Summary
Overview
Work History
Education
Skills
Timeline
Generic

Teonna Carry

Peoria,AZ

Summary

Versatile professional delivering executive support and team leadership to business operations. Dependable and detail-oriented to manage multiple tasks and priorities. Broad experience includes administrative support, ,office management, home health and hospice experience, insurance verifications, medical records, prior authorizations, and utilization management.

Overview

12
12
years of professional experience

Work History

UM Coordinator

NeueHealth
Remote, AZ
11.2021 - Current
  • Enter and review all prospective, concurrent, and retrospective requests into clinical management systems in accordance with the member’s plan, approving requests, & triaging when needed.
  • Create FAQ’s, desktop procedures/SOP’s, training videos, and maintain the authorization matrix.
  • Address care and documentation issues with the Nurse Manager and Clinical Director when needed for training and problem resolution.
  • Utilize health plan EOC’s, DOFR’s Medi-Cal and Medicare resources to obtain criteria for determination purposes.
  • Complete member TOC's and health risk screenings to address immediate needs and identify any health risks to reduce and prevent complications.
  • Work closely with the compliance and analytics department to validate bi-weekly and monthly health plan reports to ensure accuracy, perform demos for care partners, assist with internal audits, and CAP’s.
  • Adhere to HIPPA and the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.
  • Conducted interviews with potential candidates for open positions within the organization.
  • Discussed job performance problems with employees, identifying causes and issues to find solutions.

Office Manager

American Medical Homecare Alliance DBA Canyon Home Care & Hospice
Gilbert, AZ
09.2019 - 11.2021
  • Organize office operations and procedures, order medical and office supplies
  • Partner with HR to onboard new associates and maintain up to date HR files
  • Manage the referral process from start to end including verifying insurance, obtaining authorization, confirming PCP, entering referral into the EMR, uploading documents into the EMR, & notifying the team of incoming referrals
  • Assign appropriate visits in appropriate platform for clinicians.
  • Maintain medical records and ensure orders are signed by physicians so that billing can be done for services rendered.

Service Coordinator

American Medical Homecare Alliance & Hospice
Scottsdale, AZ
03.2019 - 09.2019
NeueHealthCAP’sDOFR’sEOC’sSOP’sNaviLightbeam
  • Manage the referral process from start to end including obtaining authorization, confirming PCP, entering referral into the EMR, uploading documents into the EMR, notifying the team of incoming referral
  • Assign appropriate visits in Kinnser for clinicians.
  • Requesting and submitting documents to the VA and insurance companies for reauthorizations
  • Support office manager with HR functions such as recruiting, conducting interviews, payroll, and processing new-hire paperwork
  • Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine the Company's ability to meet them.

Administrative Coordinator

Brookdale Home Health
Phoenix, AZ
03.2012 - 03.2019
  • Conduct new employee orientations, process new-hire paperwork, train/support office staff, answer HR related question when needed, & maintain & update associate HR files
  • Manage the referral process from start to end including verifying patient information/insurance, reviewing insurance benefits with patient, confirming PCP, entering referral into the EMR, uploading documents into the EMR, notifying the team of incoming referral, and verifying face-to-face dates
  • Maintained and updated patient files, data processes and charts for billing
  • Work in conjunction with providers to ensure all required documentation is signed in a timely manner and imported into EMR system for billing
  • Supervised, supported, & educated document tracking specialists to ensure company processes were being followed for medical records
  • Coordinate scheduling/staffing 50-100 new monthly admissions nursing, physical, occupational, speech therapy and medical social services according to physician orders.

Education

Healthcare Administration -

Gateway Community College
08.2014

General Studies/High School Diploma -

Southeast High School
05.2001

CNA/HHA certification -

WATC

Skills

  • Customer Service
  • Data Entry
  • Document Management
  • Effective Communication Skills
  • Medicaid & Medicare Knowledge
  • Medical Terminology
  • Microsoft Office
  • Proficiency in (Adobe Acrobat, Aerial, Availity, EZ Cap, EZ Care, Home Care Home Base, Kinnser, Lightbeam, Matrix, Navi Health, PEHR, Rehab Optima
  • Work Planning and Prioritization
  • Utilization Management

Timeline

UM Coordinator

NeueHealth
11.2021 - Current

Office Manager

American Medical Homecare Alliance DBA Canyon Home Care & Hospice
09.2019 - 11.2021

Service Coordinator

American Medical Homecare Alliance & Hospice
03.2019 - 09.2019

Administrative Coordinator

Brookdale Home Health
03.2012 - 03.2019

Healthcare Administration -

Gateway Community College

General Studies/High School Diploma -

Southeast High School

CNA/HHA certification -

WATC

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Teonna Carry