and crisis management to clients to lessen negative on physical, mental and emotional wellbeing.
Evaluated treatment plans against individual goals and healthcare standards.
Provided education on health and nutrition for patients to maintain healthy habits and wellbeing.
Provided leadership, guidance and support to staff members.
Implemented strategies to increase public awareness of social and community service programs.
Monitored clients' progress and tracked client services to provide crisis interventions.
Patient Service Representative
Evergreen Hospital Primary Care
04.2023 - 09.2023
Provided exceptional customer service to patients, answering questions and addressing concerns.
Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Entered patient demographic and insurance data into electronic medical record system.
Filed and maintained patient records in accordance with HIPAA regulations.
Managed patient registration process, confirming data accuracy and completeness.
Built and maintained positive working relationships with patients and staff.
Applied administrative knowledge and courtesy to explain procedures and services to patients.
Used EPIC software to schedule appointments.
Answered incoming calls, scheduled appointments and filed medical records.
Developed and implemented customer service policies and procedures.
Verified patient insurance eligibility and entered patient information into system.
Team Leader Enteral Nutrition
Byram Healthcare
03.2009 - 04.2023
Demonstrated a previous, and withstanding understanding of billing/reimbursement in part of a 15+ year exposure from all medical facets, "DME, HHA, PCP, UC, ETC.)
Worked with insurance companies to obtain coverage for nutrition services. (Rx, Prior Authorizations, needed Medical Justification)
Collaborated with healthcare professionals to provide optimal nutritional care for patients.
Mentored and guided employees to foster proper completion of assigned duties.
Established open and professional relationships with team members to achieve quick resolutions for various issues.
Conducted training and mentored team members to promote productivity, accuracy and commitment to friendly service.
Built strong relationships with customers through positive attitude and attentive responses
Initiated timely response to emails, voicemails and written correspondence.
Molded team and embraced changes to adapt within the company.
Cross-trained and provided back up for customer service managers.
Optimized customer support by establishing collaborative service environment.
Sales Representative
Wyndham Vacation Ownership
05.2008 - 03.2009
Achieved monthly sales goals consistently
Retained excellent client satisfaction ratings through outstanding service delivery.
Reached out to customers after completed sales to evaluate satisfaction and determine immediate service requirements.
Boosted brand awareness, implemented promotional campaigns and employed sales tactics as part of territory development.
Attended advanced training sessions and conferences to increase product knowledge and productivity.
Tailored sales approaches and techniques to specific client needs to increase marketing effectiveness.
Education
Shorecrest High School
Shoreline, WA
06.2007
Skills
Proficient in Word, Excel, PowerPoint, and Outlook
Excellent Attention to Detail
Coaching and Mentoring
Flexible Work Schedule
Impeccable Verbal and Written Communication Skills
Delegation and Supervision
Overseeing Daily Activities
Computer Proficiency and Operationally Efficient
Handling Complaints and Inquiries Satisfactorily
Team Oriented
Superb Prioritization and Time Management Capability
Fulfilled Service Level Agreements consistently
Staff Coaching and Training
Overcomes obstacles efficiently
Effective customer service skills
Well rounded knowledge of billing and reimbursement
Accomplishments
Led team of 2-6 members while providing exceptional customer service.
Took part in opening out of state facilities.
Trained new employees for several departments within those new facilities.
Maintained excellent stats
Understanding of reimbursement and billing changes and adapting as needed
Familiarity with insurance and reimbursement coverage nationwide for products DME related and more
Familiarity with ICD10/HCPC/documentation for a Prior Authorization
Worked in Enteral Nutrition for 15+ years resulting in knowledge of billing/reimbursement/product details, etc. all inclusive.