Michelle Rock

Assisted with personal care of clients, housekeeping, errands, and prepare meals.

Responsible for providing non-clinical support to medical management operations, which includes handling more complex file reviews and inquiries from members and providers. Primary duties may include, but are not limited to: Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). Conducts initial review of files to determine appropriate action required. Maintains and updates tracking databases. Prepares reports and documents all actions. Responds to requests, calls or correspondence within scope. Provides general program information to members and providers as requested. May review and assist with cases. Acts as liaison between medical management operations and other internal departments to support ease of administration of medical benefits. May assist with case referral process. May collaborate with external community-based organizations to facilitate and coordinate care under the direction of an RN Case Manager, generate letters for denied request, Audit letters from other associates to ensure accuracy and completeness, process administrative denials for late notification of services rendered.

Cared for two elderly woman in their home. Medication reminders, prepared meals and feed, changed and turned every two hours, bed bath when needed or shower, light housekeeping, and companionship.

Handled multiple phone ques, escalate calls to clinical staff when necessary, accurately load request from providers for prior authorization request, answer calls from providers and members in a timely manner, gather clinical information regarding case and determines appropriate area to refer or assign case for outpatient and inpatient request, provide information regarding network providers or general program information.

Answered incoming calls and directed clients to correct biller, went to UPS to pick up mail, sorted and distributed mail to appropriate staff, logged all checks into log, scanned all checks to bank, scanned back up (EOB's) in remit folders, post cash to clients accounts, and ordered office supplies.

Answered incoming calls and directed clients to correct biller, went to UPS to pick up mail, sorted and distributed mail to appropriate staff, logged all checks into log, scanned all checks to bank, scanned back up (EOB's) in remit folders, post cash to clients accounts, and ordered office supplies.

Answered incoming calls, scheduled clients and caregivers, put new clients into system, faxed, emailed, mailed information to clients, caregivers, facilities, or companies, VA Supervisory notes, assisted Director Of Operations on daily needs, made new client binders, made orientation packets, made interview packets, assisted on orientation, drug test, assisted with on call on evening and weekends, helped keep up on employee credentials, assisted Human Resources with pre screening and phone interviews, assisted with personal care of clients, housekeeping, and errands.

Answered incoming calls, scanned info into computer system, faxed and mailed personal information.

Assisted with personal care of clients, housekeeping, and errands.

Assisted with personal care of clients, housekeeping, and errands.

Answered telephone lines, office support to owner, on call whenever I was not in office, scheduled all caregivers and clients, updated employee files, put new employees and clients into system, scheduled training for new hires, made all packets for new hires and clients, assisted with personal care of clients, housekeeping, and errands.

Assisted with personal care of clients, housekeeping, and errands.

Verified patients insurance by internet or phone.

Maintain records, File requisitions, update and deliver medical charts, serve the needs of internal customers (nurses, doctors, coders, etc.), answered the telephone, and directed patients to the appropriate internal resource.

Maintain medical records for Kaiser members, file requisitions, update and deliver medical charts, serve the needs of internal customers (nurses, doctors, coders, etc.), assist patients in the medical information window, answered the telephone, and directed patients in the medical information window, answered the telephone, and directed patients to the appropriate internal resources.

Maintain medical records for Kaiser members, file requisitions, update and deliver medical charts, serve the needs of internal customers (nurses, doctors, coders, etc.), assist patients in the medical information window, answered the telephone, and directed patients in the medical information window, answered the telephone, and directed patients to the appropriate internal resources.

Diagnosis coding and data entry into computer system.

Answered telephone lines, scheduled, rescheduled, and canceled appointments, correct dictations, check in and out patients, pre authorizations from insurance companies, scheduled test, medical records, and type correspondence.

Stocked shelves, worked register, and closed store.

Assisted with personal care of clients, housekeeping, and errands.

Made subs, cleaned store, prepared food, and worked register.

Supervised employees, closed store, made subs, prepared food, cleaned store, and worked register.