Summary
Overview
Work History
Education
Skills
References
Timeline
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Tawana Cooper

Madison,Wisconsin

Summary

Results-oriented professional with a proven track record, seeking a remote position where I can utilize years of experience in healthcare and expertise in healthcare insurance.

Overview

7
7
years of professional experience

Work History

Regional Referral & Authorization Specialist

EOM Healthcare Group
Madison, WI
06.2024 - Current
  • Reviewed authorization requests for accuracy and completeness.
  • Verified insurance and obtained authorizations for 5 EOM Healthcare skilled nursing facilities
  • Assists with completion of Medicaid applications as well as with new renewals for current residents
  • Provide support for regions as needed in Business Office Manager role.

Director of Admissions

Oregon Healthcare & Rehabilitation
Oregon, Wisconsin
01.2024 - 06.2024
  • Drove consistent growth in census numbers.
  • Evaluated referral information of potential admissions and communicated decision to the Director of Nursing
  • Insurance verification, prior authorizations and insurance appeals
  • Ensured accuracy in the completion of all admission-related documentation within established timelines.
  • Entered all referral information into EMR system.
  • Prepared new and renewal insurance contracts

Clinic Operations Manager

Clean Slate Centers
Madison, Wisconsin
10.2020 - 12.2021
  • Oversaw daily clinic operations, ensuring efficient patient flow and high-quality care.
  • Ensured clinic compliance with federal, state, and local healthcare regulations.
  • Recruited, hired and trained new medical and facility staff.
  • Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
  • Effectively ensured facility readiness for CARF accreditation resulting in a successful outcome.

Director of Admissions

Belmont Health & Rehabilitation Center
Madison, Wisconsin
10.2017 - 09.2020
  • Review of all incoming referrals to determine appropriateness for admission.
  • Communicate to Director of Nursing reasons for admission or denial
  • Insurance Verification, authorizations.
  • Meet with family and/or resident prior to admission to ensure smooth transition
  • Maintain professional relationships with all referral sources

Education

Some College (No Degree) - Business Administration

UW Eau Claire
Eau Claire, WI

Skills

  • Medical terminology
  • Insurance Verification and authorizations
  • HIPAA Compliance
  • Medicare/Medicaid Knowledge
  • Effective communication skills
  • Work well independently or as team player

References

References available upon request.

Timeline

Regional Referral & Authorization Specialist

EOM Healthcare Group
06.2024 - Current

Director of Admissions

Oregon Healthcare & Rehabilitation
01.2024 - 06.2024

Clinic Operations Manager

Clean Slate Centers
10.2020 - 12.2021

Director of Admissions

Belmont Health & Rehabilitation Center
10.2017 - 09.2020

Some College (No Degree) - Business Administration

UW Eau Claire

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Tawana Cooper