Rhae Clark
Henderson,NV
Summary
Healthcare professional with strong background in clinical support. A patient care advocate with experience in insurance plans and contracts, known for reliability, adaptability, and effective collaboration with medical teams to improve patient care. A multi-diverse professional, seeking a leadership position that will allow me to utilize my professional ability, knowledge of policy and compassion for human services to be a valuable addition to the organization.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Population Health Specialist II
Caremore Health
Las Vegas, NV
05.2025 - Current
- Case Management- Manage a cases workload of 40-50 individuals and families, focusing on developing personalized plans and actionable steps to support their goals and personal growth.
- Identifying and removing obstacles through effective solutions, training, and therapeutic interventions. Provide knowledge of programs and resources to help address both health disparities and social determinants.
- Frontline CHW leverages their experience and profound understanding of the communities they serve to connect patients with essential medical, health education and services.
- Advocate for fairness in healthcare and tackle the inequalities that hold individuals back from reaching their aspirations.
- Support clients as they navigate obstacles and seek assistance with health disparities and inequalities to provide solutions to improving their quality of life.
- Collaborated with multidisciplinary teams to develop individualized care plans for patients.
- Reduced hospital readmission rates through diligent monitoring and follow-up of discharged patients.
Youth Care Operation - YCS Lead
St. Jude’s
Boulder City
09.2023 - 04.2025
- Administer and manage prescribe psychotropic medication to youth that suffered from behavior disorder, PTSD.
- Provide an elevated level of therapeutic care to youth from a diverse economic background and CSEC youth. (Commercial Sexual Exploitation of Children)
- Apply crisis stabilization to help manage anger and identify emotions to source of triggers caused by past trauma.
- Provide direct care, emotional support, crisis stabilization, daily supervision and expectation required by program.
- Document the observation and interaction of youth behavior in conjunction with treatment plans to support service.
- Monitor visits, attend court hearings, conference calls, and any scheduled meeting during youth stay on behalf of the organization supervision.
Biller/ Special Projects
PMRG
Tinley, IL
11.2021 - 04.2023
- Manage case load, train staff in daily functions, unmanageable debt resolutions, reports and resolve clearing house claim edits.
- Report accuracy of billing for all services in patient accounts.
- Preform monthly close, balance and ageing reports.
- Monitoring of RCM (Revenue Cycle Management) to verify electronic claims submission processed clear of edits.
- Assist patients with understanding the Explanation of Benefits and address any inquiries related to Medicaid or Medicare billing.
Medical Billing
BCH Boulder City Hospital
Boulder City, NV
10.2020 - 06.2021
- PFS Department (Patient Financial Services) Manage billing and collection operations within the department.
- Ensuring that accounts are accurate and that profits are consistent.
- Define and document insurance coverage for services provided and maintain a process of communication with third party payers.
- Manage electronically submittable claims. Reconcile Medicare Remittance.
Billing/ Front Office Manager
CWPC
Las Vegas, NV
12.2019 - 01.2020
- Training and development 10-20 staff daily on clinical processes, data communication and EMR software.
- Monitor daily operation to ensure practice maintains patient confidentiality and adheres to HIPPA guidelines.
- Facilitate lines of communication between patients, department staff and physicians.
- Implement written policies and procedures that govern the facility function for front desk check-in and discharge.
- Submit monthly report of status for high dollar account, issues within facility with process for improvement plan.
- Ensure that all aspects of a department and practice meets HIPPA policy and healthcare regulation to ensure patient safety and protection of practice regulations.
Education
Bachelor of Science - Healthcare Management
Western Governors University
Las Vegas, NV03-2026
Associate of Science Degree - Healthcare Management
Ultimate Medical Academy
01.2022
Skills
- Monitor Business Operations
- Department Management
- Healthcare Ethics
- HIPAA Compliance
- Insurance Claim Cycle
- Medical Terminology
- Insurance Billing Procedures
- EHR & EMR Management
- Compassionate communication
- Cultural history
- Patient assessments
- Healthcare education
- Report preparation
- Project Management
- Certified in CPR/AED
- Crisis Intervention
- Patient advocacy
Accomplishments
- Spearhead the 1st Yes 2 Youth Drug Free Program in Nevada.
- Supervised team of 15 - 20 staff, collaborated with team of 30+ to development procedures to improve the workflow and patient care.
- Resolved billing and coding error which led to claim rejections in considerable of revenue be recovered.
- Completed trauma inform training to effectively execute different forms of communication in crisis situation.
Certification
Certification: CHW (Community Health Worker), TFTC, LGBTQ Awareness, OVC Human Trafficking, CPR
Languages
English
Native or Bilingual
Timeline
Population Health Specialist II
Caremore Health
05.2025 - Current
Youth Care Operation - YCS Lead
St. Jude’s
09.2023 - 04.2025
Biller/ Special Projects
PMRG
11.2021 - 04.2023
Medical Billing
BCH Boulder City Hospital
10.2020 - 06.2021
Billing/ Front Office Manager
CWPC
12.2019 - 01.2020
Bachelor of Science - Healthcare Management
Western Governors University
Associate of Science Degree - Healthcare Management
Ultimate Medical Academy