Professional with strong background in care coordination. Skilled in patient advocacy, healthcare planning, and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with robust communication and organizational skills. Reliable and focused on delivering high-quality care outcomes.
Overview
7
7
years of professional experience
Work History
Care Coordinator II
Astrana Health
07.2021 - 10.2024
Assist Ambulatory Care Management Nurse with day-to-day activities with member assessment and communication, which includes eligibility verification, requesting medical records, creating cases, and documenting care activity managing 360 members.
Responsible for time sensitive process for initiating cases, appropriate documentation, routing of information, performing computer data input, faxing, emailing, and maintaining logs and activity.
Responsible for member/provider outreach and notification (telephonic and/or written) conduct HRA with high risk members participating in Care Management Program.
Notify ACM Nurse and change in member's status (unable to reach, opt-out, agree to join).
Responsible for follow-up call and returning department calls.
Participates in all health plan and department meetings and trainings as applicable.
Assist with health plan audit preparation monthly and quarterly reaching 100% healthcare scorecards.
Performs other duties, projects and actions as assigned.
Patient Care Coordinator
Albert C. Mak, M. D., Inc.
05.2018 - 07.2021
Check in patients, verify and update necessary information in the medical record through ARIA system.
Collect co pays, deductibles and payments as required and obtain and verify patient's current insurance information.
Register patient data through Intergy & ARIA system for new consultation.
Prepare new charts for future new patients.
Maintain 3 provider schedule and follow office scheduling policies.
Answer and screen telephone call, takes messages and provides information.
File charts, coordinate lab work, physician's report, and requesting/ retrieving medical records.
Verify insurance benefits eligibility in healthcare portal.
Submitting authorizations for office visit in healthcare portal and faxing
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
Trained new staff members on office procedures and protocols, ensuring consistency in patient care delivery.
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Patient Care Coordinator
AppleOne- Pasadena: Albert C. Mak, M. D., Inc.
05.2017 - 05.2018
Check in patients, verify and update necessary information in medical record through ARIA system.
Collect co pays, deductibles and payments as required and obtain and verify patient's current insurance information.
Register patient data through Intergy & ARIA system for new consultation
Prepare new charts for future new patients
Maintain 3 provider schedule and follow office scheduling policies
Answer and screen telephone call, takes messages and provides information
File charts, coordinate lab work, physician's report, and requesting/ retrieving medical records
Verify insurance benefits eligibility in healthcare portal
Submitting authorizations for office visit in healthcare portal and faxing
Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at clinic.
Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
Trained new staff members on office procedures and protocols, ensuring consistency in patient care delivery.
Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Education
Bachelors of Science - Business Administration: Finance
California State University of Los Angeles
Los Angeles, CA
06.2009
Associate of Arts - Liberal Arts
East Los Angeles College
Los Angeles, CA
06.2006
Skills
Case management
Documentation
Medical terminology understanding
Multitasking
Self motivation
Reliability
Time management abilities
Customer service
Languages
Chinese (Cantonese)
Native or Bilingual
Timeline
Care Coordinator II
Astrana Health
07.2021 - 10.2024
Patient Care Coordinator
Albert C. Mak, M. D., Inc.
05.2018 - 07.2021
Patient Care Coordinator
AppleOne- Pasadena: Albert C. Mak, M. D., Inc.
05.2017 - 05.2018
Bachelors of Science - Business Administration: Finance
California State University of Los Angeles
Associate of Arts - Liberal Arts
East Los Angeles College
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