Lisa Barney
Bel Aire,Kansas
Summary
Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Recommends best resources and courses of action to benefit patient needs and return each to optimal quality of life. Compassionate Case Manager accustomed to treating diverse patient needs while managing dynamic conditions. Collaborative professional possessing excellent clinical knowledge and judgment combined with strong documentation and problem-solving abilities. Well-versed in managing emergent cases with poise.
Overview
18
18
years of professional experience
Work History
Case Manager Associate
CVS/Aetna Better Health of Kansas
Wichita , KS
01.2019 - Current
- Assessed clients' needs, developed service plans and monitored progress towards goals.
- Maintained accurate case records and documentation according to agency guidelines.
- Compiled reports on cases and submitted them to supervisors as required.
- Coordinated transportation services for clients who lacked access to reliable transportation.
- Maintained up-to-date case records with case activity status.
- Maintained logs and electronic client records following department and agency policies for effective monitoring.
Internal Auditor
Via Christi St Francis
Wichita , KS
02.2018 - 01.2024
- Reviewed financial documents to ensure compliance with company policies and procedures.
- Documented audit findings in formal reports presented to senior management team.
- Ensured that all reports were filed accurately and timely according to applicable laws.
- Addressed and resolved audit issues.
- Investigated discrepancies that were uncovered during audits.
- Analyzed data from audits, compiled it into reports and disseminated to proper personnel.
Lead Referral Coordinator
Vitreo-retinal Consultants
Wichita , KS
06.2016 - 02.2018
- Developed and maintained relationships with referral sources to ensure a successful referral process.
- Created and implemented a system for tracking referrals, follow-ups, and outcomes.
- Coordinated communication between primary care physicians, specialists, and other healthcare providers regarding patient referrals.
- Worked closely with insurance companies to ensure that patients received appropriate coverage for their referrals.
- Performed data entry into various databases related to referrals, including demographic information, medical history, insurance information.
- Maintained accurate records on all referrals completed by the organization.
- Ensured compliance with all applicable regulations regarding patient referrals.
- Prepared detailed documentation for each patient's visit related to their referral.
- Acted as a liaison between external organizations and internal departments when necessary.
- Responded promptly and professionally to inquiries from referring physicians or agencies concerning patient cases or services provided.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Answered questions and resolved concerns raised by both patients and specialists.
Patient Assistant Counselor
Cancer Center of Kansas
Wichita , KS
06.2006 - 06.2016
- Provided emotional support to patients and families during difficult times.
- Greeted patients upon arrival to the clinic and directed them to the appropriate areas.
- Answered patient inquiries regarding health care services.
- Organized patient medical records in accordance with established procedures.
- Coordinated appointments between patients and healthcare providers.
- Facilitated communication between physicians and other healthcare personnel regarding patient care plans.
- Assisted with scheduling follow-up visits for discharged patients.
- Applied HIPAA privacy and security regulations while handling patient information.
- Organized and maintained records by updating and obtaining both personal and financial information from patients.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Communicated financial obligations to patients and collected fees at time of service.
- Processed patient co-pays, deductibles, and other payments, ensuring accurate financial records.
- Conducted financial counseling for patients, explaining payment options and assistance programs.
- Managed patient check-in process, ensuring accurate data entry of personal and insurance information.
- Participated in training sessions to stay updated on healthcare policies and registration software.
- Communicated with patients to determine feelings, need for assistance or social and emotional support.
Education
High School Diploma -
South High
Wichita, KS05-1980
Skills
- Community Outreach
- Patient support
- Records Management
- Case Management
- Family Education
- Regulatory Compliance
- Client Advocacy
- Referral Coordination
- Data Entry and Analysis
- Patient Needs Assessment
- Positive Attitude
Timeline
Case Manager Associate
CVS/Aetna Better Health of Kansas
01.2019 - Current
Internal Auditor
Via Christi St Francis
02.2018 - 01.2024
Lead Referral Coordinator
Vitreo-retinal Consultants
06.2016 - 02.2018
Patient Assistant Counselor
Cancer Center of Kansas
06.2006 - 06.2016
High School Diploma -
South High
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