LISA GILLESPIE
Patient Care Coordinator
Cumberland,RI
Summary
Accurate Patient care Coordinator with exceptional teamwork, leadership and communication skills. Over 30 years of experience working on large-scale projects as well handling daily operational requests. Exceptional technical understanding to meet project deadlines. Thorough Senior Analyst with over a 30-year background in Patient Care Coordinating. Excellent planning, organizational and communication skills. Self-reliant to perform analysis and make recommendations. Talented in data modeling and client management.
Overview
32
32
years of professional experience
Work History
Oakland Health Care Nursing Home
01.1996 - 01.2001
- Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories Retrieved physicians' paperwork, including lab test requests Executed clerical tasks and assisted with all unit duties as directed Transcribed doctors' orders, including medication and lab test requests
Scheduling Coordinator
Tender Loving Care
01.1996 - 01.2001
- Gathered employee data to develop work schedules, enabling proper staffing for home care.
Unit Secretary and Medicine Technician
Internal Medicine
01.1992 - 01.2001
- Conducting Patience Triage Perform Insurance Chart Reviews Maintained confidentiality of patient data and condition at all times to safeguard health information Managed prescriptions by sending electronic requests for new medications and refills Encouraged patients to schedule recommended tests and procedures Established rapport and relationships with patients and external partners to cross-train and support medical staff
- Reached out to insurance carriers to obtain prior authorization for testing and procedures
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Sr. Analyst
CVS
02.2023 - 08.2023
- Interacts with customers/patients/members/coworkers telephonically and eventually through technology-based interactions, including video, email, text, etc
- Demonstrates proficiency managing email in an Outlook account, and using remote communication software such as Skype and WebEx; able to demonstrate proficiency with Word, Excel, and experience documenting within an electronic health record
- Adheres to care management, privacy and confidentiality, and quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures
- Follows Joint Commission policies and procedures, including the National Patient Safety Goals
- Responsible to keep up with changes in departmental regulations, policies, and procedures
- Reaches out to language line/interpreter when services are needed
- Attends morning regional huddles, intermittently, to stay connected with the MinuteClinic care team
- Provides superior customer service to internal and external clients, customers, and patients
- Distributes appropriate teaching materials as directed by clinical provider staff to patient/family to review
- Communicates with clinical team, patients, and families on recommended patient care plans
- Schedules, tracks, and reconciles patient referrals and diagnostic tests, as appropriate
- Schedules tests per written workflows within Scheduler app via telephone or electronically and documents accordingly
- Coordinates patient flow throughout all scheduled appointments
- Assists with completing and tracking patient forms and letters
- Coordinates referrals, resources, and care transitions
- Coordinates care with outside agencies
- Assist with tracking quality and preventive screening measures
- Assists with patient outreach
- Answers telephones, routes calls, takes messages, and provides information to callers in a polite and professional manner per established telephone trees
- Processes Prescription Prior Authorizations
- Notifies clinical care team of any changes or barriers they encounter as appropriate
- Checks daily for provider orders and follows up accordingly
- Cross trains to other areas of the practice management/health center, as appropriate
- Orientation and training of staff as assigned
- Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment
- Other responsibilities as assigned
Patient Care Coordinator
Dr. Greigstone Yearwood
01.1997 - 01.2023
- Maintained confidentiality of patient data and condition to safeguard health information.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Worked closely with patients to deliver excellent and direct individualized patient care.
Education
Medication - General Studies
University of Rhode Island
Kingston, RI09.1997
Skills
- Business Intelligence Testing
- Tracking Metrics
- Regulatory Reporting Requirements
- Emerging Technology Tracking
- Data Analysis
- Strategic Networking
- Case Management
- Prescriptions Management
- Healthcare Operations
- Multitasking Abilities
- Patient Records Management
- Insurance Verification
Accomplishments
- Skills Team building Critical thinker Accurate and detailed Appointment setting Excellent communication Medical Manager Scheduling Insurance practices Quality assurance Program oversight Healthcare operations Database coordination Interdepartmental collaboration Administrative supervision Case management Epic
Timeline
Sr. Analyst
CVS
02.2023 - 08.2023
Patient Care Coordinator
Dr. Greigstone Yearwood
01.1997 - 01.2023
Oakland Health Care Nursing Home
01.1996 - 01.2001
Scheduling Coordinator
Tender Loving Care
01.1996 - 01.2001
Unit Secretary and Medicine Technician
Internal Medicine
01.1992 - 01.2001
Medication - General Studies
University of Rhode Island
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