Summary
Overview
Work History
Education
Skills
Timeline
Generic

NALAYSIA GILES

Charlottesville

Summary

I am a proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Overview

5
5
years of professional experience

Work History

Business Office Manager/ Triage Coordinator

Gentiva Hospice
12.2023 - 07.2025
  • Verified patient insurance eligibility and identified primary care physician, contacting office to obtain patient file.
  • Scheduled appointments for patients not requiring emergency services but needing examination from provider and consulting directly with provider.
  • Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
  • Verified, updated and communicated patient history prior to clinic appointments and procedures with providers.
  • Maintained consistent follow-up on status of prior authorization requests.
  • Submitted for prior authorization with required documentation to appropriate funding source.
  • Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
  • Reviewed authorizations from payer to determine approved or denied items.
  • Scheduled appointments with Nurses and Physicians on behalf of clients.
  • Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
  • Called insurance companies to get precertification and other benefits information on behalf of patients.
  • Worked with clinical staff, coding coordinators and billing department to resolve patient inquiries, billing, and coding questions.
  • Performed billing and coding procedures for ambulance and patient services.
  • Identified issues, analyzed information and provided solutions to problems.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.

Lead Care Coordinator

CVS Minute Clinic
04.2023 - 12.2023
  • Discussed medical histories with patients in effort to provide most effective medical advice.
  • Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
  • Provided excellent customer service to patients and medical staff.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Confirmed appointments one day prior to minimize missed appointments and maximize clinic utilization.
  • Managed multiple schedules and prioritized tasks to meet demands of fast-paced work environment.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
  • Received and routed laboratory results to correct clinical staff members.
  • Performed various administrative tasks by filing, copying and faxing documents.

Assistant HR Manager

Orkin
12.2022 - 04.2023
  • Improved employee satisfaction by streamlining the onboarding process for new hires.
  • Motivated employees through special events, incentive programs, and constructive feedback.
  • Gathered and prepared bi-weekly payroll documentation to support human resources and payroll departments.
  • Reviewed human resources paperwork for accuracy and completeness.
  • Assisted human resources and recruiting teams by scheduling phone screens and on-site interviews.
  • Oversaw clinic financial management, recruitment and human resources.
  • Answered phone and performed clerical duties to assist human resources department.
  • Understood and utilized available tools and resources.

Lead Certified Nurse Assistant

Rosewood Village
08.2020 - 07.2021
  • Improved patient satisfaction by providing compassionate and attentive care.
  • Provided emotional support for patients experiencing difficult medical situations, enhancing their overall well-being during treatment periods.
  • Maintained detailed patient records to facilitate accurate documentation and timely communication among healthcare professionals.
  • Streamlined patient transfers between units by coordinating efficiently with other CNAs, nurses, and healthcare providers.
  • Proactively identified and addressed potential safety hazards in the patient care environment, reducing the risk of accidents or injuries.
  • Supported patients during rehabilitation exercises, promoting a faster recovery process.

Certified Nurse Assistant

Heritage Inn
08.2020 - 07.2021
  • Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
  • Assisted patients with daily living activities for enhanced comfort and wellbeing.
  • Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
  • Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
  • Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
  • Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.

Education

High School Diploma -

Albemarle High School
Charlottesville, VA
05-2020

No Degree - General Studies

Piedmont Virginia Community College
Charlottesville, VA

Skills

  • Electronic medical records (EMR) systems
  • Business operations management
  • Human resources
  • Credit and collections
  • Office management
  • Insurance verification
  • Patient engagement
  • Data entry
  • Critical thinking
  • Billing and coding
  • Scheduling proficiency
  • Insurance coding (ICD-9 and CPT)

Timeline

Business Office Manager/ Triage Coordinator

Gentiva Hospice
12.2023 - 07.2025

Lead Care Coordinator

CVS Minute Clinic
04.2023 - 12.2023

Assistant HR Manager

Orkin
12.2022 - 04.2023

Lead Certified Nurse Assistant

Rosewood Village
08.2020 - 07.2021

Certified Nurse Assistant

Heritage Inn
08.2020 - 07.2021

High School Diploma -

Albemarle High School

No Degree - General Studies

Piedmont Virginia Community College

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