Liset Arias Quesada

Remote Care Health Coach

Structured Family Caregiver Program Management

Home Health & Personal Care Services

Patient Intake & Needs Assessment

Interdisciplinary Team Collaboration

EHR Systems & HIPPA Compliance

Scheduling & Workflow Optimization

Client Education & Support

Medicaid Waiver Program Knowledge

Structured Family Caregiver

Assist with all daily activities, & providing quality of life.

• Request authorization for chemotherapy
• Insurance verification
• Monitor pending authorization for treatment
• Request escalations for authorization

• Hire & Train new employees, Manage assignments, run daily reports
• Arrange weekly meeting with staff
• Develop process improvement plans
• Conduct daily audits
• Create agendas for meetings & minutes
• Audit outstanding claims for no authorizations

• Schedule appointments, tests, referrals to specialist
• Check in & out patients
• Verify insurance benefits verbally & thru Availity
• Prepare charts for doctors
• Receive payments & post visit charges with Misys software
• Balance all charges and payments
• Reply to medical records request

• Evaluate potential clients for admission
• Verify medical insurance benefits for substance abuse
• Calculate estimated insurance coverage
• Enter all new admissions data into Centrix software
• Support & assist marketing phone representatives

• Medical Staff Recruiter & Training
• Review all referrals for final acceptance on admission
• Verified insurance benefits, request authorization
• Order DME
• Managed facility census, liaisons, & hospital reports
• Coordinated marketing meeting
• Supervise admission department employees
• Organized physician’s evaluations & meetings
• Conduct quarterly audits
• Market hospitals, physicians, insurance agents, & social workers
• Build a weekly target & network plan to enhance strategic approach