Sunny Wells
Galesburg,IL
Summary
Motivated with high-level integrity and a strong desire to help resolve challenges. Compassionate and team-oriented individual offering extensive knowledge of services, treatment options, and issue resolution methods for General Assistance cases. A dedicated Caseworker/Intake Specialist is skilled in claim eligibility analysis and records management. Excellent communication and interpersonal skills. Familiar with industry standards and requirements. Managing duties to facilitate smooth workflow and operational efficiency.
Versatile Administrative professional well-versed in healthcare practices, compliance standards and operations. Excellent problem-solver and clear communicator with a positive and upbeat personality. Advanced abilities in Epic, Microsoft Word. Organized and dedicated with a proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks.
Overview
10
10
years of professional experience
Work History
Caseworker/Intake Specialist
Galesburg General Assistance Office
11.2023 - Current
- Enhanced client well-being by developing comprehensive case plans addressing individual needs.
- Reduced recidivism rates through effective case management and personalized support services.
- Collaborated with multidisciplinary teams for improved client outcomes and coordinated care.
- Streamlined documentation processes, increasing efficiency in caseload management.
- Facilitated client access to community resources, promoting self-sufficiency and independence.
- Provided crisis intervention services, ensuring safety and stability of clients during challenging situations.
- Established trusting relationships with clients, fostering open communication and rapport building.
- Maintained up-to-date records on all clients, enabling accurate monitoring of progress and appropriate case planning adjustments.
- Coordinated vocational training opportunities for clients, leading to increased employment prospects.
- Ensured adherence to state regulations by maintaining timely documentation and meeting reporting deadlines.
- Developed strong partnerships with local organizations, expanding available resources for clientele.
- Assisted individuals with disabilities in accessing necessary accommodations within community, promoting increased independence and quality of life.
- Maintained high level of client confidentiality, following strict guidelines, and recommendations.
- Managed approximately 30 incoming calls, emails and faxes per day from other facilities and clients.
Physicians Desk MOA, Medical Records
Illinois Cancer Care
03.2016 - 06.2023
- Order, consent, track, scan results for Molecular testing.
- Complete, process, and verify for accuracy any forms, letters, or other patient-initiated documents with established procedures.
- Create/send patient correspondence as needed.
- Assist in administrative functions as directed.
- Coordinate referrals with external facilities.
- Proved successful working within tight deadlines in fast-paced environments.
- Contributed to positive work environments by maintaining organized files and facilitating clear communication between staff members, nurses, and physicians.
- Documented interactions using correct format, codes and facility standards for optimal medical care.
- Ensured smooth daily operations by managing 100+ incoming calls professionally while addressing inquiries or directing them to appropriate personnel.
- Expedited claims processing by accurately updating ICD-10 codes by changes in diagnosis or treatment plans from physicians'' notes.
- Managed efficient flow of medical records by confirming accuracy, scanning documents into system, and securely storing physical copies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Provided prompt, polite, and professional in-person and telephone customer service.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Completed administrative patient intakes with case histories, insurance information, and mandated forms.
- Assisted with medical coding and billing tasks.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Collaborated with management to improve internal processes and procedures for better workflow optimization.
- Organized physical and electronic files for easy access by authorized personnel, reducing retrieval time for essential documents when needed.
- Established strong relationships with third-party providers such as labs and pathology departments to coordinate efficient scheduling of diagnostic tests for patients.
- Managed patient flow and triage calls to prioritize patient needs and put efficient use of clinic resources.
CNA
Washington Senior Living
08.2014 - 02.2016
- Enhanced patient satisfaction by providing compassionate and attentive care.
- Reduced patient stress levels through effective communication and active listening skills.
- Assisted patients with daily living activities, promoting independence and dignity.
- Collaborated with interdisciplinary healthcare teams to develop and implement individualized care plans for patients.
- Ensured prompt response to call lights, addressing patient needs promptly.
- Prevented bedsores by regularly repositioning patients and implementing proper wound care techniques.
- Supported needs of 25+ residents under long-term care.
Education
GED -
Tazewell County Building
PekinCNA Health Management And Clinical Assistance
Spoon River Home Health
48 North East Street Farmington, IL 6153107.2012
Skills
- Issue identification and resolution
- Highly effective communication
- Client interaction
- Case information confidentiality
- Client Advocacy
- Ethical Practice
- Professional boundaries
- Compassionate communication
- Intake Assessment
- Application assessments
- Case Documentation
- Data Entry
- Customer Service
- De-Escalation Tactics
- Proficient in Visual GA, Microsoft Word, Microsoft Spreadsheet
Timeline
Caseworker/Intake Specialist
Galesburg General Assistance Office
11.2023 - Current
Physicians Desk MOA, Medical Records
Illinois Cancer Care
03.2016 - 06.2023
CNA
Washington Senior Living
08.2014 - 02.2016
GED -
Tazewell County Building
CNA Health Management And Clinical Assistance
Spoon River Home Health
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