Summary
Overview
Work History
Education
Skills
Timeline
Generic

Keosha Polynice

Chester,VA

Summary

Enthusiastic about helping patients get necessary medical support and dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.

Overview

13
13
years of professional experience

Work History

Patient Service Specialist

Cleveland Clinic
06.2017 - 08.2023
  • Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
  • Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
  • Adapted quickly to changing policies or procedural updates within clinic, maintaining consistent levels of efficiency and accuracy in daily tasks.
  • Trained new team members on clinic procedures, fostering a welcoming and cohesive work environment.
  • Expedited referral processing for specialist visits as needed, ensuring seamless transitions for patients seeking additional care options outside primary practice setting.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Coordinated patients care by facilitating caregiver access to medical home providers and resources to meet patient needs.
  • Answered incoming calls, scheduled appointments, filed medical records.
  • Managed high call volumes by efficiently triaging incoming requests to appropriate departments or personnel.
  • Conducted regular audits of patient charts to identify discrepancies or missing information, contributing to the overall quality improvement efforts within the clinic setting.

Autism Support Specialist

Cleveland Clinic
03.2014 - 06.2017
  • Coordinates all office functions related to management day-to-day operations of the practice.
  • Maintains master physician schedules for current appointment information.
  • Schedule Autism Diagnostic Observation Schedule, Resource, Speech Language Pathology with Follow-up appointments.
  • Communicate with school districts to coordinate IEP and progress report meetings.
  • Facilitated successful transitions between school or work settings by collaborating closely with education professionals and employers to ensure appropriate accommodations were provided for individuals with autism.
  • Strengthened community partnerships by attending local events, advocating for autism awareness, and collaborating with other organizations to provide comprehensive support services.
  • Collaborated with multidisciplinary teams to develop evidence-based strategies for improving client outcomes.
  • Maintained detailed case histories, metrics, reports to meet strict standards.
  • Collaborated with school personnel, parents, mental health providers to maintain comprehensive and integrated approach to student services.
  • Followed all company policies and procedures to deliver quality work.

Medical Coordinator

South Pointe Hospital Cleveland Clinic
06.2010 - 08.2012
  • Enhanced patient care by efficiently coordinating medical services and streamlining communication between healthcare professionals.
  • Promoted positive relationships between patients and healthcare providers through professional communication skills and empathetic understanding of individual needs.
  • Implemented quality control measures to continually assess clinic performance, identifying areas for improvement and implementing solutions proactively.
  • Managed referral processes effectively, facilitating timely access to specialized care for patients in need of additional services beyond primary care offerings.
  • Provided compassionate support to patients during difficult times, offering resources for emotional wellbeing alongside physical health treatments.
  • Collaborated closely with insurance companies to resolve any discrepancies or coverage issues on behalf of patients quickly, reducing financial stress for individuals and families.
  • Scheduled surgeries, managed pre-certifications and verified insurance coverage.
  • Expedited claims processing by submitting accurate documentation on a timely basis for optimal reimbursement rates.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.

Education

Medical Terminology

Cuyahoga Community College
Highland Hills, OH

Skills

  • Healthcare Systems Knowledge
  • Insurance Verification
  • Eligibility Determination
  • Psychosocial assessment
  • Regulatory Compliance
  • Administrative and Office Support
  • Patient Needs Assessment and Referral
  • HIPAA Compliance
  • Patient Care Coordination

Timeline

Patient Service Specialist

Cleveland Clinic
06.2017 - 08.2023

Autism Support Specialist

Cleveland Clinic
03.2014 - 06.2017

Medical Coordinator

South Pointe Hospital Cleveland Clinic
06.2010 - 08.2012

Medical Terminology

Cuyahoga Community College

Similar Profiles

CREATE PROFILE
Keosha Polynice