MARQUITTA WOODS
Philadelphia,PA
Summary
Dynamic healthcare professional with a proven track record at Children Hospital of Philadelphia, enhancing patient satisfaction and care quality. Excelled in customer relations and documentation management, achieving significant improvements in complex case handling. Skilled in Microsoft Office, adept at fostering inter-departmental collaboration for strategic program development.
Overview
24
24
years of professional experience
Work History
Case Management Support Specialist
Children Hospital Of Philadelphia
12.2021 - Current
- Implemented strategies to improve accuracy, quality, and patient satisfaction for complex, high-volume assignments
- Provided complex care planning, and case management to clients
- Worked closely with managers and team members, evaluating for improving performance of direct services, contributing to strategic program planning and development
- Referred clients to appropriate team members, community agencies and organizations to meet treatment needs
- Communicated with supervisor regarding issues related to case management, resourcing, service collaboration and development of new resources
- Analyzed complex cases involving multiple family members or special circumstances such as disabilities or long-term care needs
- Identified discrepancies or inconsistencies in documents submitted by clients and requested additional evidence as needed
Lead Patient Service Coordinator
University of Pennsylvania
05.2016 - 11.2021
- Verified patients' eligibility and claims status with insurance agencies
- Determined prior authorizations for medication and outpatient procedures
- Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable
- Processed invoices, credit memos, and payment requests in accordance with company policies
- Maintained records of customer payments, refunds, and credits
- Collaborated with other departments to resolve billing errors and discrepancies
- Conducted detailed interviews with applicants to assess their needs and provided assistance in completing application forms
- Verified income levels, assets and other pertinent information from a variety of sources including tax returns, pay stubs, bank statements and Social Security documents
Health Unit Coordinator
Einstein Medical Center Philadelphia
09.2000 - 10.2014
- Worked medical/surgical units, Intensive care, Telemetry, Mother/baby unit, Oncology, Emergency Department
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services
- Provided care for 50-patient unit, coordinating day-to-day hygiene, feeding and quality of life functions
- Prepared patient charts for patient transfers by copying and organizing required documents according to specific criteria
- Collaborated with several interdisciplinary departments to coordinate care of inpatients
- Served as a liaison between physicians, nursing staffs, insurance companies and other healthcare providers to ensure timely processing of claims
Education
Diploma - Health Administration
Delaware Valley H.S
06-1996
Skills
- Proficient in Microsoft
- Organizational skills
- Documentation management
- Calendar Management
- Meeting Planning
- Insurance Knowledge
- Multitasking Abilities
- Admissions processes
Timeline
Case Management Support Specialist
Children Hospital Of Philadelphia
12.2021 - Current
Lead Patient Service Coordinator
University of Pennsylvania
05.2016 - 11.2021
Health Unit Coordinator
Einstein Medical Center Philadelphia
09.2000 - 10.2014
Diploma - Health Administration
Delaware Valley H.S
References
References available upon request
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