Raine Gonter
Las Vegas,NV
Summary
Dedicated and compassionate healthcare professional with vast experience providing medical assistance, office management, and human resource support within a medical environment 20 years now.
Demonstrated competency in patient care, documentation, effective communication, and collaboration with other healthcare professionals. Strategic team player, skilled in managing electronic health records, driving sales, and delivering excellent customer service. Extensive experience in Onboarding, staff training, and employee relations. Ambitious change agent, adept at identifying weaknesses and streamlining procedures to enhance the flow of the workplace.
Detail-oriented professional passionate about supporting cutting-edge projects that promote the advancement of patient care and the well-being of the community.
Overview
9
9
years of professional experience
Work History
Health Coordination/Senior Case Manager
Alignology & Associates
10.2022 - 10.2024
- Responsible for Event Planning, Marketing for month-month Promotions, New Technology in the office, and or new clinical additions to the team
- Responsible for assisting with creating and maintaining training guides, policy/procedures as well as lms content and documentation for disciplinary action when necessary
- Responsible for front desk support, as well as back-office support for billing/medical records/chiropractic assistance/general coordination of clinician care in the back from Chiropractic, Acupuncture, Massage Therapy Functional/Regenerative Medicine etc
- Responsible For Entire Insurance Verification Processes, Billing Including Claims Submission, Collections and Payment Posting, Medical Records Management, and Referral Management
- Including Authorizations, Logging, Converting, And Scheduling extremely high volumes of incoming referrals
- Also Responsible for implementing efficient process and procedures and also providing referral and authorization training to other staff members
- Experience and ability to Take X-rays of upper cervical, thoracic, and lumbar regions
- Made appropriate referrals, monitored client services in appropriate time frames, sought supervisory guidance as required, documented services provided and completed departmental billing procedures.
- Experience with Shockwave/Light Force/Decompression Therapies also including Physiotherapy's and General Chiropractic Assistance to the Physicians
- Assisted with hiring and training of new advocates, interns, and volunteers, providing feedback on applicant work aptitude and team compatibility.
- Experience with Personal Injury Cases, Lien Authorizations/Med-Pay Etc.
- Collaborated with external agencies to secure resources for clients, ensuring optimal support and care.
- Managed high-risk cases effectively, implementing crisis intervention techniques when necessary to ensure client safety.
- Created well-written, effective care plans appropriately matching needs of clients following standards and guidelines of funders, contractors and governmental regulations.
Regional Administrative Support Administration Management
Fyzical Therapy and Balance Center
01.2020 - 10.2022
- Learned and applied preferred systems for scheduling, purchasing, and problem-solving.
- Supervised hiring processes and vendor relationships to maintain smooth operations for company.
- Oversaw corporate events designed to connect and support employees at work and outside of work.
- Built excellent employee experience through culture of service and execution of employee assistance programs.
- Reduced employee turnover through employee development and other retention measures.
- Increased workflow efficiency by identifying bottlenecks in existing processes and proposing targeted improvements.
- Reduced operational costs for the region through effective resource allocation and budget management.
- Improved employee satisfaction by addressing concerns and implementing targeted solutions promptly.
- Resolved multi-faceted issues promptly using excellent problem-solving skills, minimizing disruptions to daily operations.
- Streamlined administrative processes by implementing efficient regional management strategies.
- Boosted team productivity through regular performance evaluations, feedback sessions, and professional development opportunities.
- Managed complex schedules and logistics for multiple executives simultaneously, ensuring seamless operations at all times.
- Facilitated positive change across the organization through strategic planning sessions that encouraged innovative thinking from all levels of staff members.
Medical Records Specialist-Billing Specialist-Scheduling/ Case Manager for Outpatient Program
North Las Vegas Behavior Health
01.2018 - 01.2020
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Maintained patient records in compliance with security regulations.
- Improved patient care by maintaining accurate and up-to-date medical records for easy access by healthcare practitioners.
- Reviewed charts and flagged incomplete or inaccurate information.
- Kept accurate log of requests for medical information and records.
- Assisted healthcare providers with timely access to patient information, facilitating optimal treatment decisions.
- Followed up with patients about medical and healthcare processes.
- Developed efficient workflows for data entry tasks, enhancing overall productivity within the department.
- Managed the secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines.
- Provided outstanding customer service to patients requesting copies of their medical records or seeking assistance with related inquiries.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Developed educational materials for staff on proper medical record documentation, enhancing overall accuracy and quality of patient records.
Cashier Lead/ Floor stylist, customer service, and sales representative
Charming Charlies Stylist
08.2017 - 10.2018
- Trained new cashiers on company policies, ensuring consistent quality of service across the team.
- Conducted daily cash audits to ensure accurate financial records and reduce discrepancies.
- Maintained cleanliness and organization of the checkout area, creating a pleasant shopping experience for customers.
- Monitored cashier performance closely, providing constructive feedback and coaching when necessary for continuous improvement.
- Prepared detailed reports on sales trends and cashier performance, aiding management in strategic decision-making processes.
- Reduced wait times for customers by effectively managing the cashier team and prioritizing tasks.
- Streamlined checkout process by implementing new procedures to increase speed and efficiency.
- Collaborated with other departments to address inventory issues, resulting in seamless communication between teams.
- Ensured optimal staffing levels during peak hours by effectively scheduling employees based on anticipated workload.
Data analyst, Scheduling, Medical Records, Billing, and Patient Care Specialist
Clinical Neurology Specialists
08.2015 - 05.2018
- Produced monthly reports using advanced Excel spreadsheet functions.
- Utilized data visualization tools to effectively communicate business insights.
- Created various Excel documents to assist with pulling metrics data and presenting information to stakeholders for concise explanations of best placement for needed resources.
- Improved decision-making processes with accurate data analysis and visualization techniques.
- Used statistical methods to analyze data and generate useful business reports.
- Collaborated with cross-functional teams to ensure data integrity and accuracy, resulting in better-informed decisions.
- Enhanced business efficiency by identifying trends and patterns in complex datasets.
- Integrated multiple sources of disparate data into cohesive datasets using ETL processes, improving overall analytic capabilities.
- Managed large-scale databases to ensure timely access to critical information for key stakeholders.
- Optimized company resources allocation with detailed forecasting models based on historical data analysis.
Education
Associate of Applied Science - Elementary Education & Applied Sciences
College of Southern Nevada
Las Vegas, NV05.2021
High School Diploma -
Centennial High School
Las Vegas, NV05.2017
Skills
- Community Resources
- Client Advocacy
- Care Coordination
- Care Planning
- Salesforce
- Utilization review
- Technology-savvy
- Cross-cultural sensitivity
- Resource advocacy
- Program Goals
- Insurance collaboration
- Resource Coordination
- Individual Development Plans
- Problem-Solving
- Organization and Multitasking
- Direct Patient Care
- Case Documentation
- Decision-Making
- Relationship Building
- Patient support
- Case Management Tracking
- Patient Assessments
- Data Entry and Analysis
- Case Planning
- Case Needs Assessment
- Conflict Resolution
- Patient Management
- Staff Management
- Documentation And Reporting
- Crisis Intervention
- Annual Case Reviews
- Intervention Plans
- Email and Telephone Etiquette
- Patient Assessment
- Records Management
- Discharge Planning
- Patient Needs Assessment
- Case Management
- Recruitment
- Medical Records Management
- Resource Management
- EMR / EHR
- Referral Coordination
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Excellent Communication
- Effective Communication
Timeline
Health Coordination/Senior Case Manager
Alignology & Associates
10.2022 - 10.2024
Regional Administrative Support Administration Management
Fyzical Therapy and Balance Center
01.2020 - 10.2022
Medical Records Specialist-Billing Specialist-Scheduling/ Case Manager for Outpatient Program
North Las Vegas Behavior Health
01.2018 - 01.2020
Cashier Lead/ Floor stylist, customer service, and sales representative
Charming Charlies Stylist
08.2017 - 10.2018
Data analyst, Scheduling, Medical Records, Billing, and Patient Care Specialist
Clinical Neurology Specialists
08.2015 - 05.2018
Associate of Applied Science - Elementary Education & Applied Sciences
College of Southern Nevada
High School Diploma -
Centennial High School