Stefanie Smart
Livingston,LA
Summary
Driven Patient Care Coordinator adept at planning care, coordinating interdisciplinary teams and making strategic improvements. Decisive leader and creative problem solver with 2 years of healthcare experience.
Overview
4
4
years of professional experience
Work History
Intake Coordinator Patient Benefit Specialist
Optum Infusion Pharmacy/UHC
Remote
11.2024 - Current
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
- Collaborated with healthcare professionals to ensure patients received appropriate services and resources.
- Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Resolved issues related to insurance authorizations or medical necessity quickly, minimizing delays in service provision.
- Managed high-volume caseloads efficiently while maintaining strong attention to detail throughout each case''s progression.
HIGH TOUCH PATIENT CARE COORDINATOR
OPTUMRX/UNITED HEALTH GROUP
REMOTE, LA
06.2022 - 11.2024
- Account documentation for all patient calls
- Set up delivery of specialty medications to patients homes/mdo/clinics/hospitals
- Provide white glove service for VIP clients such as Calpers, BCBSSC, SONJA
- Medicaid and medicare part B & D trained
- Initiates PA & provide status of PA
- Benefit verification for MDO and Copay card
- Enroll and add copay card information to patient accounts
- Trans in and out RX to different pharmacies
- Resolution Repeat caller team due to FCR metrics placed on a special team that takes callers that call in more than 5 times in 7 days to resolve patient issues more efficiently and promptly when other PCC can not
Education
Bachelor of Science - HealthCare Administration
University of Phoenix
Tempe, AZHigh School Diploma -
Walker High School
Walker, LA02.1997
Skills
- Database Coordination
- Filing and Recordkeeping
- Patient Relations
- Claims Processing
- HIPAA Compliance
- Patient Education
- Organizational Standards
- Insurance Verification
- Healthcare Operations
- Patient Care Coordination
- Insurance Practices
- Payment Collection
- Medical Terminology
- Organizational Skills
- Case Management
- Patient Outreach and Follow-Up
- Patient Care
- Relationship Building
- Customer Service
- Patient Records Management
- Documentation
Activities
- 2023 University of Phoenix Dean's List
- 2023 National Dean's List for Healthcare Professionals
Timeline
Intake Coordinator Patient Benefit Specialist
Optum Infusion Pharmacy/UHC
11.2024 - Current
HIGH TOUCH PATIENT CARE COORDINATOR
OPTUMRX/UNITED HEALTH GROUP
06.2022 - 11.2024
Bachelor of Science - HealthCare Administration
University of Phoenix
High School Diploma -
Walker High School