Michele Bryant
Joliet,IL
Summary
A Compassionate and results orientated Referral Specialist with over 7 years of experience providing the necessary work ethic and skill to support efficiency and productivity in a fast pace healthcare environment. Works great with colleagues and technical acumen in the areas of administrative support. Seeking mid level opportunities to expand skills while facilitating company growth.
Overview
12
12
years of professional experience
Work History
Referral Specialist II
Elevance Health
Westchester, IL
06.2016 - Current
- Provided support to referring physicians in obtaining pre-authorization for services as necessary.
- Responsible for accurate and complete documentation in all appropriate systems.
- initiates an manage clinical referrals for preauthorization, acts as a liaised among healthcare facility personnel, insurance representatives, and physicians for smooth communication.
- Works independently, prioritize work load, and maintains an organized work space
- Accurately documents CPT AND ICD-10 Coding for radiology and high tech imaging exams.
- Verifies insurance coverage and assigns escalated referrals to staff
- Notifies Medicare members and Providers of approvals/denials on preauthorization for medical exams requested.
- Subject Matter Expert for New Case Restarts and Voice mail system
Certified Nursing Assistant / Restorative Aide
Meadowbrook Manor
Bolingbrook, IL
01.2012 - 06.2016
- Supported daily living activities by serving meals, feeding, ambulating and turning over and positioning patients.
- Managed and maintained patient rooms, shared-living areas and nursing stations.
- Answered call lights promptly and responded to patient needs accordingly.
- Communicated with patients to determine feelings, need for assistance or social and emotional support.
- Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
- Assisted with ambulation of patients utilizing appropriate equipment safely.
- Transported patients to treatment units, using wheelchair or strher.
- Maintained accurate records of patient care, condition, progress, or problems for review by medical staff.
- Mentoring of coworkers to ensure positive interactions when assisting residents in daily living skills, and progressive mobility activities, including range of motion, and sitting, transferring, standing, stair climbing, and walking
- Patient and Family relationship liaison supporting a safe and comforting environment for patients and their families during scheduled patient visits
- Manage restorative dining program, helping residents with rehabilitative skills for independent dinning
- Collaborative consulting sessions with nursing staff to review resident care concerns
- Competently provides medical and administrative support.
- Safeguarded patient privacy with strict adherence to HIPAA protocols.
Health Care Community Outreach Director Volunteer
TRLCM Outreach Non for Profit
Bolingbrook, IL
01.2015 - 07.2018
- Project coordination of community health care events
- Planning and prioritization of community healthcare outreach initiatives
- Gather and compile healthcare education resources and distribution
- Team building and training
- Research of local community healthcare issues and event planning.
Education
<ul><li>Advanced Training: Certified Nursing Assistant</li><li>Phlebotomy and Electrocardiograph</li></ul> -
Joliet Junior College
Associate Degree - General Studies -
Joliet Junior College
Skills
- Customer Service
- Data Entry
- ICD-10 and CPT Coding
- Multi-line Phone Proficiency
- HIPAA & Affordable Care Act Compliance
- Anatomy and Physiology Terms
- Insurance Authorizations
- HIPPA Compliance
- Detail- Oriented
- 70 wpm
- Problem-Solving
- Adaptable and Flexible
- Insurance Precertificaton Process
- Referral Verification
- Critical Thinking
- Verbal and Written Communication
- Patient Health Information Access
- Patient Eligibility Requirements
- MS Office proficient
- Cash Handling
Volunteer Work
Health Care Community Outreach Director Volunteer|TRLCM Outreach Non for Profit
Bolingbrook,IL|Jan 2015-Jul 2018
- Project coordination of community health care events
- Planning and prioritization of community healthcare outreach initiatives
- Gather and compile healthcare education resources and distribution
- Team building and training
- Research of local community healthcare issues and event planning.
Timeline
Referral Specialist II
Elevance Health
06.2016 - Current
Health Care Community Outreach Director Volunteer
TRLCM Outreach Non for Profit
01.2015 - 07.2018
Certified Nursing Assistant / Restorative Aide
Meadowbrook Manor
01.2012 - 06.2016
<ul><li>Advanced Training: Certified Nursing Assistant</li><li>Phlebotomy and Electrocardiograph</li></ul> -
Joliet Junior College
Associate Degree - General Studies -
Joliet Junior College