Skilled administrative/clinical team member with in-depth understanding of medical standards, compliance requirements and operational procedures. History of meeting companies expectations. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Demonstrated knowledge of admissions, insurance verification and authorization processes.
Overview
6
6
years of professional experience
Work History
Intake Coordinator/Social Worker Assistant
Sunshine Home Health Services
Long Beach, CA
02.2023 - Current
Reviewed and verified invoices for accuracy
Conducted research on past due invoices when necessary.
Reviewed and evaluated employment applications to ensure accuracy and completeness of information provided.
Conducted comprehensive interviews with potential clients to determine eligibility for services.
Utilized kinnser to maintain and update client records and generate reports.
Coordinated the intake process for new clients, including scheduling initial assessments and providing necessary paperwork.
Maintained accurate records of client intakes in electronic database system.
Transferred notes
Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
Assist with insurance changes
Ordered DME for patients/ Requested authorizations if needed
Coordinated with other departments to obtain additional information needed for prior authorization.
Provided information and resources to individuals, families, and groups seeking assistance.
Assisted in determining appropriate referrals for clients to other community agencies or programs.
Met regularly with clients to review progress towards established goals and objectives.
Developed strategies to assist clients in overcoming barriers that impede successful outcomes.
Collaborated with multidisciplinary team members to ensure quality care is provided to all clients.
Participated in weekly case conferences with clinical staff regarding treatment planning and goal setting.
Answered phone calls to provide assistance, information and medical personnel access.
Updated group medical records and technical library to promote smooth office operations.
Guided employees in handling difficult or complex problems.
Provided emotional support and guidance to clients during difficult times.
Conducted home visits to assess family dynamics and provide resources to families in need.
Collaborated with community organizations to identify available services for clients.
Acted as a liaison between clients, families, healthcare providers
Coordinated transportation services for individuals without access to reliable transportation.
Arranged appointments with medical specialists or other service providers.
Reviewed prior authorization requests to ensure accuracy and completeness of required information.
Processed appeals in a timely manner as per policy guidelines.
Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
Managed incoming calls while providing information or transferring callers to appropriate personnel.
Updated contact lists regularly when changes occur in employee status or contact information.
Answered questions from customers regarding services offered by the company.
Activities Director
Norwalk retirement villa
Norwalk, CA
05.2022 - 02.2023
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Organized events such as holiday parties, bingo nights, and movie screenings.
Assisted residents with physical activities such as walks and exercise classes, Provided one-on-one support to those who required additional assistance.
Facilitated group discussions on topics such as current events, and hobbies.
Encouraged socialization among residents by organizing group games or outings.
Worked closely with families to ensure that their loved ones were receiving appropriate care.
Planned and published calendar of events for facility, Interacted with patients and families by addressing questions and concerns.
Maintained records of activities and analyzed feedback from participants, Designed and led activities in crafts, music, and sports.
Receptionist/Bilingual Customer Service Representative
Bma Tint
Long Beach, CA
01.2018 - 04.2022
Greeted visitors and provided them with assistance, Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel, Scheduled appointments for clients, customers, and other visitors, Maintained a neat reception area by organizing materials and tidying up furniture
Education
Associate of Arts in Sociology -
Long Beach City College
06-2024
Skills
Client Intake
Charting And Clinical Documentation
Appointment Scheduling
Insurance Verification
Data Entry
Invoice Review
Timeline
Intake Coordinator/Social Worker Assistant
Sunshine Home Health Services
02.2023 - Current
Activities Director
Norwalk retirement villa
05.2022 - 02.2023
Receptionist/Bilingual Customer Service Representative