Michell Valentin
Killeen,TX
Summary
Motivated and dedicated professional with a Bachelor of Science in Psychology and extensive experience in healthcare administration, including roles as a Benefits Specialist, Patient Service Representative, and Referral Intake Specialist. Currently pursuing a graduate degree in Clinical Mental Health, seeking to leverage comprehensive knowledge and skills to transition into a remote-setting role focused on providing exceptional client support in the mental health field. Eager to contribute to a dynamic team, utilizing strong communication, organizational, and problem-solving abilities to facilitate positive outcomes and support individuals in their mental health journey. Highly motivated professional demonstrates ability to develop and implement successful plans of action to address individual needs. Possesses strong problem-solving skills to reduce barriers. Committed to helping individuals and families.
Overview
3
3
years of professional experience
Work History
Referral Intake Specialist
BAYADA Home Health
01.2024 - Current
- Receive and process referral requests from healthcare providers and insurance companies
- Verify patient eligibility and insurance coverage for requested services
- Obtain necessary authorizations and referrals from insurance companies
- Coordinate with specialists and facilities to schedule appointments and procedures for patients
- Communicate with referring providers and patients to ensure smooth referral process
- Review referral documentation for completeness and accuracy
- Follow up on pending referrals and track referral outcomes
- Maintain referral records and documentation in compliance with regulations
- Aid and guidance to patients and providers regarding referral procedures
- Collaborate with other members of the healthcare team to facilitate continuity of care for patients
Patient Service Representative
VillageMD
12.2022 - 12.2023
- Register patients by collecting demographic and insurance information accurately
- Schedule appointments and coordinate with clinical staff to ensure smooth patient flow
- Verify insurance coverage and obtain pre-authorizations for services as needed
- Answer phone calls, respond to inquiries, and provide information about services offered
- Handle patient inquiries, complaints, and requests effectively and empathetically
- Process payments, co-pays, and outstanding balances accurately and securely
- Maintain patient records and confidentiality in compliance with HIPAA regulations
- Assist patients with completing necessary forms and paperwork
- Collaborate with medical staff and other departments to address patient needs and concerns
Benefits Specialist
RandstadUSA/Alight
12.2021 - 12.2022
- Administer employee benefits programs, including health insurance, retirement plans, and other perks
- Assist employees in understanding their benefits package and eligibility criteria
- Process enrollment, changes, and terminations in benefit plans accurately and efficiently
- Coordinate with insurance providers and vendors to resolve issues and ensure smooth administration of benefits
- Stay updated on changes in laws and regulations related to employee benefits and ensure compliance
- Conduct benefit orientation sessions for new hires and provide ongoing support and education to employees
- Analyze benefit utilization and costs to recommend improvements and cost-saving measures
- Assist in the annual benefits renewal process, including negotiating rates and updating plan documents
- Handle inquiries and resolve concerns from employees regarding their benefits in a timely manner
- Collaborate with HR team members to develop and implement benefit policies and procedures
Education
BS in Psychology -
Capella University
MA in Clinical Mental Health Counseling -
Southern New Hampshire University
Skills
- Multitask
- Customer/Client Experience
- Case Management
- Client Intakes
- Collaboration and Teamwork
- Discharge Planning
- Client Advocacy
- Mental Health/Healthcare Experience
Personal Information
Title: Client Support | Care Experience
References
Available upon request.
Timeline
Referral Intake Specialist
BAYADA Home Health
01.2024 - Current
Patient Service Representative
VillageMD
12.2022 - 12.2023
Benefits Specialist
RandstadUSA/Alight
12.2021 - 12.2022
BS in Psychology -
Capella University
MA in Clinical Mental Health Counseling -
Southern New Hampshire University