Quentin Funk
Newalla,OK
Summary
Positive and outgoing with strong customer service and team-building skills. Listens carefully to find out what customers want and recommends high-quality products targeted to meet specific needs. Collaborates with others to develop leads and create networks.
Overview
7
7
years of professional experience
Work History
Bedded Insurance Associate
Ensemble Health Partners
09.2023 - Current
- Strengthened relationships with external partners like insurance companies through proactive communication about authorizations, denials, appeals, or other related issues.
- Contributed to positive patient outcomes by identifying and addressing potential gaps in care through ongoing monitoring of the medical records.
- Improved patient care quality by efficiently reviewing and analyzing medical records for utilization review purposes.
- Enhanced communication between healthcare providers and insurance companies by facilitating the exchange of critical information in a timely manner.
- Increased efficiency in case management tasks by promptly obtaining relevant information from healthcare providers for timely assessments and decisions on care plans.
- Maintained up-to-date knowledge of industry trends, best practices, and regulatory requirements to ensure accurate and relevant guidance during utilization review activities.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed prior authorization review of services requiring notification.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Upheld HIPAA regulations and standards for protecting patient information.
- Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
- Studied and researched various medical terms as well as software and coding systems.
Care Management Associate
Adena Regional Medical Center
03.2023 - 09.2023
- Supported interdisciplinary team meetings to create comprehensive case plans tailored to individual needs.
- Collaborated with insurance providers to obtain authorizations for necessary treatments or procedures, minimizing financial burdens on patients.
- Ensured timely communication between healthcare providers, fostering a collaborative care environment for patients.
- Contributed to efficient discharge planning, working closely with social workers and other team members to secure appropriate post-hospital care arrangements.
- Attended regularly scheduled case management and staff meetings.
- Safeguarded patient privacy by adhering to HIPAA regulations during all aspects of case management activities.
- Conducted regular follow-up calls with clients after discharge, ensuring they were well-supported in their recovery process.
Staffing Coordinator
Adena Regional Medical Center
02.2021 - 02.2023
- Verified payroll, vacation and sick time hours to support accounting processes.
- Assisted in onboarding new hires, facilitating a smooth transition into their roles and supporting employee retention efforts.
- Increased client satisfaction by maintaining thorough knowledge of client needs and matching suitable candidates for open positions.
- Worked closely with other departments within the organization to address workforce planning needs effectively.
- Developed and facilitated new-hire orientations.
- Conducted comprehensive interviews, assessing candidate skills and cultural fit for successful placements.
- Assisted with personnel records management to support recordkeeping accuracy.
- Collaborated with manager to determine department's short and long-term hiring needs.
- Managed applicant tracking system (ATS) database by entering, updating and maintaining candidate contact details, resumes, and supporting documentation.
- Developed and implemented onboarding and orientation programs for new employees.
- Utilized advanced software tools like Excel, Outlook, and scheduling-specific platforms to effectively manage comprehensive appointment calendars.
- Managed daily scheduling conflicts to reduce operational backlogs and support full shift-coverage.
- Worked with manager and supervisor to plan and coordinate production schedules.
- Reduced employee overtime costs by closely monitoring work hours and strategically adjusting schedules as needed.
- Gathered employee data to develop monthly work schedules, enabling proper staffing for departments for each shift.
- Completed logs and reports detailing production data such as volume, materials used, and quality assurance results, helping management make accurate operational decisions.
PCA
Adena Regional Medical Center
02.2020 - 02.2021
- Assisted patients with daily living activities, promoting independence and wellbeing.
- Ensured proper hygiene practices were followed by assisting with bathing, grooming tasks.
- Improved patient comfort by providing compassionate and attentive care.
- Maintained a clean and safe environment for patients, reducing the risk of infections and accidents.
- Answered patient assistance calls, assessed needs, and offered qualified support.
- Monitored vital signs and reported changes in patient condition to medical professionals promptly.
- Helped patients maintain healthy skin by checking wounds, assessing integrity, and bathing bedbound individuals.
- Collaborated with healthcare teams to develop individualized care plans, ensuring optimal outcomes for each patient.
- Documented patient information accurately in electronic medical records, ensuring continuity of care among healthcare providers.
- Educated patients on self-care techniques and disease management strategies, empowering them to take control of their health.
- Collected and transported specimens to prepare for lab testing.
- Assisted nursing staff with completing daily rounds, documenting vital signs and answering calls.
- Transported patients between rooms and appointments or testing locations.
STNA
Valley View Care Center
06.2017 - 03.2020
- Assisted with patient transfer and ambulation.
- Assisted patients in daily activities, promoting their independence and dignity.
- Kept accurate records of patients' care, condition, and progress.
- Promoted a safe environment for both patients and staff members by adhering to facility policies and procedures at all times.
- Provided assistance in daily living activities by dressing, grooming, bathing, and toileting patients.
- Demonstrated adaptability by caring for a diverse range of patients with varying needs.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Conducted regular safety checks on patient rooms, addressing potential hazards immediately.
- Safely transported patients throughout the facility using proper transfer techniques and equipment.
Education
High School Diploma -
Westfall High School
Williamsport, OH05.2019
No Degree - STNA
Pickaway-Ross Career And Technology Center
Chillicothe, OH05.2019
Skills
- Industry Trends Awareness
- Policy analysis
- Compliance Monitoring
- Underwriting knowledge
- Teamwork and Collaboration
- Customer Service
- Attention to Detail
- Organizing and Prioritizing Work
- Critical Thinking
- Active Listening
- Decision-Making
- Microsoft Office
Timeline
Bedded Insurance Associate
Ensemble Health Partners
09.2023 - Current
Care Management Associate
Adena Regional Medical Center
03.2023 - 09.2023
Staffing Coordinator
Adena Regional Medical Center
02.2021 - 02.2023
PCA
Adena Regional Medical Center
02.2020 - 02.2021
STNA
Valley View Care Center
06.2017 - 03.2020
High School Diploma -
Westfall High School
No Degree - STNA
Pickaway-Ross Career And Technology Center
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