Ensure veteran's appointments are scheduled timely and accurate.
Answering phones, greeting patients, relaying messages to appropriate staff inside or outside of the unit;
Scheduling, canceling, re-scheduling patient appointments and/or consults, including interpreting and verifying provider orders in accordance with VHA national scheduling guidelines;
Entering no-show information; monitoring appointment requests from multiple electronic sources;
Participating in huddles with other MSAs and/or clinic staff to determine the daily needs of the clinic;
Verifying and updating demographics and insurance information when patients check-in for appointments;
Coordinates administrative functions relating to emergency and non-emergency transfers to other VA facilities or private hospitals and determines appointment type based on the patient's eligibility status.
Coordinator
Easterseals
03.2022 - 06.2023
Schedules and attends regular home visits with caregivers to review program effectiveness, make recommendations, monitor data collection, chart progress and provide parent coaching
Assures clients receive interventions to meet the full extent of the services authorized; adjusts staffing of the treatment team as appropriate to meet the needs of the client
Coordinates visits to overlap with Behavior Technicians to observe sessions and provide coaching and clinical support in all settings where treatment is provided
Client Service Manager
Bayada
10.2018 - 03.2022
Schedule appropriate field employees, based on competency and availability to provide quality care to clients
Document and properly follow up with all client/employee incidents and complaints
Perform annually Performance Evaluations for clinicians
Confirm Medical Orders
Manage incoming prospect calls and inquiries
Develop long-term trusting relationships with clients
Develop and grow caseload by developing long-term trusting relationships with referral sources, payors and community organizations to secure referrals
Utilization Technician
AmeriHealth Caritas
12.2017 - 10.2018
Authenticate insurance eligibility
Initiate prior authorization request for facilities and doctors
Explains denials and approvals for authorization
Respond to internal and external inquiries relating to prior authorizations
Healthcare Insurance Representative
Hewlett Packard Enterprise
10.2015 - 12.2017
Process and return provider applications/ requests
Data entering, confirming provider information entered into computer system for tracking application purposes
Process written correspondence for provider maintenance
Research of problem areas and document processes used to correct issues
Respond to internal and external inquiries relating to enrollment questions
Explain denials and claims information
Patient Physicians Access Coordinator
Christiana Care Hospital
06.2011 - 10.2015
Promoted patient and physician satisfaction through proactive administrative services collaborates with physician/office to ensure a seamless delivery of patient access activities
Obtain signatures on all necessary legal permits, notices, and consents
Communicate effectively with internal and external customers demonstrating the ability to understand patients’ limitations and expectations
Answer and direct inquiries from patients, referral sources, and co-workers in order to provide timely and accurate responses
Authenticate insurance eligibility and patient benefits to optimize reimbursement and customer satisfaction
Direct incoming patients/families and all visitors to appropriate areas