Lisa D. Coles
Baltimore,MD
Summary
A solid background in overseeing daily operations and enhancing workflow efficiency. Skilled in team leadership, process optimization, and conflict resolution, ensuring smooth operational flow and staff productivity. Demonstrated ability to implement effective policies that significantly improve organizational procedures. Committed to fostering professional growth within teams while maintaining high levels of accuracy and compliance. Compassionate Discharge Coordinator known for high productivity and efficient task completion. Specialize in patient care coordination, discharge planning, and medical documentation management. Excel in communication, empathy, and problem-solving to enhance patient transition processes. Committed to optimizing patient outcomes through effective collaboration with healthcare teams.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Access Discharge Coordinator
Greater Baltimore Medical Center, GBMC
Towson, MD
01.2022 - Current
- Monitored patient progress throughout their stay in the hospital setting.
- Managed resident admissions and discharge and referrals to other facilities, home health agencies and hospice based on resident and family needs, preferences and resources.
- Evaluated readiness for discharge based on physical, psychological and environmental factors.
- Reviewed medical charts prior to discharge in order to detect any potential problems or inaccuracies.
- Facilitated communication between hospital departments to ensure timely discharge of patients.
- Ensured compliance with federal regulations related to Medicare and Medicaid reimbursement guidelines.
- Assessed financial resources available for post-hospitalization care needs.
- Served as a liaison between the hospital and other healthcare providers for post-discharge needs.
- Provided comprehensive discharge planning services to patients and families.
- Received referrals from doctors and other healthcare professionals regarding appropriate placement options following discharge.
Provider Data Senior Management Representative
Cigna
Baltimore, MD
06.2014 - Current
- Collaborate with physicians to gather and organize information relevant to patient medical plans, utilizing available resources and expertise in casework.
- Assessed company operations for compliance with safety standards.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
- Utilized various software and tools to streamline processes and optimize performance.
- Coordinated with healthcare professionals to collect necessary documentation for credentialing.
- Prepared correspondence for various departments concerning credentialing updates or requests for additional information.
- Researched discrepancies between submitted provider data and verified sources when necessary.
- Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
- Participated actively in special projects or initiatives pertaining to improvement of operational efficiency within the department.
- Maintained detailed records of provider data in the credentialing database system.
Education
Mental Health Counseling
Walden University
Minneapolis, MN01-2026
Skills
- Motivational skills
- Discharge planning
- Interdisciplinary collaboration
- Care coordination
- Healthcare regulations
- HIPAA compliance
Certification
- Notary Public Baltimore City
References
References available upon request.
Timeline
Access Discharge Coordinator
Greater Baltimore Medical Center, GBMC
01.2022 - Current
Provider Data Senior Management Representative
Cigna
06.2014 - Current
- Notary Public Baltimore City
Mental Health Counseling
Walden University
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