Patrice Blanton
McCalla,AL
Summary
Hardworking, 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.
Overview
27
27
years of professional experience
Work History
Social Service Caseworker I
Jefferson County Department Of Human Resources
07.2008 - Current
- Cultivated positive, trusting relationships with clients and community providers to promote effective coordination of resources.
- Coordinated with social, public and welfare agencies to obtain and provide client information.
- Visited 20 plus homes and agencies to provide support and case management services to clients each month.
- Identified community resources to support clients.
- Prepared reports for courts and participated in court proceedings.
- Used Microsoft and agency software create and prepare reports and documentation.
- Assisted clients in identifying community resources and connecting with appropriate services.
- Collaborated with other professionals to plan and coordinate care for clients.
- Documented client progress and activities in accordance with agency policies and procedures.
- Assisted clients in developing and setting realistic goals to promote positive change.
- Participated in interdisciplinary team meetings to coordinate care for clients.
- Monitored clients' progress to adjust treatment plans accordingly.
- Evaluated clients' social, emotional and psychological needs to create treatment plans.
- Conducted home visits to assess clients' home environment and provide support.
- Developed and implemented individualized treatment plans for clients.
- Facilitated psychoeducational classes to help clients develop life skills.
- Skilled at working independently and collaboratively in a team environment.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Skilled at working independently and collaboratively in a team environment.
- Passionate about learning and committed to continual improvement.
- Organized and detail-oriented with a strong work ethic.
Teller
Regions Bank
01.2008 - 07.2008
- Balanced cash drawer daily and resolved discrepancies to provide accurate data regarding cash flow.
- Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates in person and via telephone.
- Processed 20 or more customer transactions promptly, minimizing wait times.
- Disbursed cash and checks accurately while maintaining security of cash drawers.
- Monitored and reported suspicious activity in line with bank security policies.
- Maintained friendly and professional customer interactions.
Recovery Specialist
Cahaba Government Benefit Administrators LLC/BCBS
01.2007 - 07.2007
- Maintained client confidentiality and adhered to HIPAA guidelines.
- Documented case management activity for accurate, reliable records.
- Assessed individuals' needs and planned bespoke recovery programs to achieve personalized goals for over 100 customers.
Case Analyst
Cahaba Government Benefit Administrators LLC/BCBS
08.2006 - 01.2007
- Maintained high level of client confidentiality, following strict guidelines, and recommendations.
- Initiated recovery of mistaken Medicare payments meeting quotas of 300 daily.
- Reviewed inquiries from various external sources regarding Medicare claims and payments.
Subrogation Case Examiner
Cahaba Government Benefit Administrators LLC/BCBS
02.2006 - 08.2006
- Determined Medicare's responsibility for claims involving other parties, such as Worker's Compensation, Auto, No-Fault and Liability.
- Researched and completed 200 + claims via Inquiry system.
- Initiated recovery if mistaken payments were made.
Exception Processing Suspense
Blue Cross Blue Shield Of Alabama
03.2002 - 02.2006
- Released Medicare-Part B claims-from reply suspense, -corrected and entered claims-from query reply at CWF.
- Reviewed suspended claims ensuring all data necessary to process claim was available and processed within HCFA guidelines for timeliness and accuracy.
- Processed 300 + claims thru ADS system that required additional information and utilized all resources to develop missing data to include correct health insurance claim numbers and correct provider codes.
OCR/EMC Suspense
Blue Cross And Blue Shield Of Alabama
01.1998 - 03.2002
- Processed 200 + OCR claims that had been transmitted from Tartan System and routed claims for required development.
- Researched claims for missing information, compared current claim information to benefit history records and maintained accurate claim and production records.
Input/Procedure Coder
Blue Cross Blue Shield Of Alabama
06.1997 - 01.1998
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed and screened 100 + claims for completeness, recognized coding, entered claims via CRT and routed claims needing special development or special guidelines in timely and accurate manner.
Claims Examiner/Data Entry Clerk
Blue Cross Blue Shield Of Alabama
02.1997 - 06.1997
- Maintained sequence and control of scanned 300 + claims daily.
- Verified and corrected inaccurate information, identified misread information and ensured all information was accurate and complete.
Secretarial Associate
Brookwood Medical Center
01.1996 - 02.1997
- Received all incoming calls, assisted physicians, relayed messages and calls for operational leader, clinical coordinator and staff.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with at least 10 patients to provide information, answer questions and assist with appointment scheduling.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Located charts for physicians and ancillary staff.
- Dismantled charts for completion and routed to medical records.
- Reviewed census for accuracy.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Education
Bachelor of Arts - Sociology
University of Alabama At Birmingham
Birmingham, AL05.1996
Skills
- Patient Care Activities
- Oral and Writing Communication
- Case Support
- Work Review and Supervision
- Staffing Assignments
- Social services knowledge
- Service Referrals
Awards & Honors
- Cornerstone Award, 2002
- Charter member, Cahaba GBA Toastmasters Club, 2006
- Certificates of Completion, JCDHR Training, 2008 - 2016
- Certificates of Appreciation, JCDHR, 2011, 2012, 2013, 2014, 2015
Timeline
Social Service Caseworker I
Jefferson County Department Of Human Resources
07.2008 - Current
Teller
Regions Bank
01.2008 - 07.2008
Recovery Specialist
Cahaba Government Benefit Administrators LLC/BCBS
01.2007 - 07.2007
Case Analyst
Cahaba Government Benefit Administrators LLC/BCBS
08.2006 - 01.2007
Subrogation Case Examiner
Cahaba Government Benefit Administrators LLC/BCBS
02.2006 - 08.2006
Exception Processing Suspense
Blue Cross Blue Shield Of Alabama
03.2002 - 02.2006
OCR/EMC Suspense
Blue Cross And Blue Shield Of Alabama
01.1998 - 03.2002
Input/Procedure Coder
Blue Cross Blue Shield Of Alabama
06.1997 - 01.1998
Claims Examiner/Data Entry Clerk
Blue Cross Blue Shield Of Alabama
02.1997 - 06.1997
Secretarial Associate
Brookwood Medical Center
01.1996 - 02.1997
Bachelor of Arts - Sociology
University of Alabama At Birmingham
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