Reg Jon Lee
Laplace,LA
Summary
Dependable Healthcare Manager serving diverse needs of patients through active communication and responsive engagement with healthcare services and policymakers. Skilled at analyzing case files and databases to speed up inquiry response times and guide information through appropriate personnel channels. Maintains highest standards of ethics, professionalism and regulatory compliance to ease common stressors and de-escalate potential conflicts.
Overview
11
11
years of professional experience
Work History
Clinical Support Specialist
Humana Health Insurance
04.2016 - Current
- Conducted Utilization Management
- Noted physician orders in chart and completed directed actions.
- Communicated medical need for patient visits to scheduling department.
- Assisted to compose all correspondence for various referral agencies
- Provided virtual clinical rounds support with clinicians
- Maintained all client files in system to provide clinical support and manage correspondence with same
- Supported all insurance companies with all required clinical information and provide pre certification process
- Managed on-site coordination of home health documentation.
- Supported patients and family members, actively listening to concerns and offering compassionate care.
- Collaborated with physician to verify capture of care coordination billable minutes.
- Performed routine office tasks necessary for office operation and presentation.
- Managed clinicians patient clinical and charts
- Formulated coverage denial letters
- Liaised between patients, onsite nurses, and numerous health facilities.
- Answered patient inquiries and provided information about healthcare services.
- Coordinated with other healthcare professionals to provide patients with comprehensive care.
- Monitored patient progress and reported changes to healthcare professionals.
- Maintained accurate records of patient visits and treatments in patient medical files.
Life Skills Instructor
Innovative Approaches Counseling Center, LLP
01.2013 - 01.2015
- Supported individual manage basic life and social skills
- Presented engaging, interactive lessons that taught life skills students the abilities they need to succeed in society
- Facilitated lessons such as basic money management, food preparation, written and verbal communication skills, and filling out job applications
- Modeled positive behavior skills as well as good problem-solving and relationship-building abilities to improve clients' social integration.
- Helped clients to identify challenges and set goals.
- Customized strategies based on individuals' goals and strengths and offered each positive reinforcement to continue progress against goals.
- Provided insight and ideas to promote client growth.
- Intervened in crisis situations to provide counseling and support.
- Helped to integrate clients in local community by teaching important social and work-related skills.
- Maintained detailed, confidential client files.
- Identified obstacles to learning in collaboration with adult learners and provided positive reinforcement for performance.
- Created learner-centered individual program plan in consultation for Independent living skills.
- Assessed effectiveness of training to create more effective future training programs.
Administrator Coordinator
Office of Juvenile Justice, BCCY
12.2015 - 04.2016
- Completed preparation and processing of biweekly payroll for over 100 employees.
- Reviewed and ensure accuracy of approved timesheets
- Tracked and deducted all garnishments and other special payroll deductions
- Coordinated efforts between payroll, human resources, budget and other departments to ensure proper of maintenance of employee data (including preparation/distribution of detailed reports).
- Managed leave balances, head count, and retirement contribution reports.
- Organized the administration of the electronic timekeeping system.
- Completed employee on-boarding for new hires.
- Validated programs for each employee's charges, and adherence to FLSA.
- Monitored submissions of approved timesheets.
- Ensured valid data transfers to/from payroll service.
- Organized employee records to ensure that employee changes were entered correctly and completed on a timely basis.
- Reviewed changes for proper authorization and adherence to APA policy including compliance with federal/state/local regulations
- Maintained electronic and paper filing systems for easy retrieval of information.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
- Applied advanced administrative and analytical skills in overseeing day-to-day operational activities.
- Reconciled account files and produced monthly reports.
- Assisted in preparation and processing of payroll to facilitate prompt staff payments.
- Improved office operations by automating client
Patient Relations Intern
Ochsner Medical Center
08.2013 - 05.2014
- Verified patient insurance eligibility and entered patient information into system.
- Answered incoming calls, scheduled appointments and filed medical records.
- Provided excellent customer service to patients and medical staff.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Responded to inquiries by directing calls to appropriate personnel.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Engaged with patients to provide critical information.
Administrative Coordinator
Innovative Approaches Counseling Center, LLP
06.2012 - 12.2015
- Coordinated a wide variety of administrative, secretarial, and program support activities
- Performed administrative and office support activities for multiple supervisors
- Optimized extensive software skills including power point, excel, Internet research abilities, and strong communication skills
- Maintained workflow by implementing cost reductions; and developing reporting procedures
- Resolved administrative problems by coordinating preparation of reports, analyzing data, and identifying solutions and budgetary and personnel requirements; implementing changes
- Resolved administrative problems by coordinating preparation of reports, analyzing data, and identifying solutions.
- Monitored supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.
- Maintained professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
- Contributed to team effort by accomplishing related results as needed.
- Priority Responsibilities of Patient Intake/Registration, Data Entry, Medical Billing, Managing of electronic health records, and Call Representative duties.
- Answered phone calls and responded to inquiries from customers, vendors and other external contacts.
- Assisted management with special projects to complete all tasks by deadlines.
- Managed and maintained electronic and paper-based filing systems to keep essential documents and information easily accessible and organized.
- Maintained databases and contact lists to keep important contact information accurate and up to date.
- Prepared detailed documents and reports in adherence administrative processes.
- Created presentations and other materials to support organizational activities.
- Collaborated in timely processing of billing and accounts receivables.
- Created and maintained detailed records of office expenses to accurately predict future budget requirements.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Organized spaces, materials and catering support for internal and client-focused meetings.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Education
High school Diploma -
Grace King High School
Bachelor of Science - Health Science
Our Lady of Holy Cross College
Bachelor of Theology - Theology
Kenner Theological Seminary
Master of Management - Healthcare Management
Southern New Hampshire University
Skills
- Organizational Astuteness
- Payment Calculation
- Counseling and Guidance
- Educate Patients
- Problem Resolution
- Employee Performance Management System
- Coordinate Referrals
- Managing Processes
- Process Improvement
- Reporting Skills
- Change Management
- Client Relationships
- Developing Standards
- Administrative Writing Skills
Timeline
Clinical Support Specialist
Humana Health Insurance
04.2016 - Current
Administrator Coordinator
Office of Juvenile Justice, BCCY
12.2015 - 04.2016
Patient Relations Intern
Ochsner Medical Center
08.2013 - 05.2014
Life Skills Instructor
Innovative Approaches Counseling Center, LLP
01.2013 - 01.2015
Administrative Coordinator
Innovative Approaches Counseling Center, LLP
06.2012 - 12.2015
High school Diploma -
Grace King High School
Bachelor of Science - Health Science
Our Lady of Holy Cross College
Bachelor of Theology - Theology
Kenner Theological Seminary
Master of Management - Healthcare Management
Southern New Hampshire University
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