Implement High Fidelity Wrap Around model for community-based services.
Coordinate implementation of the Plan of Care, including Transition and Crisis Plans, through collaboration with providers and community resources; ensure ongoing plan updates.
Maintain service documentation, evaluation outcomes, and data in compliance with requirements.
NW Patient Acct CAS Representative
Kettering Health
Kettering, OH
01.2023 - 02.2024
Addressed inquiries regarding billing and collection processing in compliance with CBO Patient Financial Services departmental policies and procedures
Assisted patients and other callers in response to both hospital and physician billing questions
Communicated how denials impact the service related to the patient's benefit and coverage plan.
Patient Admitting Representative
Kettering Health
Kettering, OH
09.2022 - 01.2023
Guided out-patient, emergency, and in-patient guests while demonstrating strong guest relations and exceptional customer service
Provided patients with the completion of Financial Assistance Forms, HCAP Applications, and Medicaid Applications
Ensured that payer sources and payment arrangements and options have been discussed
Recovery Specialist Associate
Elevance Health
Virtual
01.2022 - 10.2022
Supported members, providers, group administrators, and attorneys with information about third-party and worker's compensation subrogation files
Processed provider refund checks and adjustment requests, ensuring accurate interpretation and adherence to department policies.
Customer Care Specialist II
CareSource
Dayton, OH
06.2018 - 01.2022
Resolved member or provider routine service inquiries; examples included claims processing, member benefit education, contracting and credentialing requests, eligibility inquiries, and transportation arrangements
Ensured all HIPAA and State requirements and regulations.
Education
Bachelor of Science - Industrial And Organizational Psychology
The Pennsylvania State University Schreyer Honors
University Park, PA
05.2024
Semester Exchange Program - Psychology
IES Oxford, St. Catherine’s College
Oxford, United Kingdom
06.2023
Associate of Applied Science - Applied Psychology
Sinclair Community College
Dayton, OH
05.2022
Skills
Experience in Microsoft Office Suite, Sona, Qualtrics, SurveyMonkey,R, SPSS, Data Analysis, EPIC, Effective Listening, Problem Solving, and Cross Cultural Communication Skills
Timeline
Moderate Care Coordinator OhioRISE
National Youth Advocate Program
02.2024 - Current
NW Patient Acct CAS Representative
Kettering Health
01.2023 - 02.2024
Patient Admitting Representative
Kettering Health
09.2022 - 01.2023
Recovery Specialist Associate
Elevance Health
01.2022 - 10.2022
Customer Care Specialist II
CareSource
06.2018 - 01.2022
Bachelor of Science - Industrial And Organizational Psychology