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
- Laboratory Experience
- ICD-10 coding
- Workers' Compensation
- Management scheduling
- Radiology
- Epic
- Data Analysis
- Medical Records EMR
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
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