Riley Rice
South Charleston,OH
Summary
Compassionate healthcare professional skilled in addressing diverse patient needs while effectively managing dynamic medical conditions. Demonstrates strong clinical judgment and excels in documentation and problem-solving skills. Proven ability to handle emergent cases with composure and expertise, ensuring optimal patient outcomes.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Protective Services Officer
Nationwide Children’s Hospital
Columbus, Ohio
10.2023 - Current
- Conducts random, but frequent, patrols in assigned area to detect and appropriately respond to safety and/or security issues
- Conducts preliminary investigations, as appropriate and when requested, regarding incidents that amount to a criminal act or any incident that requires safety or security intervention.
- Documents, by utilizing standard departmental or hospital forms, activities, and incidents that are required to be recorded or should be recorded.
- Conducts lock/unlock activities as required and appropriate
- Performs staff escorts and/or provides transportation to staff and/or visitors, as appropriate
- Performs vehicle assistance (jump starts, lock-outs,) as required and appropriate
- Enforces hospital parking policies and procedures, as appropriate.
- Responds to internal disaster incidents and provides appropriate assistance.
- Enforced rules, regulations and policies for a safe environment for all personnel on site.
- Reviewed guest identification and employee credentials to authorize entry onto premises.
- Administered first aid for minor medical situations and contacted paramedics for medical emergencies.
Guest Services
Promowest Productions
Columbus, Ohio
10.2022 - Current
- Facilitated smooth entry process through ticket validation.
- Handled guest inquiries and concerns while ensuring exceptional service.
- Ensure compliance with venue regulations.
- Aided ADA patrons with special seating needs.
- Assisted in ensuring safe and efficient response during emergencies.
- Operated efficiently across diverse venues including Kemba Live!, Newport Music Hall, A&R Bar and The Basement.
Guest Services
BEST
Columbus, Ohio
01.2023 - 03.2024
- Handled guest inquiries and concerns while ensuring exceptional service.
- Ensure compliance with venue regulations.
- Aided ADA patrons with special seating needs.
- Assisted in ensuring safe and efficient response during emergencies.
- Serviced venues like Nationwide Arena, Palace Theater, OSU Stadium, and Schottenstein Center.
Engagement Specialist
Equitas Health
Columbus, Ohio
12.2021 - 10.2023
- Facilitated linkage to care for newly diagnosed HIV-positive patients.
- Managed scheduling for patient appointments.
- Provided support in processing Medicaid applications.
- Efficiently managed Presumptive Medicaid procedures for individuals seeking assistance.
- Enrolled patients in Ryan White Part A and B successfully.
- Cultivated collaborative relationships with outside medical facilities and organizations.
- Coordinate with multiple departments to enhance patient engagement.
- Facilitated detailed assessments to support structured case management processes.
- Possessed substantial knowledge of PAPI assistance.
- Streamlined processes for linking clients to available local resources.
- Connected individuals with necessary outside assistance.
- Setting up and providing transportation for individuals such as Uberhealth, bus passes or gas cards
- Assist clients in planning future goals and ensure undetectable status is maintained.
- Possessed extensive knowledge of local and national epidemiological trends concerning HIV and sexually transmitted diseases.
Delivery Driver
NonStop Logistics LLC
Dayton, Ohio
07.2020 - 12.2021
- Contracted with Amazon
- Executed prompt delivery services directly to customer homes.
- Manage multiple responsibilities simultaneously.
- Managed time effectively to meet deadlines.
- Ensured swift and accurate package delivery.
- Navigated diverse driving environments with precision.
- Conducted pre-inspections to keep trucks reliable and well-maintained.
- Received daily delivery instructions and route assignments from dispatch.
- Followed safety protocols for loading, unloading, securing, inspecting, operating, and maintaining the assigned vehicle.
Patient Access Representative
Ensemble Health Partners
Richmond, Virginia
02.2018 - 07.2020
- Conducted phone interviews to gather demographic, employment, insurance, and financial information from patients.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Updating patient profiles with their insurance information.
- Verified eligibility and authorization status with insurance companies.
- Secured approvals for hospital stay admissions.
- Provided guidance on navigating Self-Pay payment methods.
- Assessed strategies for managing processes related to self-pay and insurance.
- Calculated estimates to support pricing strategies for insurance products.
- Managed financial collections via POS technology.
- Communicated financial obligations to patients and collected fees at time of service.
- Coordinated onboarding sessions for new team members.
- Actively participated in team meetings and training sessions.
- Handle high volume of incoming calls.
Courier
Frontier Couriers
Richmond, Virginia
02.2019 - 05.2020
- Transported medications to hospice facilities and patients.
- Acquired proficiency in handling parcel distribution.
- Collaborated closely with Labcorp and various courier services.
- Used time-management skills to prioritize urgent deliveries and optimize daily schedules.
- Documented items transported, recipient information and problems.
- Maintained accurate logs of deliveries and pickups.
- Delivered and picked up medical records, lab specimens and medications to and from hospitals and other medical facilities.
Registration Specialist
Robert Half Staffing Agency
Richmond, Virginia
10.2017 - 02.2018
- Conducted phone interviews to gather demographic, employment, insurance, and financial information from patients.
- Maintained confidentiality of all patient information in accordance with HIPAA regulations.
- Updating patient profiles with their insurance information.
- Actively participated in team meetings and training sessions.
- Handle high volume of incoming calls.
Prior Authorization Representative
Concentrix
Richmond, Virginia
09.2016 - 09.2017
- Handled incoming calls from physician offices, hospitals, and patients with precision.
- Maintained client confidentiality in accordance with HIPAA regulations.
- Confirmed details of patients' coverage with insurance companies.
- Evaluated needs for pre-approval on various prescriptions
- Aggressively retained updated knowledge of ICD-10 coding principles, government regulations, protocols and third-party billing requirements.
- Input claim, prior authorization, and other important medical data into system.
- Communicated authorization decisions, including approvals and denials, to healthcare providers and patients.
- Evaluated clinical information provided by providers against specific criteria set forth by health plans.
- Continuously met and outperformed established service and quality criteria during every evaluation period.
Education
High School Diploma -
Deep Run High School
Glen Allen, Virginia06-2011
Skills
- Strong Written and Verbal Communication
- Familiarity with Microsoft Applications
- Proficient in EPIC Software
- Adaptable Learner
- Skilled at Managing Multiple Tasks
- Detail-Oriented Approach
- Understanding of Social Determinants of Health
- Community Outreach
- Understanding of Healthcare Terminology
- New Hire Training
- Critical thinking
Certification
Certified in International Association for Healthcare Security and Safety (IAHSS), 2024
Basic Life Support (BLS) by American Heart Association, 2024
Timeline
Protective Services Officer
Nationwide Children’s Hospital
10.2023 - Current
Guest Services
BEST
01.2023 - 03.2024
Guest Services
Promowest Productions
10.2022 - Current
Engagement Specialist
Equitas Health
12.2021 - 10.2023
Delivery Driver
NonStop Logistics LLC
07.2020 - 12.2021
Courier
Frontier Couriers
02.2019 - 05.2020
Patient Access Representative
Ensemble Health Partners
02.2018 - 07.2020
Registration Specialist
Robert Half Staffing Agency
10.2017 - 02.2018
Prior Authorization Representative
Concentrix
09.2016 - 09.2017
High School Diploma -
Deep Run High School
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