Loreal Harris
Euclid,OH
Summary
Dynamic Care Navigator with extensive experience at Archwell Health, adept at enhancing patient access to services and streamlining care coordination. Proven expertise in medical billing and insurance authorizations, coupled with strong problem-solving skills, has led to improved patient satisfaction and efficient resource allocation. Committed to maintaining patient confidentiality and compliance.
Overview
11
11
years of professional experience
Work History
Care Navigator Intake Coordinator Authorization
Archwell Health
12.2025 - Current
- Coordinated patient care plans to ensure seamless service delivery and resource allocation.
- Provided guidance to patients navigating complex healthcare systems, enhancing access to services.
- Collaborated with multidisciplinary teams to develop comprehensive care strategies for diverse patient needs.
- Implemented process improvements that streamlined patient intake and assessment procedures.
- Maintained detailed documentation of patient interactions, treatment plans, and progress notes for accurate recordkeeping.
- Enhanced patient satisfaction by providing comprehensive care coordination and support.
- Managed complex cases, ensuring timely access to appropriate resources and services.
- Promoted a positive work environment among peers by remaining approachable, supportive, and flexible when collaborating on shared tasks.
- Developed strong relationships with community partners, enhancing the referral network for patients in need of specialized services.
- Demonstrated adaptability when faced with sudden changes in patient needs or organizational policies, ensuring a seamless continuation of care navigation services.
- Assisted with and facilitated transition of care from hospitals, rehabilitation facilities, and skilled nursing facilities to home.
- Organized patient schedules and assisted in planning transportation and payments.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Delivered support to medical staff in completion of patient paperwork.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
Centralized Scheduler
University Hospital
09.2024 - 01.2025
- Receive and process appointment requests from providers and patients, schedule procedures, manage follow-ups, and provide pre-appointment instructions.
- ** Information Management:** Collect and verify patient demographics, insurance details, and authorization requirements (prior auths) to ensure billing compliance.
- ** Schedule Optimization:** Efficiently book appointments, manage provider templates, identify resource conflicts, and handle cancellations to maximize facility use.
- ** Liaison & Communication:** Collaborate with physicians' offices, clinical staff, and other departments; communicate with patients and resolve issues.
- ** Data & Compliance:** Maintain accurate records in scheduling systems (EHR), ensure adherence to protocols, and run reports.Checks in and Checks out patients in accordance with Scheduling/Registration guidelines, with the ability to prioritize according to the patient’s needs.
2. Obtain and verify patient guarantor information a minimum of once a year to ensure that the patient record is up-to-date. If a referral or authorization is needed we generate the referral at this time.
3. Schedules and registers patients/customers based on scheduling guidelines and medical appropriateness within the appropriate clinic.
4. Assures upon check out all follow up appointments & testing are coordinated with the patient.
5. Obtaining and collecting all necessary information from the patient/customer to schedule and register the patient for an appointment.
6. Identifies and communicates need for scheduling modifications and development.
7. Notifying appropriate personnel of any scheduling change due to patient cancellation in a timely fashion.
8. Receives and responds to patient and staff needs and complaints appropriately within the realm of the “patient care” environment, involving department supervisors and patient representatives as needed.
9. Consults with referring physician’s office to ensure written and/or electronic orders exist and obtain them as needed. Verifies upon receiving for completeness of the written orders and notes. Make documentation that outside orders are requested.
10. Responsible for collecting all time of service payments and copayments for patients in the check-in or check-out process.
11. Upon end of day, responsible for reconciling cash drawer and all contents. Responsible for reporting any discrepancies within the cash drawer to the
Courier
Quest Diagnostics
02.2020 - 09.2024
- Delivered medical specimens promptly to ensure timely testing and diagnosis.
- Maintained accurate records of deliveries and pickups using electronic tracking systems.
- Communicated effectively with healthcare providers regarding delivery schedules and requirements.
- Trained new couriers on safety protocols and operational procedures to enhance team performance.
- Optimized delivery routes to improve efficiency and reduce transportation time.
- Monitored vehicle maintenance and reported issues to ensure safe operation of courier vehicles.
- Completed daily delivery assignments while adhering to strict time constraints, ensuring consistent service quality.
- Enhanced customer satisfaction through timely deliveries and professional communication with clients.
- Ensured the safety of packages by properly handling fragile items during transportation and storage.
- Drove safely at all times to avoid accidents and harm.
- Improved delivery efficiency by mapping optimal routes and prioritizing tasks based on urgency.
- Contacted customers to confirm delivery details and locations.
- Assisted with loading and unloading shipments from vehicles to reduce the risk of damage during transit process.
Patient Care Intake Authorization
Pipeline Counseling
01.2015 - 01.2023
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Collects demographic, medical, and insurance details, ensuring accuracy and completeness.
- Insurance Verification & Authorization:Checks patient eligibility, benefits, and obtains pre-authorizations for procedures, tests, or medications from insurance companies.
- Documentation: Enters and uploads patient info, medical records, and authorization statuses into EMR/software systems.
- Communication: Acts as a liaison between patients, referring physicians, clinical staff, and insurance payers via phone, email, and portals.
- Compliance: Ensures all processes meet state, federal, and payer regulations (like CMS, ERISA).
Education
Certificate - Medical Terminology
Lakeland Community College
Willoughby, OH06.2023
High School Diploma - Health Administration
Epic Educator Inc
Rockledge, FL08.2018
Skills
- Patient confidentiality
- Care coordination
- Healthcare systems
- Resource identification
- Medical terminology
- Medical billing
- Insurance expert
- Healthcare
- Customer service
- Problem-solving
- Time management
- Multitasking
- Registration and scheduling
- Patient education
- Documenting and recording information
- Patient registration
- Medical insurance
- Insurance authorizations
- Scheduling appointments
- Documentation skills
- Document filing
- Appointment scheduling
- Data collection
- Medical history documentation
Timeline
Care Navigator Intake Coordinator Authorization
Archwell Health
12.2025 - Current
Centralized Scheduler
University Hospital
09.2024 - 01.2025
Courier
Quest Diagnostics
02.2020 - 09.2024
Patient Care Intake Authorization
Pipeline Counseling
01.2015 - 01.2023
Certificate - Medical Terminology
Lakeland Community College
High School Diploma - Health Administration
Epic Educator Inc