Summary
Overview
Work History
Education
Skills
Awards & Honors
Timeline
Generic

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
2008.07 - 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
2008.01 - 2008.07
  • 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
2007.01 - 2007.07
  • 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
2006.08 - 2007.01
  • 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
2006.02 - 2006.08
  • 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
2002.03 - 2006.02
  • 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
1998.01 - 2002.03
  • 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
1997.06 - 1998.01
  • 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
1997.02 - 1997.06
  • 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
1996.01 - 1997.02
  • 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, AL
05.1996

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
2008.07 - Current

Teller

Regions Bank
2008.01 - 2008.07

Recovery Specialist

Cahaba Government Benefit Administrators LLC/BCBS
2007.01 - 2007.07

Case Analyst

Cahaba Government Benefit Administrators LLC/BCBS
2006.08 - 2007.01

Subrogation Case Examiner

Cahaba Government Benefit Administrators LLC/BCBS
2006.02 - 2006.08

Exception Processing Suspense

Blue Cross Blue Shield Of Alabama
2002.03 - 2006.02

OCR/EMC Suspense

Blue Cross And Blue Shield Of Alabama
1998.01 - 2002.03

Input/Procedure Coder

Blue Cross Blue Shield Of Alabama
1997.06 - 1998.01

Claims Examiner/Data Entry Clerk

Blue Cross Blue Shield Of Alabama
1997.02 - 1997.06

Secretarial Associate

Brookwood Medical Center
1996.01 - 1997.02

Bachelor of Arts - Sociology

University of Alabama At Birmingham
Patrice Blanton