Simona Vaughn
Community Living Options
Kalamazoo,MI
Summary
Health Care
1
Language
1
Certificate
36
Years of experience
Work History
Community Health Worker
1 Year 1 Month- Connected clients with housing, food, and behavioral health resources through targeted outreach and referral follow-up.
- Coordinated care plans with clinical teams to address social barriers affecting health outcomes.
- Educated clients on preventive care, chronic condition management, and available community services.
- Conducted client intake and documented needs accurately for timely service coordination.
Direct Support Professional
3 Years 5 Months- Dispense medication, Completed CPR certification training to ensure preparedness for emergency situations., take care of adults with disabilities. We do community outings, Coordinated doctor appointments for adults with disabilities to ensure their healthcare needs were met., assist with ADLS.
Community Health Worker
2 Years- Conducted outreach activities in communities with at-risk populations. Assisted individuals with navigating social determinants affecting their health. Built relationships with individuals seeking mental health support.
- Coordinated patient outreach to connect community members with health and social services.
- Assessed client needs and identified barriers to care, transportation, and follow-up.
- Referred clients to appropriate programs, providers, and community resources.
Case Manager
1 Year 7 Months- Managed a case load of 45 members and engaged with them through home visits. Documented each encounter in the Community Care system.
- Coordinated member care plans across interdisciplinary teams, aligning services with clinical needs and benefit coverage.
- Completed comprehensive assessments to identify barriers, support levels, and appropriate care management interventions.
- Facilitated discharge planning and transitions of care, reducing gaps between inpatient and outpatient services.
Business Associate
2 Years- Worked PRN for psychiatric unit. Assisted with patient admissions and discharges to ensure smooth transitions. Checked in and out visitors to ensure security protocols were followed.
- Coordinated daily administrative operations, maintaining accurate records and timely workflow support.
- Prepared reports, correspondence, and data entries using standard office systems.
- Supported cross-functional teams with scheduling, follow-up, and document management tasks.
Customer Service Representative/ Home Repair Specialist
1 Year- Responded to calls from clients regarding meal deliveries and home repairs for seniors. for meals on wheels for Seniors and home repairs for their home. Participated in meetings to discuss various programs aimed at supporting senior citizens. regarding different programs to help senior citizens.
- Answered resident and family inquiries, delivering clear guidance on services and next steps.
- Scheduled appointments and coordinated service requests to support daily office operations.
- Maintained accurate client records, updating information for timely follow-up and continuity.
Lead Medical Records & Admissions Coordinator
1 Year 9 Months- Processed patient admissions for treatment facility, ensuring accurate documentation. Prepared legal documents for patient signatures, facilitating compliance and record accuracy. I also process all Medical Records requests. I work in a system called MEDX and Life Solutions.
- Coordinated admissions workflow, verifying intake details and eligibility before patient placement.
- Reviewed insurance information, securing authorizations and clarifying coverage requirements.
- Scheduled assessments and admissions, aligning referrals with clinical and bed availability.
Medical Record Specialist
1 Year- Processed doctor orders and verified hospital discharge information to ensure accurate patient records. Sent patient orders via fax to appropriate departments., file medical records. Work in a program called Home Care Home Base for patients' information and documentation. Checked and confirmed insurance benefits for patient services..
- Managed resident medical records with accuracy, completeness, and confidentiality
- Retrieved, filed, and updated charts supporting timely care coordination
- Verified documentation for compliance with senior care recordkeeping requirements
Order Intake
8 Months- Verified patient insurance information for eligibility and coverage., take orders from the hospital for home durable medical equipment. Facilitated prior authorization with various insurance providers to support patient needs. Utilized Brightree program to streamline order management and improve service delivery.
- Maintained sanitary patient-care environments following infection-control and safety procedures.
- Restocked cleaning, linen, and supply areas to support daily operational readiness.
- Disinfected high-touch surfaces and equipment to reduce contamination risks.
Commercial Loan Processor II
4 Months- Processed commercial loans into system, ensuring accuracy and compliance with lending guidelines.
- Processed commercial loan documentation, ensuring accuracy across credit approvals, closing packages, and funding requirements.
- Reviewed borrower files for compliance with bank policies, regulatory standards, and underwriting conditions.
- Coordinated with lenders, attorneys, and closing staff to resolve documentation exceptions and expedite loan closings.
Loan Support Analyst
10 Months- Process commercial loan request, read documents pertaining to the loan. Performed data entry and clerical tasks to support office operations.
- Resolved complex production support issues across banking applications and downstream systems.
- Analyzed incident trends to identify recurring defects and recommend process improvements.
- Coordinated escalations with technology teams, business partners, and vendors to restore service quickly.
Customer Service Representative
1 Year- Responsibilities Answer phone calls from taxpayers in regards to their business taxes. Performed various clerical tasks to ensure efficient office operations.. Balance accounts, process refunds, cancel assessments.
- Completed first phase of SAP implementation, assisted customers in setting up online accounts for new business tax payment service. Demonstrated independence in performing job responsibilities and utilized resources to effectively assist customers.
- Answered customer inquiries by phone and email, providing clear guidance on state policies and procedures.
- Processed service requests accurately, maintaining detailed records in case management systems.
- Resolved complaints through active listening, de-escalation, and policy-based problem solving.
Senior Loan Processor
8 Years- . Answered calls in a call center from customers about their loans. . Data entry and clerical duties . Make payments to accounts and advance money to customers' loan. . Resolved and researched issues related to customer loan accounts, ensuring customer satisfaction. . Managed service for commercial loan accounts by addressing customer inquiries and ensuring account accuracy.
- . Renewal Loan Processor
- Processed residential and consumer loan files, ensuring compliance with underwriting and closing requirements.
- Reviewed borrower documentation, resolving discrepancies before submitting complete packages for approval.
- Coordinated with loan officers, underwriters, and closing teams to maintain smooth workflow transitions.
Resident Aide
1 Year 3 Months- Provided direct care to residents in facility, ensuring comfort and well-being. . Dispensed medication, monitored vital signs, assisted with personal hygiene, and conducted daily health checks. . Completed CPR training to ensure readiness for emergency situations.. . Studied basic medical terminology to enhance communication with healthcare professionals. (basic information)
- Assisted residents with daily living needs while preserving dignity and comfort.
- Monitored resident conditions and reported changes promptly to nursing staff.
- Responded to call lights and urgent requests with calm, timely support.
Home health Aide
5 Years 1 Month- Assisted elderly clients with daily living activities in their homes. . Provided daily care for clients in their homes.. . Dispensed medication to clients according to prescribed schedules.. . Keep daily log of clients activity.
- Assisted clients with bathing, dressing, grooming, and daily personal care routines.
- Monitored vital signs and reported changes in client condition to supervising nurse.
- Prepared meals, provided medication reminders, and supported prescribed care plans.
Customer Service Rep
2 Years 2 Months- Performed administrative tasks in medical office for Durable Medical Equipment Company. . Utilized ICD-9 codes accurately for billing and documentation purposes. . Communicated with insurance companies, nursing homes, hospitals, physicians, doctor offices, and clients to facilitate order processing and resolve inquiries. . Process customer's orders over the phone for home medical Equipment. . Collaborated with nurses to coordinate food supplement orders and wound care dressing supplies.
- Managed customer order intake, ensuring accurate entry and timely processing across multiple communication channels.
- Resolved inquiries, clarifying product details, pricing, and order status with professional customer support.
- Coordinated with internal teams to address exceptions, substitutions, and urgent order changes.
Customer Service Agent
10 Months- Responded to customer inquiries about savings and checking accounts, ensuring clarity and satisfaction. . Resolved customers' problems to their satisfaction. . Surpassed company-set performance goals, contributing to overall team success. . Utilized computer daily to perform various tasks including data entry and customer support. . Provided support to Spanish-speaking customers, enhancing their service experience.
- Resolved customer inquiries regarding accounts, transactions, and service requests with accuracy and professionalism.
- Processed deposits, withdrawals, transfers, and payment activities while maintaining strict confidentiality and compliance.
- Assisted customers with account maintenance, statement questions, and branch service needs.
Sales and Customer Representative
1 Year 6 Months- Operated cash registers efficiently . Worked directly with customers. . Demonstrated/Promoted department products. . Scheduled employees and managed closing duties. . Participated in maintaining clean and orderly department. . Managed inbound telephone inquiries and took customer orders
- Resolved customer inquiries, returns, and billing concerns with accurate, courteous service.
- Processed orders, adjustments, and account updates using retail service systems.
- Managed complaints and escalated complex issues to preserve customer satisfaction.
Bilingual Teachers Aide
3 Years- Responsible for 20 children (1-1 ½ year olds). . Assisted in keeping a well-disciplined group in a learning environment. . Liaison between parent/teacher/children. . Assisted in planning a day's activity and childcare. . Started as a volunteer worker (1989-1991).
Education
Certificate - Medical Terminology
Associate - Health and Human Services
Skills
Medication Administration (10+ years)
Senior care
Customer Service Skills (10+ years)
Medical Scheduling
HIPAA
Electronic Medical Records (2 years)
ICD-9
Word
Windows
Spanish
Excel
Fair Housing regulations
Cleaning
CPT Coding
EMR
Training
Order Puller
Coding
ICD-10
EMR systems
Meal preparation
Front desk
Microsoft Office (9 years)
Accounting
Long term care
Leadership
Medical coding
Patient Care (10+ years)
Typing
ICD-10 (2 years)
Medical Records (5 years)
Organizational skills
Supervising experience
Documentation review
ICD coding
Bilingual
Microsoft Office (10+ years)
Mentoring
Medical records
Clerical experience
Research
Billing
DME
Caregiving
Insurance Verification (3 years)
Management
Medication administration
Teaching
English
Medical terminology
Receptionist
Medical Office Experience
Case management
Transcription
Hospital experience
Social work
ICD-9 (4 years)
Training & development
Epic (2 years)
Medical Coding
Medical Terminology
Customer service
Microsoft Excel
Scheduling
Outlook
Hospital Experience
SAP computer system (1 year)
Clerical
Care plans
Epic
Cash handling
Medical Billing
Analysis skills
Cash register
Certification
- MANDT
- January 2017 to Present
- Medication Administration
- CPR
- First Aid Certification
- CPR Certification
Languages
Spanish
Timeline
Community Health Worker
Aetna
09.2025 - Current
Community Health Worker
Integrated Services of Kalamazoo
10.2023 - 10.2025
Direct Support Professional
Community Living Options
05.2023 - Current
Case Manager
UHC United Healthcare
03.2022 - 10.2023
Business Associate
Ascension
06.2021 - 06.2023
Customer Service Representative/ Home Repair Specialist
Milestone Senior Services
03.2021 - 03.2022
Lead Medical Records & Admissions Coordinator
Us Addictions
06.2019 - 03.2021
Medical Record Specialist
PINNACLE SENIOR CARE
06.2018 - 06.2019
Order Intake
Bronson At Home
10.2017 - 06.2018
Commercial Loan Processor II
Comerica Bank
02.2017 - 06.2017
Loan Support Analyst
PNC Bank
02.2016 - 12.2016
Customer Service Representative
State of Michigan
01.2015 - 01.2016
Senior Loan Processor
PNC Bank
01.2007 - 01.2015
Resident Aide
The Fountains at Bronson Place
09.2005 - 12.2006
Home health Aide
Private Homehealth
08.2000 - 09.2005
Customer Service Rep
Order Intake
06.1998 - 08.2000
Customer Service Agent
First of America Bank
10.1995 - 08.1996
Sales and Customer Representative
Montgomery Ward & Co
12.1994 - 06.1996
Bilingual Teachers Aide
Migrant Program
01.1991 - 01.1994
Ultimate Medical Academy
Associate from Health and Human Services
Penn Foster
Certificate from Medical Terminology
Personal Information
- Driving License: Driver's License
- Work Permit: Authorized to work in the US for any employer
Additional Information
- . Focus: Customer Service/Public Relation.
- . Excellent interpersonal communication skills.
- . Interact effectively with management/staff/customers.
- . Utilize tact and diplomacy in resolving customers' problems.
- . Work quick and efficient speed/detail oriented/accurate.
- . Knowledge and skills in the use of computers and 10 key.
- . Quick to understand and carry out assignments.
- . Bilingual abilities (English and Spanish).
- . Cashiering/sales/telephone experience.
- . Committed to positive results in job assignments.
- . Strong work ethic/results oriented/excellent references.
Personal Information
- Driving License: Driver's License
- Work Permit: Authorized to work in the US for any employer