Naiiwones Brown
Baltimore,MD
Summary
Newly and reliable Social Work honors graduate, that brings over 15 years of experience in healthcare environments. Maintains positive relationships with colleagues. Remains polished and calm under extreme stress. Consistently, provide professionalism and outstanding customer service when interviewing clients.
Overview
17
17
years of professional experience
Work History
Utilization Management Intake Coordinator
Johns Hopkins HealthCare LLC
02.2016 - Current
- Ensure Inbound and Outbound calls are properly addressed.
- Perform prior authorization review of services requiring notification.
- Evaluate medical guidelines and benefit coverage to determine appropriateness of services.
- Submit cases for criteria failures and helped facilitate resolutions and approvals.
- Obtain authorizations from multiple insurance carriers for various levels of care.
Social Worker Intern
Changing Lives At Home
08.2022 - 05.2023
- Enrolled members into the Psychiatric Rehabilitation Program (PRP).
- Mediated between family members to facilitate conflict resolution and build healthy family relationships.
- Responded to crises and emergency situations to provide immediate assistance to persons in need.
- Documented services provided meticulously by keeping accurate records of activities, interactions and conversations.
- Interviewed clients to assess needs and determine most suitable needs and services.
Administrative Assistant
Intrastaff Johns Hopkins Health
12.2012 - 02.2016
- Maintain patients records and work with their insurance companies for proper billing.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Scheduled office meetings and client appointments for staff teams.
Patient Services Coordinator
Johns Hopkins Hospital
09.2006 - 11.2009
- Demonstrated exceptional customer service to foster welcoming and professional environment for patients.
- Generated Inpatient and Outpatient authorizations, using the CPT and ICD-9 coding for procedure descriptions.
- Scheduled appointments to enter appointment date and time into computerized scheduler.
- Verified patient's insurance eligibility and benefits coverage.
- Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
Education
C - Medical Insurance Billing And Coding
Allstate Careers
Baltimore, MDBachelor of Science - Social Work
Morgan State University
Baltimore, MD05.2023
Skills
- Interpersonal and Written Communication
- Proficient in Multiple Healthcare Programs
- Generate Authorizations
- HIPAA Compliance
- Documentation
- CPT Coding
- Manage Cases
Timeline
Social Worker Intern
Changing Lives At Home
08.2022 - 05.2023
Utilization Management Intake Coordinator
Johns Hopkins HealthCare LLC
02.2016 - Current
Administrative Assistant
Intrastaff Johns Hopkins Health
12.2012 - 02.2016
Patient Services Coordinator
Johns Hopkins Hospital
09.2006 - 11.2009
C - Medical Insurance Billing And Coding
Allstate Careers
Bachelor of Science - Social Work
Morgan State University
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