STEVENS DE'QUNDRA
Savannah,United States
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
5
5
years of professional experience
Work History
Referral Manager
ChenMed
08.2022 - Current
- Develops, documents and/or improves process maps/flows, Standard Operating Procedures (SOPs), best practices, Key Performance Indicators (KPI) scorecards and tool kits
- Prepares, plans, coordinates, and manages the Area's quarterly performance improvement meetings and associated outcomes and deliverables.
- Business standard, policies, and best practices
- Formulated implementation plans, evaluating effectiveness of actions and programs
- Leveraged leadership skills to identify deficiencies and opportunities to improve policies, procedures, and controls
- Enhanced team member performance through use of strategic and tactical approaches, motivational coaching, and training
- Cultivated partnerships with external stakeholders to maximize business opportunities and extend network reach within the industry sector.
- Communicates with Network Director regards to PPL- Report any errors, concerns, or feedback regarding PPL providers
- Analyzes referral reports
- Generates Weekly Analysis Report and send to Referral Coordinators
- Increased team productivity by implementing streamlined processes and effective communication strategies.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Facilitated successful cross-functional collaborations for the completion of key projects, fostering strong working relationships among team members.
- Optimized resource allocation by conducting regular performance evaluations and providing personalized coaching for staff development.
- Championed diversity and inclusion efforts within the workplace, resulting in an inclusive environment that fostered creativity and innovation among employees from various backgrounds.
Medical Office Administrator
Memorial University Medical Center
04.2021 - 06.2022
- Managed staff scheduling and set patient scheduling policy
- Oversaw digital patient charting, data entry and administrative duties
- Served as a liaison between providers, admin staff, and outside vendors including insurance companies
- Supported four providers in outpatient medical office through coordinating all administrative operations
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols, and third-party billing requirements
- Gathered information to file appeals for insurance denials and minimized inaccuracies by maintaining accurate records of approvals
- Assisted in managing the incoming claims pool, ensuring that vendors and providers are correctly loaded into the Epic claims’ platform
- Facilitated compliance with healthcare regulations such as HIPAA by conducting periodic audits of record-keeping practices, privacy policies, and staff training programs.
- Supported physicians in providing high-quality patient care through effective organization of medical records, lab results, and diagnostic reports.
- Streamlined medical office operations by implementing efficient scheduling and appointment management systems.
- Assisted in budget planning for the medical office by analyzing financial data, identifying cost-saving opportunities, and making recommendations to administrators.
Provider Specialist
Healthcare Staffing Inc
05.2019 - 01.2021
- Responded quickly to customer complaints and used diplomatic communication to initiate problem resolution
- Created and maintained accurate and confidential patient files according to regulatory mandates
- Analyzed and submitted reports regarding special incidents, events, and complaints to the ethics department
- Managed front office customer service, appointment management, billing, and administration tasks to streamline workflow
- Maintained office supplies inventory by checking stock and ordering new supplies
- Completed claims forms for different types of appointments and worked on resolutions for denials or other insurance issues.
- Developed strong relationships with providers, fostering trust and collaboration.
- Streamlined provider onboarding processes for increased efficiency and timely completion.
- Coordinated communication efforts between departments, facilitating a seamless flow of information regarding provider-related matters.
- Handled escalated or complex inquiries from providers by applying problem-solving skills leading to satisfactory resolutions.
- Assisted in expanding our company''s footprint by actively participating in outreach programs targeting potential new providers.
Medical Records Specialist-Intern
Saint Simon's by The Sea, Saint Simon's
01.2020 - 06.2020
- Reviewed and implemented standards and procedures for processing medical records requests
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations
- Purged outdated files
- Assessed billing statements for correct diagnostic codes and identified problems with coding
- Reviewed legal claims for accuracy and issues
- Scanned incoming documentation
- Maintained complete confidentiality in accordance with organization and legal requirements.
- Oversaw the implementation of a new EHR system, leading staff training sessions and addressing technical issues as they arose during the transition period.
- Ensured smooth operations within the department by managing a team of medical records technicians and providing ongoing training and support.
- Managed the secure transfer of medical records between facilities, ensuring proper adherence to privacy regulations and patient confidentiality guidelines.
- Implemented a robust document retention policy, ensuring that all legal requirements related to long-term storage were met efficiently while minimizing storage costs for the organization.
Education
Master of Science - Healthcare Informatics
05.2024
GPA: 4.0
Bachelor of Arts - Health Administration
12.2020
AHIMA Member
Skills
- Performance Assessments
- Resource Evaluation
- Complex Problem-Solving
- Quality Assurance
- Operations Management
- Verbal and Written Communication
- Work Planning and Prioritization
- Reports and Documentation
- Workforce Management
- Financial Management
- Performance Management
- Business Development
Timeline
Referral Manager - ChenMed
08.2022 - Current
Medical Office Administrator - Memorial University Medical Center
04.2021 - 06.2022
Medical Records Specialist-Intern - Saint Simon's by The Sea, Saint Simon's
01.2020 - 06.2020
Provider Specialist - Healthcare Staffing Inc
05.2019 - 01.2021
Mercer University - Master of Science, Healthcare Informatics
The College of Coastal Georgia - Bachelor of Arts, Health Administration