CANDICE BOOTH
Brooklyn,NY
Summary
Extensive background in Select data, Quadra-med, Sunrise, IDS7/PACS, Unity, Esmartlog, Eccentrics, EPACES, GSI, BTQ, RMA and MAPP Experience in ICD-9 and 10 and CPT billing codes Proficient in Microsoft word, Excel, Window XP, and Outlook. Proficient in developing project action plans, medical terminology and insurance rules and regulations Enthusiastic [Job Title] eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of [Task] and [Task] and training in [Skill]. Motivated to learn, grow and excel in [Industry].
Overview
12
12
years of professional experience
1
1
Certification
Work History
Data Management Technician
Village Care/Health Home
New York, NY
03.2017 - 11.2018
- Ran census Medicaid batch checks through eMEDNY for program insurance eligibility and verification, Identifying VC Max and HARP patients.
- Data entry of patient and program information through multiple clinical databases.
- Compiled data for specialized reporting as needed.
- Communicated and resolved issues affecting billing with Lead health homes.
- Managed health home databases - GSI, BTQ, RMA and MAPP to ensure accuracy of data.
- Formatted and uploaded lead Health Home assignment lists in preparation for outreach and intake assignments.
- Department Medicaid billing reconciliation, ensuring claim generation and acuity code assignment in conjunction with finance.
Outreach and Engagement Specialist/Team Leader
The Execu-Search Group, NYC Health and Hospitals/ Home Care
New York, NY
04.2016 - 03.2017
- Received and processed referrals for Health Home eligible members, i.e.
- Medicaid and Health Home eligibility, assignment to field specialist, etc.
- Contacted and educated eligible members on the benefits of care coordination and scheduled field staff for intake of interested members.
- Provided follow-up/updates to all stakeholders, i.e.
- Referral source, member, supervisor, care coordination team.
- Developed relationships with referral sources and interfacing agencies and markets care coordination services to potential participants.
- Processed member transfers to other Health Homes via MAPP.
- Utilized GSI database to maintain ongoing clinical documentation and records upholding all HIPAA regulations and confidentiality protocols to record each interaction with every client served.
- Assisted with new staff onboarding.
- Provided leadership, training, including daily oversight and monitoring of staff activities and client documentation.
- Ensured required documentation is completed according to Health Home Standards.
11.2015 - 04.2016
- Performed clerical duties including copying and filing documents.
- Received 7 to 10 inches of paperwork daily to sort and file.
- Prepared medical charts to ship to storage.
- Created medical charts for patients.
OSC/Clerical Associate IV
11.2014 - 10.2015
- Received referral from central intake.
- In collaboration with the nurse manager schedules appropriate caregivers for initial visit.
- Entered all initial/recertification POC's and supplemental orders into tracking program.
- Completed other documents and authorizations for tracking as appropriate.
- Documented the visits for all disciplines authorized by the physician for the patient into planned visits program.
- Entered assigned caregivers for disciplines scheduled.
- Scheduled patient visits from the initial/recertification assessments and supplemental orders into scheduler.
- Completed patient visit report and follow-up with caregivers when no documentation is received for scheduled visits.
09.2014 - 11.2014
- Performed clerical duties including copying and filing documents.
- Received high volume of paperwork daily to sort and file.
- Prepared medical charts to ship to storage.
- Created medical charts for patients.
- Retrieved documents from medical charts as needed.
Clerical Associate III
Bellevue Hospital/Medical Records
New York, NY
04.2008 - 06.2013
- Interviewed patients to determine what is needed from medical records and processed request.
- Prepared and delegated work for employee's and Entered info into computer base.
- Processed legal request from attorney's for medical records while staying HIPAA compliant.
- Processed subpoena's for medical records.
- Answered and delegated large volume of incoming calls on multiple lines while recording accurate messages.
- Opened and properly distributed mail.
- Filed charts in numerical order, responding rapidly via fax to doctors treating patients.
- Communicated with Doctors/Social workers via email, phone, fax, and/or in person to confirm all records are in patient chart.
Clerical Associate
Winston Staffing
New York, NY
03.2007 - 04.2008
- Alphabetical filed and prepared employees' chart for auditing.
- Verified doctors and nurses license/permits and education online.
- Visit different departments to retrieve documentation needed for employment charts.
Education
GED -
State University of New York
Brooklyn, NY03.2005
Skills
- Attorney
- Auditing
- Benefits
- Billing
- Charts
- Clerical
- Copying
- Client
- Data entry
- Databases
- Database
- Documentation
- Electronic Health Records
- Fax
- Filing
- Finance
- HIPAA regulations
- Insurance
- Leadership
- Legal
- Max
- Nurse manager
- Treating patients
- Coding
- Protocols
- Recording
- Reporting
- Supervisor
- Phone
- VC
- Data collection and management
- Data management
- Confidential data management
Certification
- Certified Electronic Health Records Specialist (CEHRS)
- Certified Medical Administrative Assistant (CMAA)
- Certified Billing and Coding Specialist (CBCS)
Timeline
Data Management Technician
Village Care/Health Home
03.2017 - 11.2018
Outreach and Engagement Specialist/Team Leader
The Execu-Search Group, NYC Health and Hospitals/ Home Care
04.2016 - 03.2017
11.2015 - 04.2016
OSC/Clerical Associate IV
11.2014 - 10.2015
09.2014 - 11.2014
Clerical Associate III
Bellevue Hospital/Medical Records
04.2008 - 06.2013
Clerical Associate
Winston Staffing
03.2007 - 04.2008
GED -
State University of New York