MICHELLE PATE
Healthcare Administration
Lawton,OK
Overview
28
28
years of professional experience
1
1
Certification
Summary
Mother of two wonderful children looking for New Opportunities for my family and our financial future. My greatest achievement was completing an entire 4 year college degree as a full time mom, and manager of a restaurant in my early 40’s. Healthcare and the welfare of patient based care is where my heart lies.
Education
High School - undefined
Round Rock High School
Bachelors of Science - Healthcare Administration (BSHA)
University of Phoenix
Work History
Utilization Review/Reimbursement
Oklahoma Department of Mental Health and Substance Abuse
02.2022 - Current
- Responsible for managing the billing and reimbursement process. Key duties include researching and reviewing claims to identify potential third-party liabilities and taking appropriate actions to recover funds for medical expenses and related costs. Responsibilities also include coordinating patient admissions to determine benefit eligibility, Utilization Review for Inpatient Behavioral Health, enrollment of individuals in Medicaid program, maintaining enrollment with Medicaid, Medicare, and other third-party network providers, and ensuring compliance with applicable federal and state laws, rules, and regulations. Additional tasks involve completing billing cycles, updating patient accounts, investigating claim issues using available resources, facilitating payments, gathering supporting documentation for appeals, and analyzing various reports to support revenue recovery efforts.
Child Welfare Specialist II
Oklahoma Department of Human Services
10.2017 - 10.2020
- Employees receive intakes and assess or investigate allegations of abuse or neglect completing appropriate documentation, and assess child safety and recommend the appropriate level of intervention. Employees initiate procedures to remove the child from the home if in present danger; coordinate actions with law enforcement entities and district attorney; and initiate placement process. Provides social work services to families applying or approved for adoption or foster care; recruits and trains foster and adoptive parents; conducts home visits; reviews child’s psycho-social, medical, developmental and education histories; completes evaluations and approves or disapproves applicants; facilitates or participates in meetings, such as Family Team Meetings. Identifies emotional needs of residents assigned to a shelter or group home and prepares a treatment plan including short and long range goals; and prepares reports and narratives. Works closely with families to arrange a safe plan to establish permanency for the child(ren) back within the home or adoptive situation.
Medical Rounds Asst
Austin Geriatric Specialists
02.2017 - 07.2017
- Assisting the physician or nurse practitioner as they make rounds in nursing facilities in order to optimize the clinician’s time devoted directly to patient care and facility related duties. Make preparations necessary for the clinician’s visit and complete numerous tasks before, during and after rounds.
Medication Tech
The Court of Round Rock – Assisted Living Facility
10.2015 - 02.2017
- In charge of timely medications on all the assisted living residents. We ensure they get all medications, fax doctors for clarification on orders, contacting of the pharmacy for initial prescriptions and refills. I spend a great deal of time ensuring that all the patients are comfortable at all times and understand all of the medications that they are taking. Strict documentation in a MAR and maintaining all of the necessary paperwork to be within compliance with State regulations. We deal with mostly dementia and early Alzheimer’s patients, and with doing so, this is a job that requires compassion for people and also the ability to be repetitious in actions to make the environment more livable for the patients.
Asst General Manager
Margaritas Restaurant and Cantina
04.2003 - 10.2015
- I have assisted the General Manager for twelve years off and on. My duties included but are not limited to reconciling daily monies, bank deposits, customer service, ordering supplies, supervising staff, scheduling staff, de-escalating issues, dealt directly with TABC and Health Department, implemented company policies and procedures, assisted in the hiring and firing process.
Mental Health Tech
Meridell Achievement Center
07.2005 - 09.2006
- Primary duties included direct observation of neuro and behavioral children ranging from age 5-18. Extensive documentation of behaviors on a daily basis. Knowledge of HIPPA policies. Trained in SAMA techniques for de-escalation of actions that would result in injury. CPR and First Aide Certified.
Office Manager
Charter Funding
03.2003 - 04.2004
- Preparation of closing documents for commercial and residential mortgages. Duties were as follows; data entry, copy, file, answer phones, meeting prep, executive calendar management, create documents, overnight packaging and prep for Fed Ex/UPS, couriered for important documents, order supplies and bank deposits daily.
Credit and Collection
Dell Financial Services
03.2000 - 05.2001
- Assisted in proper allocation of funds for large accounts when monies were applied incorrectly. Collection calls on past due accounts. Worked closely with loss prevention for skip tracing methods. Extensive documentation and data entry.
Customer Service
Dell Financial Services
10.1997 - 07.1999
- Answering incoming calls from customers with various questions on their Dell products. High call volume. Multi-tasking while on the phone with data entry and filing.
Skills
- Proficient in Microsoft Office, Internet, Outlook, Power Point, Quick Books, 10-Key, Medicare and Medicaid filing, Availity Inovalon, OHCA access, medical insurance
Certification
Certified Healthcare Management
Timeline
Utilization Review/Reimbursement
Oklahoma Department of Mental Health and Substance Abuse
02.2022 - Current
Child Welfare Specialist II
Oklahoma Department of Human Services
10.2017 - 10.2020
Medical Rounds Asst
Austin Geriatric Specialists
02.2017 - 07.2017
Medication Tech
The Court of Round Rock – Assisted Living Facility
10.2015 - 02.2017
Mental Health Tech
Meridell Achievement Center
07.2005 - 09.2006
Asst General Manager
Margaritas Restaurant and Cantina
04.2003 - 10.2015
Office Manager
Charter Funding
03.2003 - 04.2004
Credit and Collection
Dell Financial Services
03.2000 - 05.2001
Customer Service
Dell Financial Services
10.1997 - 07.1999
High School - undefined
Round Rock High School
Bachelors of Science - Healthcare Administration (BSHA)
University of Phoenix