Tarvia Ratliff
Houston,TX
Summary
Over 8 years of experience in patient engagement and care coordination, and have mastered medical scheduling, business relations, and the use of EMR Systems, among other skills. Adept in educating members on clinical programs, coordinating healthcare services, prior authorization and ensuring compliance with health care laws and regulations. Seeking a position to leverage comprehensive knowledge in patient/client care, telecommunications, and healthcare to enhance client experiences and support healthcare teams effectively.
Overview
8
8
years of professional experience
Work History
Member Outreach Specialist
Devoted Health
11.2021 - Current
- Conducted over 70 outreaches daily via telephone and SMS to educate and inform members of available clinical programs.
- Scheduled medical appointments for members and communicated with various doctors in numerous of specialties including primary care, cardiology, behavioral health, pulmonary, etc.
- Supported maintenance of back-office infrastructure for Devotedʼs provider group as needed.
- Developed solid understanding of company's benefit offerings to investigate and resolve member questions.
- Documented accurate information about member needs in health plan's system.
- Communicated frequently with team members and leadership to ensure all follow-up tasks were closed out
- Collaborated with marketing team to develop targeted outreach campaigns to engage and retain members effectively.
- Worked remotely from home.
Patient Engagement Specialist
First Mile Care
11.2020 - 05.2022
- Consulted with patients to discuss their doctors' recommendation to program.
- Gave patients all important and necessary information regarding program to encourage them to join.
- Educated patients about their condition and what can be done to prevent pre-diabetes.
- Consulted and collaborated with other health care providers.
- Attended ongoing training and courses to keep abreast of new developments in health care.
- Treated patients with empathy and respect and conducted myself in a professional manner.
- Complied with organizational guidelines and health care laws and regulations.
- Made over 80 professional outbound calls to patients, doctors, and other healthcare personnel.
- Received inbound calls from patients, doctors and other healthcare personnel.
- Monitored, reviewed and resolved patient account issues on assigned reports.
- Worked remotely from home.
Patient Care Coordinator
Southside Pharmacy
02.2019 - 04.2021
- Consulted with patients and family members to discuss their health problems.
- Educated patients about their condition, medication, and give them specific instructions.
- Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
- Consulted and collaborated with other health care providers and specialists to set up patient appointments and treatment plans.
- Attended ongoing training and courses to keep abreast of new developments in health care.
- Treated patients with empathy and respect and conduct oneself in a professional manner.
- Complied with organizational guidelines and health care laws and regulations.
- Coordinated incoming faxes company wide, getting them to correct department and uploading any patient documents to patients' account.
- Worked with all Microsoft systems and created spreadsheets for record keeping and documentation.
- Made professional outbound calls to patients, doctors, and other healthcare personnel.
- Received inbound calls from patients, doctors and other healthcare personnel.
- Monitored, reviewed and resolved patient account issues on assigned reports.
- Developed and implemented patient engagement strategies to improve medication adherence and overall health outcomes for patients.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
- Worked remotely from home.
Patient Access Representative
Memorial Hermann
07.2016 - 01.2018
- Verified insurance eligibility and benefits.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Coordinated with billing department to resolve discrepancies related to denied claims due to incomplete or incorrect prior authorizations.
- Scheduled patients for appointments
- Ensured medical necessity compliance by obtaining necessary data, reviewing Compliance System, communicating information to patient or guarantor and obtaining necessary signatures.
- Posted payments in computer system and generated appropriate patient receipts.
- Monitored, reviewed and resolved patient account issues on assigned reports.
- Communicated with doctors, nurses, insurance companies, coworkers, patients, their families and other medical staff in a professional way.
- Obtained accurate and relevant information when scheduling and registering patients for their appointments.
- Provided outstanding customer service for all patients.
- Made professional outbound and inbound communication via phone and email.
- Ensured accurate and efficient patient data management by regularly auditing and updating patient records to ensure compliance with regulatory requirements and improve billing accuracy.
Education
Healthcare Management -
Lone Star College System
Houston, TX06.2024
Skills
- Customer Service
- Microsoft Office, Excel, Word and Visio
- Scheduling
- Organizational Skills
- Billing
- Prior Authorization
- Data Entry
- EMR Systems
- Medical Terminology
- Patient Care
- HIPAA
- ICD-10
- SharePoint
- Power BI
- Health Education
- Telecommuting
- Patient Communication
- Remote Work
- Outreach Campaigns
- Healthcare Compliance
- Medicare Compliance
Timeline
Member Outreach Specialist
Devoted Health
11.2021 - Current
Patient Engagement Specialist
First Mile Care
11.2020 - 05.2022
Patient Care Coordinator
Southside Pharmacy
02.2019 - 04.2021
Patient Access Representative
Memorial Hermann
07.2016 - 01.2018
Healthcare Management -
Lone Star College System
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