ROBINY ELMER
Westerville,OH
Summary
Experienced Care Coordinator at Quantum Health with a strong background in multidisciplinary team collaboration and medical insurance knowledge. A track record of significantly improving patient satisfaction. Skilled in organizational standards, demonstrated through successful management at North Community Counseling Center. Exceptional proficiency with Excel and administrative tasks.
Overview
15
15
years of professional experience
Work History
Care Coordinator
Quantum Health
Dublin, OH
06.2022 - Current
- Resolved issues related to billing, coding, payments, denials., by working with providers and insurance companies
- Responded promptly to inquiries from providers regarding eligibility verification or other issues concerning managed care operations
- Communicated with patients with compassion while keeping medical information private
- Maintained confidentiality of all patient information according to HIPAA regulations
Office Manager
North Community Counseling Center
Columbus, OH
01.2020 - 06.2022
- Supervised staff members, organized schedules and delegated tasks
- Planned and delivered training sessions to improve employee effectiveness and address areas of weakness
- Created spreadsheets in Excel to track data such as vacation requests, sick days
- Resolved customer inquiries in a timely manner while maintaining positive relationships with clients
Duals MMP Rep
Molina Health Care
Columbus, OH
10.2017 - 11.2019
- Educated members and providers on Medicare and Medicaid benefits, eligibility requirements, and enrollment processes, enhancing understanding and satisfaction among stakeholders
- Provided training and support to team members on updates to Medicare and Medicaid policies
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services
- Ensured compliance with Medicare and Medicaid regulations by accurately processing claims, appeals, and prior authorizations, resulting in improved service delivery and reduced error rates
Administrative Assistant
Kent State University
Kent, OH
03.2010 - 09.2015
- Provided administrative support to the executive team, including scheduling meetings and managing calendars
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records
- Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel
- Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff
Education
Kent State University - Human Development & Family Studies
- 183 credit hours earned
- GPA: 3.8
Skills
- Customer/Provider Service Skills
- Conflict resolution
- HIPAA compliance
- Claims processing
- Interdepartmental collaboration
- Patient advocacy
Timeline
Care Coordinator - Quantum Health
06.2022 - Current
Office Manager - North Community Counseling Center
01.2020 - 06.2022
Duals MMP Rep - Molina Health Care
10.2017 - 11.2019
Administrative Assistant - Kent State University
03.2010 - 09.2015
Kent State University - Kent State University, Human Development & Family Studies
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