Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Sandra Chappell

Revenue Integrity Analyst
New Orleans,LA

Summary

Reliable employee with time management and teaming abilities. Dedicated to completing work on-time and going above and beyond with each activity. Excellent work ethic and attendance record. Focused and attentive Staff Member with good administrative, organizational and problem-solving abilities. Skilled at coordinating people, activities and documents. Dedicated to best-in-class work and productivity.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Denials & Follow Up Analyst

Ochsner Medical Center
04.2019 - 05.2023
  • Identified and resolved problems through root cause analysis and research.
  • Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
  • Recommended process improvements to continually identify, analyze and fix constraints and challenges.
  • Queried databases for information needed for report processing.
  • Performs account research with internal and/or external resources via phone and payor websites to determine status of the account with the expected result of obtaining payment of the account
  • Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account
  • Follows-up with payors and checks claim status as needed throughout the payment process
  • Appeal denials when needed throughout the payment process and determines when appeals should be sent for further research and/or review
  • Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites
  • Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits
  • Other related duties as required.

Mental Health Technician

River Oaks Hospital
06.2021 - 12.2022
  • Performed scheduled patient safety checks and documented results to establish patients' well-being.
  • Applied de-escalation and limit-setting techniques to promote patient cooperation.
  • Assisted with patient restraint and seclusion scenarios to create safe environment for patient and medical personnel.
  • Developed and maintained positive relationships with clients to create safe and supportive environment.
  • Observed patient behaviors and mental status and notified RN of unusual or potentially dangerous occurrences.
  • Helped patients with meals, activities of daily living (ADLs) and facility transfers to promote security and patient well-being.
  • Escorted patients from unit to meals, activities, and visitation areas to maintain standard of safety and security.
  • Facilitated group therapy sessions to help clients develop coping strategies and social skills.
  • Administered medications to relieve symptoms and monitor effects on clients.

Direct Staff Worker

Shalom Home Care Services, Inc.
  • Enables patients to stay in their homes by monitoring and recording patient condition, providing support and personal services, and teaching families
  • Monitors patient condition by observing physical and mental condition, intake and output, and exercise
  • Supports patients by providing housekeeping and laundry services, shopping for food and other household requirements, preparing and serving meals and snacks, and running errands
  • Assists patients by providing personal services, such as, bathing, dressing, and grooming
  • Helps patients care for themselves by teaching use of cane or walker, special utensils to eat, special techniques and equipment for personal hygiene
  • Helps family members care for the patient by teaching appropriate ways to lift, turn, and re-position the patient
  • Advises on nutrition, cleanliness, and housekeeping
  • Records patient information by making entries in the patient journal and notifying nursing supervisor of changing or unusual conditions
  • Maintains a safe, secure, and healthy patient environment by following asepsis standards and procedures, maintaining security precautions, and following prescribed dietary requirements and nutrition standards
  • Protects the home care agency by adhering to professional standards, home care policies and procedures, federal, state, and local requirements
  • Enhances service reputation by accepting ownership for accomplishing new and different requests, and exploring opportunities to add value to job accomplishments.

Behavior Health Specialist

Jubilee Home Care Services, Inc.
  • Compiles and interprets test results to diagnose students’ conditions and assess eligibility for special services
  • Reports possible cases of child abuse, neglect or endangerment to the proper authorities
  • Determines behavior capabilities of students as they function at home and in school
  • Designs behavioral interventions for students
  • Implements behavior support plans
  • Measures goals and objectives of behavior support plans to ensure they are being met
  • Coordinates between teachers and parents to implement behavioral interventions
  • Communicates with parents and case managers in regard to students’ progress
  • Analyzes the behavioral interventions to determine their success
  • Assists students in identifying inappropriate behaviors and develop better behavior alternatives
  • Creates and executes AEPS or Affiliated Education Programs Services assessments for children in special education classes
  • Designs classes, programs and special curriculum to meet the individual needs of students
  • Assists caregivers in facilitating behavioral interventions
  • Records the progress of children receiving special education services
  • Monitors and adjusts special education programs designed for each child
  • Maintains records of students’ special education reports, services provided and behavioral data.

Denials & Follow Up Analyst

Ochsner
  • Performs account research with internal and/or external resources via phone and payor websites to determine status of the account with the expected result of obtaining payment of the account
  • Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account
  • Follows-up with payors and checks claim status as needed throughout the payment process
  • Appeal denials when needed throughout the payment process and determines when appeals should be sent for further research and/or review
  • Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites
  • Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits
  • Other related duties as required.

Loan Processor

  • Process loan applications, review disclosure forms, data entry, verify credit & citizenship status
  • Post close files & appraisal checks for clients, upload and convert data
  • Assist loan officers, supply information to title companies and process tax transcripts
  • Follow up calls, gather information from outside vendors and other departments.

Recording Clerk

  • Administer post-closing procedures: including finalizing the closing process, program compliance, and ensure that CDBG funds were distributed correctly
  • Case Management and Data Entry, process and reviewed income verification for HUD qualifications, investigate information provided by homeowners for fraud compliance
  • Provided guidance on the proper completion and processing of housing applications, assisted homeowners on a daily basis through phone calls, and office visits
  • Research and supplied accurate and complete information to attorneys and public officials, definite information in regards to land titles, and mailed applicants corresponding letters.

Education

Surgical Technology Program -

Delgado Community College
New Orleans, LA

High School Diploma -

Alcee Fortier High School
New Orleans, La
05.1995

Skills

  • Data Analysis
  • Idea Development and Brainstorming
  • Written Communication
  • Recordkeeping
  • Critical Thinking
  • Microsoft Software Proficiency
  • Experience in Leadership

Certification

  • [Area of expertise] License - [Year]

Timeline

Mental Health Technician

River Oaks Hospital
06.2021 - 12.2022

Denials & Follow Up Analyst

Ochsner Medical Center
04.2019 - 05.2023

Direct Staff Worker

Shalom Home Care Services, Inc.

Behavior Health Specialist

Jubilee Home Care Services, Inc.

Denials & Follow Up Analyst

Ochsner

Loan Processor

Recording Clerk

Surgical Technology Program -

Delgado Community College

High School Diploma -

Alcee Fortier High School

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Sandra ChappellRevenue Integrity Analyst