Sandra Jordan
Mesa,United States
Summary
Proficient and hard working Case manager and Customer service professional. Meets deadline and successful with Conflict resolution and de-escalation. Superior work ethic and relationship building. Client Advocacy. Decision making and written and verbal Communication. Compassionate Case Manager accustomed to treating diverse patient needs while managing dynamic conditions. Collaborative professional possessing excellent clinical knowledge and judgment combined with strong documentation and problem-solving abilities. Well-versed in managing emergent cases with poise.
Overview
25
25
years of professional experience
Work History
Case Manager/Facilitator
Crossroads Treatment Centers
Scottsdale, AZ
09.2023 - Current
- Lead Evening groups of 16-22 Clients .
- Developing a treatment plan and choosing the necessary resources for each patient's mental health needs.
- Setting up referrals and planning for crises and helping clients develop coping mechanisms. Coordinating and monitoring the patient's use of these services.
- Ensuring care provided is in accordance with clinical guidelines and organizational standard Intakes for new patients.
- Discharge for Patients and Sober living set up
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
- Evaluated work of staff and volunteers to maintain quality and effectiveness of resources.
- Adhered to ethical principles and standards to protect clients' confidential information.
- Organized group activities to provide socialization opportunities for clients.
- Assessed clients' needs, developed service plans and monitored progress towards goals.
Case Manager and Counselor
Community Partners Inc.
Phoenix, AZ
01.2023 - 09.2023
- A Case Manager, responsible for helping those with chronic illness, mental health issues or life-altering conditions to gain access to rehabilitation programs and other community services.Duties include meeting with clients and their families, connecting clients with professional services and maintaining consistent communication with clients to assess their wellbeing and make changes to their treatment plan as needed.Working with active providers for PCP and BHP.Work with scheduling and has large case load to insure all appts are met and follow up is not missed.Health risk assessments and treatment plans as well as any court mandated appearances.Follow up after acute admissions and work with GMH also.Working with Inpatient facilities including Arizona State Hospital.Mandated Reporter works within the Arizona Courts including SMI Court and does active amendments and acute admissions.Transport patients if needed and conduct monthly home visits as required.
Executive Review Board and Case manager
Optima Tax Relief
Santa Ana, CA
01.2017 - 01.2023
- Started as a customer service representative and moved to case manager and then to Executive Review Board .Worked with Clients entire case from start to finish to resolve tax issues and prevent liens and garnishments.Set up payment options and worked with IRS Agents
- Pipeline of over 84 Clients and maintained and worked all files as required
- Introduction and through lifeline of case
- Explaining options working at compliance and finishing up cases while maintaining integrity and trust for clients.heavy phone contact and used skills in training g other case mangersExecutive review board and worked with large base of clients and concerns and complaints,Worked extensively with legal dept and upper management
- Responsible for refunds and very good at retaining clients instead of cancellingVery professional in all standards of client contact
Customer Service Supervisor and Billing for a travel surgical program
Health Design Plus
Mesa, AZ
07.2015 - 08.2016
- Billing insurance for hospitals and physicians commercial, Medicare and Medicaid
- Inpatient and outpatient billingBilling cycle from start to finish including AR follow up and explaining EOBs and what is owed with deductibles and co insurance.During follow up on claims correct reasons and research reasons for denials and work towards getting them paid properly
- Also billing and follow up with private pay accountsTeaching customer service and maintaining quality while working in small office and corporate office in Ohio
- Supervisor for 5 large centers of excellence which is a travel program and worked with all depts
- To get the surgery completed and patient homeReaching metrics weekly and monthly
- Verifying Insurance and advising clients and opening new cases and following patients progress as well as company SOPClaim management and reprocessing for patients and providers
- Also billing and follow up with private pay accounts
- Coding with ICD9 and ICD10
Collections Manager
MARICOPA COUNTY MEDICAL SOCIETY
Phoenix, AZ
02.2014 - 01.2015
- Provided staff of 20 agents with tools/knowledge to achieve goals/objectives through hands-on management and compliance trainingManaged an average of 50+ calls per day collecting payments via UB04 formWorked with clients to establish payment schedule including creating denials/appeals and controlling/deescalating callsConsistently met budget and bonus goals on monthly basisBoosted staff productivity/performance by managing metrics, tracking attendance, and creating/administering performance improvement plansUtilized FDCP knowledge to ensure compliance with federal rules, attitude, and protocol during collections process
Billing and Collections Representative
PARC PLACE LEVEL ONE I TREATMENT CENTER
Chandler, AZ
02.2009 - 12.2012
- Acquired reparations for debt through full cycle billing including collecting/following-up with appeals and denials and following-up on claims and A/R reports keeping billing at zeroEnsured data integrity by updating patient demographics, verifying insurance, and performing data census reporting for two locationsEnhanced workflow by conducting admissions/discharges and obtaining AHCCCS referrals online and through insurance researchPerformed administrative duties including managing daily correspondence from patients/insurance companies, coding on HCFA 1500 and UB92, and billing education vouchers from ADEGenerated profits by averaging a monthly billing of 1M+ and collecting payments for 12 consecutive months
Claims Manager/Call Center Manager
MAGELLAN HEALTH SERVICE
Scottsdale, AZ
11.1998 - 04.2008
- Assured efficiency of employee assistance programs through management of 12 staff membersMaintained collections/billings for large groups and managed four state employee accountsRetained high level provider/employee satisfaction annually from 79 - 98% increasing to 100% for seven yearsSecured high dollar appeals and payments up to $20KAchieved accreditation for providers/company by assuring state mandates were met in each area of business and assuring compliance in clinical/claims managementCompleted administrative duties including billing/coding claims, medications, travel and physician's inpatient/outpatient billingStepped up as leader teaching billing/coding for seven years and training new hires on coordinating benefits needed for correct/timely payments
Education
Bachelor of Arts -
University of New Orleans
Master in Social Work in MSW/LCSW -
Louisiana State University
Skills
- Counseling
- Documentation
- Salesforce
- Case Management
- Client Advocacy
- Social Work
- Direct Patient Care
- Documentation Proficiency
- Patient Assessments
- Crisis Intervention
- Court Mandated Reporter
- Microsoft Office
- Group Therapy
- Community Outreach
- Discharge Planning
- Care Coordination
- Needs Assessment
- Referral Coordination
- Patient Support
Military Service
Army Reserve, US, Captain, 01/1997, 09/2011, Combat Medic. Deployed 5 Times
Languages
German
Languages
German
Professional
Timeline
Case Manager/Facilitator
Crossroads Treatment Centers
09.2023 - Current
Case Manager and Counselor
Community Partners Inc.
01.2023 - 09.2023
Executive Review Board and Case manager
Optima Tax Relief
01.2017 - 01.2023
Customer Service Supervisor and Billing for a travel surgical program
Health Design Plus
07.2015 - 08.2016
Collections Manager
MARICOPA COUNTY MEDICAL SOCIETY
02.2014 - 01.2015
Billing and Collections Representative
PARC PLACE LEVEL ONE I TREATMENT CENTER
02.2009 - 12.2012
Claims Manager/Call Center Manager
MAGELLAN HEALTH SERVICE
11.1998 - 04.2008
Bachelor of Arts -
University of New Orleans
Master in Social Work in MSW/LCSW -
Louisiana State University
Similar Profiles
Christy AthansChristy Athans
Regional Director at Crossroads Treatment CentersRegional Director at Crossroads Treatment Centers
Dejion PersonDejion Person
Dosing Nurse at Crossroads Treatment CentersDosing Nurse at Crossroads Treatment Centers
Karlee HawnKarlee Hawn
Office Assistant at Crossroads Treatment CentersOffice Assistant at Crossroads Treatment Centers
Caroline SimmonsCaroline Simmons
Lead Medical Records Coordinator at Crossroads Treatment CentersLead Medical Records Coordinator at Crossroads Treatment Centers
TYLER DRAKETYLER DRAKE
Senior Director of Student Services at Sessions CollegeSenior Director of Student Services at Sessions College