Rayven Giles
Southfield,USA
Summary
Proficient and caring nursing team member offering various areas of patient-facing experience. Addresses patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds. Quickly resolving issues, handling conflicting priorities, remaining flexible and striving to exceed organizational goals. Providing knowledge of project support, data analyzation and reporting, scheduling, time management, and assignment prioritization.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Patient Access Specialist
DMC Childrens Hospital
03.2024 - Current
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits and emergency.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained signatures from financial responsibility and treatment procedures from patients or guardians.
Healthcare Administrator
Start My Wellness
09.2022 - 01.2024
- Organize and process medical documentation, input information into internal database, manage and monitor status of database
- Act as a liaison between insurance providers, patients, and therapist/social workers
- Coordinate projects such as data planning, scheduling, budget tracking, and bill payment
- Developed and distributed 40 employee work schedules based on operational needs and employee requests.
- Liaise with medical staff to identify efficiencies in the facility's operations
Home Health & Hospice Intake Specialist
United States Medical Management/Harmony Cares
11.2020 - 10.2022
- Utilized Aprima, Centricity, and HCHB to maintain records of services performed and authorization, accurately determining placement and reimbursement for 75 patients weekly
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Supervised various disciplines to ensure proper documentation of PDGM codes, ensuring accurate payment of suppliers
Patient Care Technician, Med-Surg
Ascension Providence Hospital
04.2020 - 11.2020
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery
- Obtained patient vital signs and reported results to staff nurse or physician, noting changes from prior measurements
- Evaluated 14 patients daily to identify and address wounds, behavioral concerns, and medically relevant symptoms
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Assisted in transferring patients, beds and patient care equipment to other rooms adhering to necessary safety precautions.
Intake Coordinator/Office Manager
Serenity Home Health Care Agency (Closed)
10.2019 - 04.2020
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
- Determined eligibility for counseling and referral for over 15 patients daily
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Worked with clinical and operations teams to facilitate client placement and obtain appropriate services for clients
- Planned and resourced personnel and logistics for operations component exercises resulting in highly trained personnel ready to act quickly in critical roles
Recruitment Coordinator II
Pontoon Solutions
01.2019 - 06.2019
- Company Overview: Recruitment Coordinator II (contract)
- Administered pre-employment activities, including, coordinating forms, applications, offer letters and expense reports, drug testing, background and reference checks, and security clearance validation
- Administered electronic candidate assessments and pre-screened 10 candidates a day according to identified qualification standards
- Scheduled phone and onsite interviews, while reviewing resumes in applicant tracking system and screening hourly candidates using Taleo, HoneIt, and Full Slate
- Assisted with coordinating logistics for recruiting events, such as job fairs, open houses, and invitation-only events for company when needed
- Recruitment Coordinator II (contract)
Education
Certificate - Licensed Practical Nurse
Hondros College of Nursing
Bingham Farms, MI12-2024
Bachelor of Science - Healthcare Administration
Mercy College of Ohio
Toledo, OH12.2022
Skills
- Performance Assessment
- Report Preparation
- Relationship Building
- Program Evaluation and Improvements
- Client Assistance Referrals
- Appointment scheduling
- EMR Proficiency (EPIC, APRIMA, HCHB, AVAILITY)
- Fee collection
- Documentation accuracy
- Information collection
- Authorization verification
Certification
First Aid/CPR Certified- BLS
- CNA - Certified Nursing Assistant
Timeline
Patient Access Specialist
DMC Childrens Hospital
03.2024 - Current
Healthcare Administrator
Start My Wellness
09.2022 - 01.2024
Home Health & Hospice Intake Specialist
United States Medical Management/Harmony Cares
11.2020 - 10.2022
Patient Care Technician, Med-Surg
Ascension Providence Hospital
04.2020 - 11.2020
Intake Coordinator/Office Manager
Serenity Home Health Care Agency (Closed)
10.2019 - 04.2020
Recruitment Coordinator II
Pontoon Solutions
01.2019 - 06.2019
First Aid/CPR Certified- BLS
- CNA - Certified Nursing Assistant
Certificate - Licensed Practical Nurse
Hondros College of Nursing
Bachelor of Science - Healthcare Administration
Mercy College of Ohio
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