Paulette Aaron
Opelousas,LA
Summary
Seeking employment in the medical field where my skills and experiences will be utilized to benefit the company. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving skills.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Manger Care Team Specialist Department
Onetelemed, LLC
12.2023 - Current
- Outreach FUM, FUA, and FUH with Aetna and Louisiana Health Connections
- School-Based Clinics with Aetna Better Health
- CON recertification with long-term care (Healthy Blue)
- SDOH program with Aetna Better Health and Healthy Blue
- Behavioral Mental Health Intake
- Policy and Procedures - Crisis Intervention
- Community Based Referral
- Schedule patients for appointments (Telemed)
- Enter and schedule new patient referrals
- Sending out Patient Referrals
- Entering insurance payments (co-payments)
- Medical Records: sending and requesting
- Schedule all tests that have to be done on patients with local Hospitals
- Help Billing with Collections on patient accounts
- Scanning Charts
- ICD and CPT codes
- Prior Authorizations for Medicines (Covermymeds)
- Patient Advocate
- Training non-clinical and clinical Personnel (Front Desk) on Athena
- Handling Policies and Procedure (Front Desk)
- Insurance Verification
- Works with office manager in creating and executing monthly reoccurring administrative department quality assurance and audit programs
- Handle all home health request forms and follow up
- Back up for running and analyzing reoccurring administrative & billing reports
- Handling Policies and Procedures (Care Team Department)
- Assist the Front Desk in Triaging the route to the appropriate person
- OJJ Services with MCO
- Nursing Homes with MCO
- Work closely with Insurance companies for MCO referrals to facilitate services for agencies as well as outpatient
- Wrap services for MCO patients
- PEC
- Account Payable
- Account Receivables.
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
- Developed strong client relationships through consistent communication and attentive service.
- Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
- Followed all company policies and procedures to deliver quality work.
- Interpreted clients' needs and introduced services to fit specific requirements.
- Developed and managed relationships with key clients and partners to drive growth.
Patient Advocate/Non-Clinical Training Facilitator
Wellness Clinic Plus
10.2018 - 09.2020
- Schedule patients for appointments (Telemed and Clinic)
- Enter and scheduling new patient referrals
- Sending out Patient Referrals
- Entering insurance payments (co-payments)
- Medical Records: sending and requesting
- Pre-cert insurance for tests that need to be scheduled
- (echo, lexiscan, carotid etc..)
- Schedule all tests that have to be done on patients with local Hospitals
- Help Billing with Collections on PatientEs accounts
- Petty cash report
- Scanning Charts In Preclinical
- ICD and CPT codes
- Pre-cert Prior Authorizations for Medicines
- Patient Advocate
- Training Non -Clinical Personal (Front Desk) on Clinical Works
- Medical Records
- Handling Policies and Procedure (Front Desk)
- Insurance Verification
- Works with office manager in creating and executing monthly reoccurring administrative department quality assurance and audit programs.E
- Assist Front Desk in Triaging Updox to either work an Incoming Fax or reroute to the appropriate person
- Home Health representative POC
- Handle all home health request forms and follow up
- Back up for running and analyzing reoccurring administrative & billing reports.
- Enhanced employee performance by developing and implementing comprehensive training programs.
- Increased workplace efficiency by designing customized training modules tailored to individual needs.
- Streamlined onboarding processes, resulting in reduced time spent on initial training.
- Administered regular assessments to track progress and address any areas requiring additional focus or support for learners'' growth.
- Created and maintained detailed training records and reports for management review.
- Developed and executed strategies to improve training program performance.
Education
Bachelor of Science - Communications
University of South Alabama
Mobile, AL08.1992
High school diploma -
Opelousas Senior High School
Opelousas, LA05.1988
Skills
- Customer Service
- CPT Coding
- Medical Records
- Insurance Verification
- EMR Systems
- Medical Office Experience
- ICD Coding
- ICD-10
- ICD-9
- Medical Coding
- Medical Scheduling
- Medical Billing
- Triage
- Patient Care
- HIPAA
- Medical Terminology
- Laboratory Experience
- Phone Etiquette
- Analysis Skills
- Hospital Experience
- Clerical Experience
- Auditing
- Insurance authorizations
- Medical receptionist
- Order Entry
- Anatomy Knowledge
- Data Entry
- Computer skills
- Leadership
- Management
- Microsoft Office
- Addiction counseling
- Data collection
- Experience with children
- Crisis Intervention
- Microsoft Powerpoint
- Intake Experience
- Personal Assistant Experience
- Quality assurance
- Supervising experience
- Risk management
- Human resources
- Medical collection
- Microsoft Excel
- Home health
- Medicare
- Communication skills
- Math
- Athenahealth
- Care plans
- Senior care
- English
- Assisted living
- Extensive product knowledge coupled with creative ideas for medical application and a solid history of medical staffing and office work Proven ability to develop marketing potential in new market areas Strong analytical and planning skills, combined with ability to coordinate the efforts of many with excellent organizational goals Productive and efficient work without supervision Self-motivator with high energy
- Customer Relations
- Quality Assurance
- Emergency Response
- Resource Allocation
- Quality Assessment
Certification
- Telemetry and EKG, 12/01/17, 12/01/24
- Driver's License, 02/01/22, 02/01/30
- CPR Certification, 02/01/24, 02/01/26
- First Aid Certification, 02/01/24, 02/01/26
- Certified Peer Support Supervisor, 02/01/24, Present
Timeline
Manger Care Team Specialist Department
Onetelemed, LLC
12.2023 - Current
Patient Advocate/Non-Clinical Training Facilitator
Wellness Clinic Plus
10.2018 - 09.2020
Bachelor of Science - Communications
University of South Alabama
High school diploma -
Opelousas Senior High School
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