Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
Generic

Kiamisha Young

Remote Hospice Coordinator-Resource Specialist 1
New Caney,TX

Summary

Hospice Coordinator and healthcare specialists experience for over 15 years. Highest education associate degree in healthcare management

Overview

8
8
years of professional experience
3
3
years of post-secondary education

Work History

Health Information Resource Specialist 1

Trinity Health
Columbus, Ohio
10.2022 - Current
  • Providing indexing for Trinity Health Systems, documentation for any missing patient information working in back end of EMR systems
  • Faxing physician orders for specialist offices for medical procedures
  • Working in Epic and OnBase systems for the best patient care
  • Document management working specialty, primary care offices. Working with release of information, medical release, labs and physician orders.
  • Managed approximately 130 incoming emails and faxes per day from patients, providers and other outside providers.
  • Scanned and uploaded medical records into electronic medical records system.
  • Ensured compliance with HIPAA regulations by conducting regular staff training sessions and implementing privacy policies within the organization.
  • Improved patient data accuracy by meticulously reviewing and updating electronic health records.
  • Increased departmental accuracy rates through regular quality assurance checks on coded diagnoses and procedures.

Hospice Intake Coordinator

Trinity Health
Columbus, Ohio
10.2020 - 10.2022
  • Managed, scheduled all nurses and STNA staff for daily home hospice, death visits
  • Ordering durable medical equipment supplies and equipment for patients home to be delivered through portals, incoming hospice referrals through hospitals
  • Provider scheduling for nurse practitioners for insurance face to face approval or denial initial, start of care visits.
  • Staying in communication with all nurses' physicians as well as nurse practitioners per teams app and phone.
  • Ordering medical supplies through Cardinal Health portals for hospice, palliative care patients
  • Completing scheduling for upcoming days/weeks/weekend staffing of 15
  • Responsible for daily reports via census, follow-ups
  • Following up on prior authorizations for hospice and durable medical equipment billing.
  • Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
  • Maintained accurate and up-to-date client records.
  • Enhanced office productivity by handling high volume of callers per day.
  • Supported office staff and operational requirements with administrative tasks.
  • Completed intake assessment forms and filed clients' charts.

Care Manager Specialist

Orthopedic One
Hilliard, Ohio
09.2018 - 04.2020
  • Processing medical authorizations for orthopedic surgery, joint injections, physical therapy any procedures done and or imaging studies
  • Completing BWC prior AUTH's through workers compensation
  • Responsible for processing insurance appeals
  • Receiving benefits for determination, giving clinical information to clinical nurses for prior authorizations
  • Submitting cases via insurance portals and third parties
  • Working as a patient advocate for our patient's and patient's rights
  • Maintained detailed records in compliance with agency standards and regulations.
  • Assessed clients and developed plans to meet needs.
  • Consulted with supervisors to assess cases and plan strategies for enhancing care.
  • Established and maintained relationships with clients, families and community partners to coordinate services to meet client's needs.
  • Evaluated clients progress and adjusted service plans to address areas of concern.
  • Communicated with healthcare providers to facilitate continuity of care.
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.

Prior Authorization Specialist

PriorAuthNow
Columbus, Ohio
06.2017 - 06.2018
  • Improved provider satisfaction with timely communications regarding authorization status updates.
  • Contributed to policy updates by providing feedback on common challenges encountered during authorization process.
  • Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
  • Maintained organized records and up-to-date files for all completed and pending authorization requests, ensuring easy access during audits or reviews.
  • Managed approximately 30 incoming calls, emails and faxes per day from customers.'Enhanced communication between healthcare providers and insurance companies, ensuring prompt resolution of issues related to prior authorizations.
  • Improved patient outcomes by expediting authorization process for urgent and life-saving treatments.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.

Education

Certificate - Phlebotomy Technican

LaRock Healthcare Academy
Columbus
05.2023 - 08.2023

Associate's degree - Healthcare Management

Columbus State Community College
Columbus, OH
05.2020 - 08.2022

Skills

  • Hospice

Referral coordination

Teamwork and collaboration

  • Health information management

  • Documentation review

  • Smartsheet

  • Software troubleshooting

  • Medical Billing

Personal Information


  • Authorized To Work: US for any employer

Timeline

Certificate - Phlebotomy Technican

LaRock Healthcare Academy
05.2023 - 08.2023

Health Information Resource Specialist 1

Trinity Health
10.2022 - Current

Hospice Intake Coordinator

Trinity Health
10.2020 - 10.2022

Associate's degree - Healthcare Management

Columbus State Community College
05.2020 - 08.2022

Care Manager Specialist

Orthopedic One
09.2018 - 04.2020

Prior Authorization Specialist

PriorAuthNow
06.2017 - 06.2018
Kiamisha YoungRemote Hospice Coordinator-Resource Specialist 1