Dynamic professional with a robust background in healthcare and customer service. Excelled in roles requiring critical thinking and problem-solving. Skilled in Salesforce and highly adaptable, I bring a proven track record of enhancing patient care and satisfaction.
Overview
17
17
years of professional experience
Work History
Care Management Support
Humana
Remote
07.2024 - Current
Contributed to the development of department policies, procedures, and guidelines in line with best practices for care management coordination.
Discussed medical histories with members in effort to provide most effective medical advice.
Implemented successful healthcare program through professionalism, quality of care, medical teaching and member satisfaction.
Provided resources to members for SDoH needs, such as food, transportation, housing
Managed inbound line voicemail and triaged calls as appropriate
Providing non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
Care Coordinator
Wild Health
Kentucky, United States
06.2023 - 11.2023
Company Overview: Provider of personalized and remote healthcare services
Assessed clients' needs and identified resources to meet those needs
Coordinated services between clients, families, and providers
Collaborated with other members of the healthcare team to ensure continuity of care
Coordinate with cross-functional teams to identify process gaps and develop solutions
Responded to patient inquiries, investigated and resolved complaints
Implemented quality improvement initiatives
Proofread and finalized SOP's
Communicated with co-workers and physicians via Slack
Consistently excelling as the top performer in closing Salesforce cases on a weekly basis
Handled inbound calls, chat and email inquiries from patients and potential patients
Explained and sold membership to inquiring patients
Collaborated with other care coordinators to ensure efficient and effective patient care
Utilized remote technologies such as telehealth to provide care coordination services to patients
Maintained up-to-date knowledge of medical regulations and standards
Implemented and conducted new patient satisfaction surveys, actively gauging feedback to gauge their experience and to enhance quality of care
Analyzed data to identify areas of improvement, ensuring a patient centric approach and fostering a positive healthcare environment
Meeting and greeting all new patients, extending a warm welcome to our practice
Working with multiple doctors in the practice to create treatment plans for patients
Ensuring the confidentiality and security of individuals' Protected Health Information (PHI) in the healthcare industry according to HIPAA
Effectively communicating and explaining treatment to parents or patients
Reviewed insurance details and financial matters with patients or their parents
Provider of personalized and remote healthcare services
Treatment Coordinator
White, Greer & Maggard Orthodontics
Danville, Kentucky, United States
09.2016 - 06.2023
Submitted PA (pre-authorization) documents as needed to private and state insurance companies
Reviewed financial contracts for orthodontic treatment
Consistently achieved annual sales exceeding $1 million in orthodontic treatments for 6 years
Exemplified the qualities of an ideal leader with adaptability, communication and resilience
Crafted, proofread, and edited Standard Operating Procedures (SOPs) for both Treatment Coordinator tasks and Records tasks across the entire practice
Provided training for 8 new treatment coordinators across the practice
Assumed the responsibilities of the Team Leader as required or needed
Captured panoramic, cephalometric x-rays, and photos for patient records
Utilized the iTero scanner to capture scans for appliances, including Invisalign, Herbst appliance, and expanders
Maintained sterile equipment and instruments
Keeping track of patient progress using records
Other in-house duties or assistance in other areas as needed
Assisted orthodontist with treating malpositioned jaws and teeth
Fit and adjust braces and archwires
Operate X-ray machines
Sterilize instruments, accessories, and equipment
Performed other duties as necessary
Assistant Manager/Server
Kentucky Depot Restaurant
Kentucky, United States
09.2007 - 06.2016
Greeting guests
Taking orders
Maintaining up to date menu knowledge
Serving food
Handling payments
Balancing cash drawer
Creating bank deposits
Cleaning and setting tables
Collaborating with kitchen staff
Handling special requests
Maintaining cleanliness
Adhering to Health and Safety Regulations
Team collaboration
Handling customer complaints
Other in house duties as needed
Education
Diploma in Extended Duties Dental Assistant - EDDA
MedQuest College
Frankfort, KY
10.2014
Associate of Applied Science - AAS - Nursing
Bluegrass Community and Technical College
Danville, KY
08.2013
Skills
Google Documents
Microsoft Word
Excel
Typing 60 wpm
MacOS
Windows
Salesforce
Cloud9
Stripe
OrthoFi
Podium
Slack
Google Meet
Zoom
Google Calendar
EMR
Clarity
CPT codes
ICD-10 codes
Scheduling
HIPAA Compliance
Chairside Assisting
Direct Patient Care
Laboratory Experience
Dental x-rays
Anatomy
Medical Terminology
Infection Control
Medicaid Knowledge
Private Insurance Knowledge
Medical Billing
Inquisitive
Yearning for Knowledge
Time Management
Highly Organized
Detail Oriented
Critical Thinking
Problem Solving
Analytical
Empathetic
Highly motivated
Easily Adaptable
Phone Etiquette
Customer Support
Timeline
Care Management Support
Humana
07.2024 - Current
Care Coordinator
Wild Health
06.2023 - 11.2023
Treatment Coordinator
White, Greer & Maggard Orthodontics
09.2016 - 06.2023
Assistant Manager/Server
Kentucky Depot Restaurant
09.2007 - 06.2016
Diploma in Extended Duties Dental Assistant - EDDA
Foster Care Case Management at Life Opportunities Behavioral Healthcare ServicesFoster Care Case Management at Life Opportunities Behavioral Healthcare Services