Tara McCarthy
Tucson,AZ
Summary
Dedicated and multi-faceted employee with broad range of experience delivering comprehensive case management to patients in mental health, assisting medical professionals and human resources professionals. Highly accomplished in fostering meaningful relationships and developing effective short-term and long-term plans to achieve client goals. Complete understanding of complex considerations governing assessment and treatment.
Overview
19
19
years of professional experience
Work History
Behavior Coach
Devereux Advanced Behavioural Health
Tucson, AZ
10.2022 - Current
- Developed positive reinforcement strategies to encourage desired behaviors.
- Collaborated with school personnel to identify areas of concern and develop solutions.
- Implemented evidence-based interventions, such as Applied Behavior Analysis, to address problem behaviors.
- Educated families on effective communication strategies for interacting with their children.
- Consulted with teachers, administrators, and other stakeholders regarding behavioral issues in the classroom.
- Supported students in developing self-regulation skills such as anger management, impulse control, social skills.
- Developed individualized behavior plans that addressed specific objectives related to problem behaviors.
- Participated in regular meetings with school staff members to discuss current cases and review outcomes.
- Maintained open lines of communication with parents and guardians about their child's progress towards goals.
- Responded to crisis situations when severe mental health and behavioral issues arose.
- Listened to personal stories, asked probing questions and offered knowledgeable advice for different situations.
- Collaborated to set goals and outline steps to achieve objectives.
- Completed detailed documentation of sessions, patient notes and recommendations.
- Incorporated different treatment methodologies and evidence-based practices to meet clients' specific needs.
- Compiled personal information and compared against professional knowledge to determine needs and optimum strategies for success.
Specialty Billing
Providence Hospital and Medical Center
Portland, OR
04.2015 - 10.2017
- Reviewed insurance claims for accuracy and completeness, ensuring that all required information was present.
- Validated policyholder eligibility for coverage of services rendered.
- Submitted appeals to insurance companies when necessary.
- Maintained detailed records of all transactions involving insurance billing processes.
- Interpreted Explanation of Benefits documents from various insurers.
- Responded promptly to customer inquiries related to billing matters.
- Provided timely follow-up on unpaid claims to ensure prompt resolution of issues causing delays in reimbursement.
- Developed strategies for minimizing denials and improving collections processes.
- Participated in meetings with other departments to discuss ways to improve workflow processes related to insurance billing activities.
- Submitted claims to insurance companies.
- Answered customer questions to maintain high satisfaction levels.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Performed insurance verification, pre-certification and pre-authorization.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Developed strong professional rapport with vendors and clients.
Psychiatric Intake Coordinator
Avel Gordly at OHSU
Portland, OR
07.2012 - 12.2012
- Coordinated the intake process for new clients, including scheduling initial assessments and providing necessary paperwork.
- Maintained accurate records of client intakes in electronic database system.
- Conducted comprehensive interviews with potential clients to determine eligibility for services.
- Collaborated with multidisciplinary team members to ensure quality care is provided to all clients.
- Communicated effectively with supervisors regarding current caseloads and resource availability.
- Attended trainings on topics such as trauma-informed care, cultural competence, ethics.
- Adhered to confidentiality guidelines when handling sensitive information about clients.
- Conducted patient intake interviews to collect medical information and insurance details.
Managed Care Coordinator
OHSU Psychiatry
Portland, OR
03.2005 - 06.2012
- Assisted psychiatrists and neuropsychologists with patient intake, communications, scheduling, billing and authorizations (ECT, neuropsych testing, geriatric psychiatry)
- Coordinated with insurance companies to ensure accurate patient coverage information is on file.
- Processed prior authorizations from insurance companies for medical services.
- Resolved issues related to billing, coding, payments, denials., by working with insurance companies.
- Prepared claims for submission to third party payers for reimbursement.
- Communicated with patients with compassion while keeping medical information private.
- Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
Education
Bachelor of Arts - Psychology
University of Arizona
Tucson, AZ05-2023
Skills
- Physician and patient communications
- Referral Coordination
- Clinical skills
- Scheduling appointments
- Insurance Verification
- Medical Billing (Psychiatric)
- HIPAA Compliance
- Patient Care
- Emergency medicine
- Managing charts
- Electronic Medical Records
- Medical terminology in English
References
References available upon request.
Timeline
Behavior Coach
Devereux Advanced Behavioural Health
10.2022 - Current
Specialty Billing
Providence Hospital and Medical Center
04.2015 - 10.2017
Psychiatric Intake Coordinator
Avel Gordly at OHSU
07.2012 - 12.2012
Managed Care Coordinator
OHSU Psychiatry
03.2005 - 06.2012
Bachelor of Arts - Psychology
University of Arizona
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