Selena Yarbrough-Vedell
Mt Olive
Summary
Dynamic healthcare professional with extensive experience as an Administrator at Bradford Health Services, excelling in financial operations and regulatory compliance. Proven ability to drive revenue growth and enhance team performance through effective communication and strategic problem-solving. Certified Clinical Medical Assistant with a strong background in patient care and staff development.
Overview
24
24
years of professional experience
Work History
Utilization Review Coordinator
Gardendale Pain & Wellness
Gardendale
09.2021 - Current
- Collaborated with multidisciplinary teams to develop strategies for improving quality of care and reducing costs.
- Conducted utilization review activities including concurrent reviews, retrospective reviews, and discharge planning.
- Monitored and reported on trends in utilization patterns.
- Reviewed and evaluated patient information to determine appropriate level of care and services required.
- Developed case management plans for high-risk patients requiring ongoing monitoring.
- Assisted with appeals processes related to denied claims or requests for additional information from payers.
- Analyzed medical records to ensure compliance with regulatory requirements.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
Certified Clinical Medical Assistant
All Caring Heathcare & Hospice
Trussville
06.2020 - Current
- Responded quickly to emergent situations within the clinic setting by following established protocols.
- Assisted in scheduling appointments for patients over the phone or via email communication.
- Documented lab results accurately into the Electronic Medical Record system.
- Administered medication under the direction of a physician or nurse practitioner using proper safety protocols.
- Performed patient intake, including taking vital signs and medical histories.
- Performed laboratory specimen collections such as urine samples or throat swabs according to established standards.
- Assisted physicians with clinical procedures such as suturing, drawing blood, and administering injections.
- Maintained up-to-date records of patient care, condition, progress, and concerns in the electronic health record system.
- Performed wound care management including dressing changes and debridement when necessary.
- Educated patients about medications, procedures and physician's instructions.
- Managed multiple tasks simultaneously to ensure efficient workflow within a fast-paced environment.
- Provided support for physicians in the examination of patients by gathering medical histories, vital signs, and other relevant information.
- Communicated with third party payers regarding claims processing issues or discrepancies.
- Resolved any customer service issues that arose during the course of business operations.
Multi-Line Sales Producer
Scott Cantrell State Farm
Gardendale
06.2020 - 07.2021
- Licensed Insurance Producer for health, life, property and casualty insurance.
- Generated reports to track progress against established sales goals.
- Developed and implemented successful sales strategies to increase market share.
- Participated in regular meetings with management team in order to review performance metrics against predetermined objectives.
- Managed client accounts by providing exceptional customer service throughout the entire sales process.
- Maintained accurate records of all sales activities, including purchase orders, invoices, contracts and other related documents.
- Identified emerging business opportunities and conducted initial outreach calls to establish contact with potential clients.
Administrator
American Family Care, Inc
Birmingham
10.2019 - 06.2020
- Multi-Site Administrator for AFC Urgent Care Clinics.
- Responsible clinic management, responsible for onboarding staff, clinic management, physician credentialing, and staffing the clinic.
- Clinic oversight for fiscal operations, revenue projections, and managing day-to-day clinic profit/loss margins, and staff development.
- Served as the marketing and communications liaison for all community outreach, corporate marketing/sales, and recruitment.
- Handled all aspects of utilization review, worker's compensation, DOT testing, radiology imaging, and clinic operations to ensure profitability.
- Adhered to all regulatory operation standards for COLA, DOT urine drug screens, all lab draws, and diagnostic testing.
- Direct patient care oversight, and adherence to policy and collection practices.
- Maintained the credentialing of professional staff and handled all aspects of human resources for multi-site clinics that were proven to be top performers within the corporate structure.
Administrator
Bradford Health Services
Multi- State Region
05.2006 - 08.2019
- Responsible for all operations of the facility, including financial operations, staff development, and adherence to state, federal, and Joint Commission regulatory compliance.
- Provide revenue growth, increased admissions to care and collections, and EMR oversight.
- Managed all human resource functions, and was responsible for all marketing and public relations for multiple clinics, while maintaining staffing and operations within budget and according to regulatory compliance.
- Served on the Executive Management Team that acted as a key holder for multiple clinics simultaneously, across several states at the same time.
- I also worked here from 12/1996 to 09/2001
Executive Assistant to the President
Wheeler & Associates
Inverness
01.2004 - 05.2006
- Coordinated operations of staff, general office functions, and financial operations.
- Served as project manager for 10 to 14 commercial real estate developments, and held all vendor accounts in good standing.
- Supervised all human resource functions, including payroll, insurance, and processed all accounts receivable and accounts payable.
- Facilitated all public relations communications with city, county, and state agencies for permits and licensing, as required by regulatory boards.
- Responsible for travel, budgeting, and financial planning of the President's calendar and schedule.
Marketing & Communication Director
Halcomb & Wertheim PC
Birmingham
10.2001 - 01.2004
- Supervised and maintained efficient, cost-effective communications between the firm and its clients, the firm and its network of attorneys, and the firm and its employees.
- Prepared cases for suit, litigation, and negotiation prior to court. Also handled judgments, discovery, and collections on cases prior to court.
- The firm represented Bradford Health Services and was also the managing partners at Sirote & Permutt P.C. Where I was employed from April 1994 to December 1996.
Education
Licensed Health, Life, Property & Casualty - Producer License # 3001079972 NPN 19703807
The University of Alabama
Birmingham, AL11-2020
CCMA Certified # B4N3BBN6 - CCMA National Healthcare Association
Jefferson State Community College
Birmingham, AL02-2020
CPSS Certified in Addiction
FORMLL
Certified Peer Support Specialist01-2016
High School Diploma -
Tarrant High Scohool
Tarrant, Alabama05-1992
Skills
- Certified Clinical Medical Assistant, CCMA, January 2020 to present
- Licensed health, life, property, and casualty producer, Alabama license # 3001079972 current
- BLS and immunizations up to date
Successful in office administration, business development, marketing and medical office regulatory compliance Possess a wealth of knowledge in financial budgeting, revenue forecasting, staff development, & billing and collections A creative problem solver who drives revenue growth, resolves conflict, improves morale and exceeds profit goals A persuasive communicator with well developed management style that is well organized and takes great pride in encouraging the best out of others with a team-like approach to challenges,
Affiliations
- Antique enthusiast that refurbishes and refinishes old pieces. I love making old things new again. I take great pride in my garden and enjoy planting vegetables and fruit trees. I serve as an affiliate marketer for Amazon, TIKTOK, Instagram and other mainstream social media outlets.
References
References available upon request.
Timeline
Utilization Review Coordinator
Gardendale Pain & Wellness
09.2021 - Current
Certified Clinical Medical Assistant
All Caring Heathcare & Hospice
06.2020 - Current
Multi-Line Sales Producer
Scott Cantrell State Farm
06.2020 - 07.2021
Administrator
American Family Care, Inc
10.2019 - 06.2020
Administrator
Bradford Health Services
05.2006 - 08.2019
Executive Assistant to the President
Wheeler & Associates
01.2004 - 05.2006
Marketing & Communication Director
Halcomb & Wertheim PC
10.2001 - 01.2004
Licensed Health, Life, Property & Casualty - Producer License # 3001079972 NPN 19703807
The University of Alabama
CCMA Certified # B4N3BBN6 - CCMA National Healthcare Association
Jefferson State Community College
CPSS Certified in Addiction
FORMLL
High School Diploma -
Tarrant High Scohool
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