OKIERHA HINES
Lehigh Acres,USA
Summary
Experienced healthcare professional with a strong background in clinical patient care coordination and administrative roles. Demonstrates dedication to providing high-quality care and ensuring optimal patient outcomes. Skilled in managing patient records, coordinating appointments, and collaborating with interdisciplinary teams to deliver comprehensive healthcare services. Committed to maintaining a patient-centered approach and continuously improving processes to enhance the overall quality of care.
Overview
4
4
years of professional experience
Work History
Patient Care Coordinator
Beltone Alliance
02.2024 - Current
- Coordinated appointments and follow-up visits, ensuring a smooth care experience
- Acted as a liaison between patients, families, and healthcare providers to facilitate communication
- Performed administrative duties, including documentation, phone communication, and patient outreach
- Achieve defined daily qualitative and quantitative targets, including specific numbers of outbound calls, inbound calls and emails/chat
- Maintained high productivity levels and ensuring all patient requests are handled efficiently
- Maintained safeguards for PHI
- Knowledge of documentation requirements for multiple HCPCs
Lead Patient Care Coordinator/Medical Assistant
Chrysallis Wellness Center
04.2023 - 03.2024
- Verified insurance eligibility and benefits, processed payments from patients for efficient processing
- Streamlined workflows, including scheduling patients, patients intake, prior authorization and record updates, to enhance efficiency
- Follow up on unpaid bills or denied claims and resolve any discrepancies
- Review, request and processes medical documentation required to support medical necessity to submit for Prior Authorization
- Requests and process documentation to support medical necessity and ongoing need for various durable medical equipments
- Efficiently manage a high volume of inbound and outbound communications, including calls, emails, and live chat to facilitate the distribution and authorization of medical equipments
- Assigned appropriate medical codes using guidelines
- Ensure the confidentiality, integrity, and availability of PHI
Certified Medical Assistant
Elite DNA Therapy Services
05.2021 - 03.2023
- Review Durable Medical Equipment intake processes including insurance verification, and Prior Authorization Requests
- Maintained accurate documentation of medical histories and vital signs
- Educated patients on treatment plans and preventative care, improving overall satisfaction
- Submits and maintains prior authorizations and all certificates of medical necessity
- Knowledgeable of Medicare, Medicaid and other insurance companies' rules regarding CMN's, detailed written orders and prior authorizations
- Reviews incoming CMN's and medical records for accuracy
- Build and maintain positive relationships with patients and providers
- Review medical documentation to ensure accurate billing and coding
- Processed copayments, and any unpaid medical bills
- Adhered to CLIA and HIPAA guidelines
Education
Certificate - Medical Administrative
Penn Foster
03.2025
Certificate - Medical Billing & Coding Specialist
Penn Foster
03.2025
Certificate - Medical Assisting
Southern Technical College
Fort Myers, FL05.2021
Skills
- Regulatory Compliance
- HIPAA Compliance
- Problem-solving
- Multitasking
- Patient Outreach and Follow-Up
- Patient Advocacy
- Proficient in Microsoft office suites
- Medical office experience
- Strong communication
- Customer service
- Healthcare Administration
- Technical Proficiency
- Medical Data Collection and Entry
- Athena health
Timeline
Patient Care Coordinator
Beltone Alliance
02.2024 - Current
Lead Patient Care Coordinator/Medical Assistant
Chrysallis Wellness Center
04.2023 - 03.2024
Certified Medical Assistant
Elite DNA Therapy Services
05.2021 - 03.2023
Certificate - Medical Administrative
Penn Foster
Certificate - Medical Billing & Coding Specialist
Penn Foster
Certificate - Medical Assisting
Southern Technical College