Charlotte Stevenson
Columbia,SC
Summary
Dynamic professional specializing in healthcare administration and clinic management. Proven track record of enhancing patient satisfaction through effective interdisciplinary communication and coordination. Committed to achieving high-quality Medicaid eligibility determinations while ensuring compliance with regulations.
Overview
7
7
years of professional experience
Work History
Advanced Medical Support Assistant GS-6 Step 4
Dept. of Veterans Affairs
Columbia, SC
04.2023 - Current
- Works collaboratively in an interdisciplinary coordinated care delivery environment (i.e., patient aligned care team, or other specialty care).
- Assessed patient eligibility for VA medical care and prioritized care needs.
- Managed electronic wait list, verifying accuracy and resolving issues to ensure optimal patient access to care.
- Reviewed active/pending Consults, Encounters, Electronic Wait List, Recall list, and MHV secure messaging communications daily for accuracy and timely disposition.
- Coordinates with the patient care team to review the clinic utilization by using various reports (e.g., Clinic Utilization Statistical Summary).
- Developed and maintained effective communication with patients and interdisciplinary teams, enhancing collaboration across management, VA medical centers, and other agencies.
- Schedule appointments: notify his/her supervisor when clinic area access is less than desirable or if an individual patient cannot be scheduled within mandated timeframes.
- Organizes work independently and handles scheduling problems and deviations based on personal knowledge of clinic operations and policy, schedules, and provider's preferences.
- Technically competent in Vista, ISS, CPRS, and CMS.
Human Services Specialist II
SC Dept. of Health and Human Services
Columbia, SC
06.2022 - 04.2023
- Processed Medicaid eligibility determinations with accuracy and ensured compliance with regulations while consistently meeting deadlines.
- Analyzes evidence entered multiple electronic data systems to understand, reconcile, and successfully process eligibility determinations to completion, accurately, and within all deadlines.
- Verified Medicaid eligibility information by utilizing diverse sources, systems, and tools, including computations of financial eligibility based on income and resources.
Claims Customer Service Advocate III
BlueCross BlueShield of SC
Columbia, SC
11.2021 - 03.2022
- Reviewed claims and appeals issues, complaints, and inquiries from claims customer service representatives to resolve customer concerns effectively.
- Provided prompt, accurate, and courteous responses to complex customer inquiries, enhancing overall customer satisfaction.
- Research and respond to complex customer inquiries.
- Ensured effective customer relations by responding accurately and timely to inquiries across multiple channels.
- Reviews and adjudicates complex or specialty claims and/or non-medical appeals.
- Determines whether to return, deny or pay claims following organizational policies and procedures.
- Examines and processes claims and/or non-medical appeals according to business/contract regulations.
Movement Control Specialist II
Fluor
Greenville, SC
10.2019 - 05.2021
- Delivered specialized Movement Control services for ground and air transportation missions in theater, enhancing operational effectiveness.
- Developed and deployed strategies to save time and expenses associated with goods movements.
- Planned and supervised shipments from production to end-user, optimizing daily and weekly route schedules.
- Managed loading, unloading, movement, and sorting of supplies, ensuring timely deliveries.
- Printed tickets picked supplies and filled packages under tight deadlines.
- Completed timely data entry of new orders, labeled containers, and placed in accurate storage locations.
Education
Master of Arts - Human Services Counseling
Liberty University
Lynchburg, VA05-2019
Bachelor of Science - Human Services
University of Phoenix
Tempe, AZ01-2018
Certificate - Family and Child Services
University of Phoenix
Tempe, AZ10-2016
Associate of Arts - Business Administration and Management
University of Phoenix
Tempe, AZ04-2015
Skills
- Patient eligibility verification
- Clinic management
- Compliance management
- Medical software proficiency
- Data auditing
- Waitlist coordination
Timeline
Advanced Medical Support Assistant GS-6 Step 4
Dept. of Veterans Affairs
04.2023 - Current
Human Services Specialist II
SC Dept. of Health and Human Services
06.2022 - 04.2023
Claims Customer Service Advocate III
BlueCross BlueShield of SC
11.2021 - 03.2022
Movement Control Specialist II
Fluor
10.2019 - 05.2021
Master of Arts - Human Services Counseling
Liberty University
Bachelor of Science - Human Services
University of Phoenix
Certificate - Family and Child Services
University of Phoenix
Associate of Arts - Business Administration and Management
University of Phoenix