Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

RAYCHELLE DOUGLAS

Summary

PATIENT NAVIGATOR Helps patients and family members navigate successfully through the health care system, by removing barriers to care, including providing access to resources, support and enhancing communication with the health care providers. System. Dedicated Patient Navigator committed to comprehensive patient education and support with success at scheduling and budget help. Adept at explaining complicated procedures and patient advocacy. Upholds the mission, vision, values, and customer service standards of The MetroHealth

Overview

16
16
years of professional experience

Work History

Radiology Patient Navigator

MetroHealth
07.2024 - Current
  • Participated in quality improvement initiatives aimed at improving patient experience.
  • Encouraged adherence to prescribed treatments and medication regimens.
  • Conducted outreach activities such as health fairs or seminars in order to promote awareness of available services.
  • Evaluated existing programs and policies related to patient navigation services.
  • Served as a liaison between healthcare providers and other departments within the organization.
  • Assisted in scheduling appointments, tests and procedures for patients.
  • Attended team meetings to discuss patient cases and develop individualized care plans.
  • Provided assistance to patients and families with navigating the health care system.
  • Developed strategies to reduce barriers encountered by patients in accessing care.
  • Assisted with discharge planning processes for hospitalized patients.
  • Maintained accurate records of patient interactions and outcomes in electronic health record systems.
  • Monitored patient progress through follow-up calls and visits.
  • Facilitated communication between physicians, specialists, nurses, social workers, insurance companies, employers.
  • Helped coordinate transportation arrangements for those without reliable means of getting around.
  • Provided guidance on insurance coverage options for uninsured or underinsured individuals.
  • Identified and coordinated resources for patient needs, including referrals to community services.
  • Contacted patients to provide appointment reminders.
  • Maintained professional relationships with healthcare providers.
  • Coordinated appropriate educational material for patients, families and medical staff to accomplish best possible patient care outcomes.
  • Communicated with patients and families about treatment plans and at-home care.

Patient Service Specialist

Cleveland Clinic
01.2020 - 12.2020
  • Prepared daily deposits for processing and reconciled accounts receivable.
  • Ensured all required documentation was completed accurately before submitting claims.
  • Maintained knowledge of current insurance requirements for billing purposes.
  • Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.
  • Provided assistance with completing paperwork, such as insurance forms and medical history.
  • Collected co-pays at time of visit according to office policy.
  • Greeted patients upon arrival and verified patient information.
  • Processed payments from patients, including cash, check, or credit card transactions.
  • Identified trends in denials or rejections of claims and worked to resolve them quickly.
  • Verified patient coverage prior to appointment scheduling.
  • Responded to patient inquiries regarding account status.
  • Answered incoming calls and responded to inquiries in a timely manner.
  • Maintained strict confidentiality when dealing with sensitive information.
  • Created weekly reports summarizing activity within the department.
  • Assisted in resolving billing disputes between providers and insurance companies and patients.
  • Reviewed outstanding balances on accounts regularly to ensure accuracy.
  • Ensured compliance with HIPAA regulations when handling confidential patient information.
  • Provided general customer service support by answering questions about services provided by the practice.
  • Scheduled appointments and managed patient records using electronic health record software.
  • Assisted with preparing exam rooms for physicians, including stocking supplies and cleaning equipment.
  • Verified demographics and insurance information to register patients in computer system.
  • Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans.
  • Processed insurance verifications and authorizations to ensure coverage of services.

Clinical Tech Assistant

Seidman Cancer Center
Cleveland
01.2014 - 01.2017
  • Provided support to medical personnel during exams or treatments as requested.
  • Provided assistance with wound care and dressing changes.
  • Communicated effectively with colleagues regarding patient needs or concerns.
  • Performed phlebotomy procedures on patients of all ages.
  • Monitored patient progress and reported any changes to physicians or nurses.
  • Assisted nursing staff in the implementation of treatment plans for patients.
  • Assisted in preparing and delivering patient medications according to physician orders.
  • Conducted laboratory tests such as urinalysis, blood draws, and other specimens collection.
  • Managed inventory of medical supplies ensuring adequate stock levels at all times.
  • Administered injections, monitored vital signs, and performed EKGs.
  • Responded quickly to emergency situations and provided appropriate medical care as needed.
  • Collected clinical data from medical records and entered into electronic health record systems.
  • Prepared rooms for incoming patients by setting up bedside equipment and supplies.
  • Ensured accurate documentation of patient information such as test results, treatments received.
  • Reviewed charts regularly for accuracy of documents prior to filing them away.
  • Greeted visitors warmly while providing excellent customer service skills.
  • Assisted doctors with minor surgical procedures such as suturing wounds or removing stitches.
  • Completed routine and specialized procedures and documented care in EMR system.
  • Supported efficient operations by keeping supplies organized and stocked.

Patient Care Assistant

Rainbow Babies Children’s Hospital
01.2009 - 01.2014
  • Provided assistance to nurses and other healthcare professionals in the delivery of patient care.
  • Monitored vital signs and reported changes to nursing staff.
  • Assisted physicians with examinations and procedures as needed.
  • Monitored vital signs including pulse rate, temperature, respiration rate, and blood pressure.
  • Collected specimens for laboratory tests upon request of medical staff.
  • Assisted with ambulation and positioning of patients according to their plan of care.
  • Ensured proper nutrition by providing meals, snacks and fluids to patients as instructed by medical staff.
  • Assisted with daily activities such as bathing, grooming, dressing, feeding, and transferring patients.
  • Prepared rooms for incoming patients by stocking supplies and ensuring equipment is functioning properly.
  • Administered prescribed medications under the direction of a registered nurse or physician.
  • Reported any changes in patient condition to the supervising nurse immediately.
  • Answered call lights promptly to ensure timely response to patient needs.
  • Promoted patient comfort by quickly responding to calls and handling diverse needs.

Education

Associate of Applied Science -

Cuyahoga Community College
Highland, OH
10.2023

High school or equivalent -

Brush High School
01.2009

Cuyahoga Community College -

Cuyahoga Community College
01.2009

Skills

  • Charting expertise
  • Coordinate and prioritize task
  • Maintain Daily flow of the unit
  • Process flow and events
  • Manage administrative tasks
  • Computer Proficient
  • Epic
  • Communication skills
  • Attention to detail
  • Patient navigation
  • Electronic health records
  • Insurance verification
  • Care coordination
  • Appointment scheduling
  • Quality improvement
  • Patient education
  • Problem solving
  • Effective communication
  • Resource coordination
  • Discharge planning
  • Customer service
  • Confidentiality
  • Medical recordkeeping
  • Medical terminology
  • Healthcare
  • Heartsaver CPR AED (CPR AED)
  • Patient admitting
  • Patient intake

Accomplishments

  • Distinguished Partner in Care Award, Seidman Cancer Center, 2015
  • Exemplary Care for Patients, Seidman Cancer Center, 2015, 2016
  • Exemplary Care for Patients, Rainbow Babies Children Hospitals, 2010, 2014
  • Exemplary Care for Patients, Seidman Cancer Center, 2014, 2018

Timeline

Radiology Patient Navigator

MetroHealth
07.2024 - Current

Patient Service Specialist

Cleveland Clinic
01.2020 - 12.2020

Clinical Tech Assistant

Seidman Cancer Center
01.2014 - 01.2017

Patient Care Assistant

Rainbow Babies Children’s Hospital
01.2009 - 01.2014

Associate of Applied Science -

Cuyahoga Community College

High school or equivalent -

Brush High School

Cuyahoga Community College -

Cuyahoga Community College

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RAYCHELLE DOUGLAS