Created promotional materials such as brochures, flyers, posters, videos.
Safeguarded patient privacy with strict adherence to HIPAA protocols.
Ensured all client documentation is accurate and up-to-date according to agency policies and procedures.
Prepared patients for self-management and decision-making responsibilities.
Worked closely with disabled or impoverished individuals to locate helpful financial resources and community programs.
Built partnerships with related organizations to develop support and gain greater attention for important issues.
Connected individuals with relevant community resources and coordinated referrals.
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Partnered with clients to inspire and help maintain positive life changes.
Conducted assessments of clients to identify problem areas and develop appropriate interventions.
Helped clients transcend addiction and rebuild lives by empowering each with knowledge and skills.
Provided referrals and linkage to community resources such as housing assistance, employment opportunities.
Identified treatment goals based on individual diagnosis and history.
Tracked patient or client care and followed through to provide service effectiveness.
Patient Relations Manager/Intake
Oak Street Health
04.2018 - 10.2021
Used knowledge of Medicare to assist patients with navigating insurance issues
Serve as internal resource in the clinic on insurance questions for physicians and staff
Assist patients in navigating the healthcare system, help patients resolve medical bills inside and outside of Oak Street Health (advocate for the patient)
Gained the trust of Oak Street Health patients in an effort to properly advise them in their healthcare coverage
Manage the welcome visit and orientation process for new Oak Street Health patients
Assist patients with applying for public benefits, such as Public Aid, free phones, and Extra Help for prescription drugs
Support the clinic management team on operational activities as needed, including scheduling and billing
Sales and marketing for new patients
Case Aide
Next Level Health Partners
06.2017 - 03.2018
Assign all new cases to Care Coordinators in VH and Access Database
Complete all LTSS waiver member authorizations for home health, adult day and meals on wheels
Ensure medical records are handled in compliance
Maintain weekly productivity statistics
Assist Clinical Operations director/manager in tracking contract requirements such Health Risk Screenings, Health Risk Assessments, LTSS Assessments and monitoring of members to ensure completion
Assist High Risk waiver members (Aging,HIV,PD0
Track reports of all member critical incidents
Complete and process MCO Transfer forms when members leave NLP
Fax Email Authorization to the Provider's
Referral/Admission Coordinator
Family Health Network
09.2016 - 06.2017
Reviews and processes all diagnostic, specialty, and miscellaneous referral requests
Obtains authorization for referrals and schedules appointments as appropriate
Processes authorizations through the online provider portal
Assures referrals are maintained within the appropriate provider network
Demonstrates knowledge of the referral process, medical terminology, and charting medical documentation
Help Provider's with prior authorization's and utilization management policies and procedures
Distributes and coordinates all new hospitalizations, acute rehabilitation, sub-acute rehabilitation, and detox admissions as well as concurrent reviews to the necessary recipients
Distributes and coordinates every psychiatric health admission and redirects them appropriately
Provides all necessary information (medical records, scripts, etc.) to payer
Records all appropriate information via the McKesson CCMS/ Vital system
Member Service/Provider Service Rep
Family Health Network
Chicago, USA
02.2011 - 09.2016
Assist members with questions regarding benefits and policy
Speak with providers about claims and EOP
Spoke with office mangers regarding ICD-9 and CPT codes
Answered 30-40 calls daily
Answered phones, voicemail and monitored faxes
Receive and enter appropriate information
Change primary care physicians
Assist members with behavioral health issues finding doctors and intake
Assist Provider with claims processing and billing questions
Updated database for currency and accuracy
Used knowledge of Medicare Managed Care plans to asset members and providers
Assist members with non-medical transportation
Education
Bachelor's - Healthcare Management
Rasmussen College
05-2025
High School Diploma -
Von Steuben High School
Chicago, IL
01.2011
Skills
MEDICARE
CPT
ICD
ICD-9
HIPPA
ICD-10
Medical Billing
EMR Systems
Managed Care
Phone Etiquette
Medical Records
Sales
Marketing
Medical Coding
Customer service
Intake
Home care
CRM software
Salesforce
Supervising experience
Typing
Medical office experience
Google Suite
Senior care
Leadership
Healthcare management
Strategic planning
Data collection
Knowledge of ICD-9/10 Diagnosis and CPT Coding and HCPCS coding
HIPPA Guidelines and Procedures
Medicare/Medicaid Guidelines
Computer: Windows Suite proficient
Electronic Medical Charting/Documenting Proficient
Ability to learn quickly and adapt seamlessly to change
Great phone etiquette
Critical Thinker
Exceptional attention to detail
Proactive go-getter attitude
Certification
CNA
Additionalinformation
Knowledge of ICD-9/10 Diagnosis and CPT Coding and HCPCS coding, HIPAA Guidelines and Procedures, Medicare/Medicaid Guidelines, Computer: Windows Suite proficient (Outlook, Word, Excel), Electronic Medical Charting/Documenting Proficient, Ability to learn quickly and adapt seamlessly to change, Great phone etiquette, Critical Thinker, Exceptional attention to detail, Proactive go-getter attitude