Summary
Overview
Work History
Skills
Timeline
Generic

Kim Lee

Broussard,LA

Summary

Proactive Clinical Coordinator excited to transition into a new position where superb leadership and clinical coordination abilities can be utilized. Skilled in prioritizing, working independently, meeting deadlines all while producing quality work. Committed to ensuring staff is compliant and the needs are meet for client and company.

Overview

9
9
years of professional experience

Work History

Clinical Data Support Coordinator- LPN

LHI - Optum Health Care- Sr.
09.2022 - Current
  • Review Compensation & Pension request documents and claims file for completion of the claims file bookmarking to facilitate LHI providers in location of pertinent information to ensure timely review and accurate completion of Disability Benefit Questionnaires (DBQs).
  • Utilizing Metnet to build and Process orders for upcoming Veteran medical appointments. - The ability to perform detailed work with a high level of accuracy to meet weekly department stats. Possess superb written, verbal and interpersonal communication skills while multitasking and working with a team.
  • Collaborate with various departments to ensure system generated tasks are completed in a timely manner with quality standards.
  • Ensure order requests meet contractual requirements prior to approval.
  • Ability to work and resolve issues independently, while having awareness to determine when team collaboration is required
  • Ability to assess importance and relevance of information and effectively and efficiently share information and relevant detail to the appropriate persons.
  • Excellent time management skills

LPN

Lafayette Arthritis & Endocrine Clinic
06.2015 - 09.2022
  • Improved patient outcomes by providing high-quality nursing care.
  • Assisted in management of chronic health conditions by providing education, support, and follow-up care.
  • Evaluated patient histories, complaints, and current symptoms.
  • Prior Authorizations, Insurance verification, Medication and Treatment scheduling.
  • Communicates via telephone and other virtual tools with patients regarding care needs, documenting communications appropriately in electronic medical record.
  • Accesses portals as necessary to prepare reports and other documents to evaluate progress and prioritize workload.
  • Maintain appropriate documentation and protect all patients’ health information, PHI, as required by applicable HIPPA, federal and state laws and regulations, and all hospitals procedures.
  • Process incoming and outgoing referrals.
  • Assist clinical staff with setting up documents/triage cases for Clinical Coverage Review
  • Handle resolution/inquiries from members and/or providers.

Skills

  • Critical Thinking and Independent decision making
  • Performance Metrics
  • Research coordination
  • Drug utilization review
  • HIPAA Compliance
  • Clinical Quality Improvement
  • Clinical Leadership & Clinical Documentation
  • Medical Records Management & Case Management
  • Health Information Systems
  • Metrics Tracking
  • Data Compilation
  • Excellent time management skills
  • Excellent collaboration and teamwork skills
  • Excellent verbal and written communication skills
  • Excellent interpersonal and customer service skills
  • Excellent organizational skills and attention to detail
  • Proficient with Microsoft Office Suite or related software
  • Ability to multi-task and adhere to deadlines when faced with multiple interruptions and sometimes stressful situations
  • Can confidently establish priorities based on workload, focusing on attention to detail and accuracy
  • Ability to analyze and problem-solve and resolve Issues

Timeline

Clinical Data Support Coordinator- LPN

LHI - Optum Health Care- Sr.
09.2022 - Current

LPN

Lafayette Arthritis & Endocrine Clinic
06.2015 - 09.2022

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Kim Lee