Trineva Willis
Lancaster,US
Summary
Professional with strong background in care coordination. Skilled in patient advocacy, healthcare planning, and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with robust communication and organizational skills. Reliable and focused on delivering high-quality care outcomes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Patient Care Coordinator
UHC/Optum
01.2022 - Current
- Answers a minimum of 40 calls from patients, resolving moderate to complex issues
- Schedule and verify appointments in clinical information system
- Verify and update patient demographic and insurance information
- Send and receive tasks to Provider offices to assist patient with access to medical care
- Receive and process; expedite stat and at-risk referrals
- Contact patients to inform of appointment and referral status
- Extreme high volume data entry
- Process and resolve expedited patient complaints
- Review and processing of medication refills
- Proactive response to inquiries from patients, Providers, and internal medical personnel
Medical Assistant/Unit Coordinator
Parkland Hospital
03.2015 - Current
- The Unit Technician is expected to be able to perform in the capacity of a Patient Care Assistant and a Health Unit Coordinator
- Performs phlebotomy tasks and conduct lab draws, as needed for the unit assigned
- Coordinates patient care and clerical needs by acting as the primary contact for the unit, while assisting and responding to information requests from all employees, patient families and others to effectively service unit staff and customers by providing a permanent information resource within the unit.
- Performs specified patient care activities, under the direction of a Registered Nurse, including but not limited to providing basic hygiene care, injections, venipunctures, sterile and unsterile treatments, taking vital signs, and range of motion exercises. Lifts, ambulates, and feeds patients in accordance with the provision of patient centered/patient valued care, while providing optimal care services to patients and their families. Transports meal trays to patients to ensure sanitary and timely delivery when applicable.
- Serves as a patient advocate by responding to a patient's needs and special requests. Maintains open communication, and honors patient's rights and confidentiality, while providing optimal service to patients and their families.
- Prepares and processes hardcopy and computerized patient files by entering, sorting, and updating information to ensure accurate and complete records are maintained for each patient
- Creates reports summarizing key patient information to provide unit decision makers with the tools needed to analyze operations.
- Monitors ongoing patient status and responds to a patient's change in condition by notifying and assisting nurses and other health team members in handling patient care needs.
- Admits, transfers and discharges patients by creating charts, checking rooms, and receiving, logging, and storing patient valuables and nonvaluable to facilitate the administration of patient services.
- Maintains accurate, timely and appropriate notations and records activities performed to include but not limited to unit specific logs, vital signs, ambulation, feeding outcomes, quality control checks, chaperoning. etc. in accordance with standards established by the nursing unit.
- Maintains work environment and patient care areas according to infection prevention and environment of care guidelines, provides or requests translation services when applicable and performs quality control checks.
- Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the unit.
- Develops effective internal controls that promote adher ence to applicable state/federal laws and the program requirements of accreditation agencies and federal, state, and private health plans. Seeks advice and guidance as necessary to ensure proper understanding.
- Orders, picks-up and delivers medical supplies, non-medical supplies, laboratory requisitions, patient specimens and other items while expediting other routine requests. Ensures work areas are stocked and rotated to ensures removal of supplies prior to expiration date.
- Performed medical records management, including filing, organizing and scanning documents.
UM Care Coordinator
Carecentrix
06.2022 - 09.2024
- Involved in the collection, verification and confirmation or non-clinical information
- Completes the initial set up of a case or request for services and refers to the Payer Fact Sheets to determine if the terms of the contract are covered
- Manage incoming and outbound calls to support the clinical program
- Tracking and management of production queues
- Maintains the data to high quality standards
- Analyzes data from the database
- Runs reports from the database
- Understands that timely and accurate documentation is critical to the success of CareCentrix
- Assures that notification of a determination is timely within contractual and regulatory turnaround times including oral notification and letters generated and mailed
- Works with operations departments, clinical, quality and correspondence departments to assure accuracy and timeliness processing from end to end
- Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance
- Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives
- Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value
- Coordinate discharge planning for hospitalized patients requiring follow up homecare services upon discharge from facility setting
- Analyze insurance policies to determine coverage eligibility for services rendered
- Provided excellent customer service while responding to inquiries from patients, families, staff members, and insurance providers
- Track down missing documentation necessary for claim processing or payment collection
- Perform follow-up on unpaid or denied claims in a timely manner
- Maintain up-to-date knowledge on changes in health insurance regulations, laws, and industry trends
- Verify accuracy of all submitted documents before submitting them to the insurance companies
- Develop comprehensive knowledge of medical billing and coding principles, including ICD-9 and 10 and CPT codes
Care Coordinator
Angels of Hands
10.2017 - 07.2024
- Coordinated discharge planning for hospitalized patients requiring follow up homecare services upon discharge from facility setting
- Analyzed insurance policies to determine coverage eligibility for services rendered
- Provided excellent customer service while responding to inquiries from patients, families, staff members, and insurance providers
- Tracked down missing documentation necessary for claim processing or payment collection
- Performed follow-up on unpaid or denied claims in a timely manner
- Maintained up-to-date knowledge on changes in health insurance regulations, laws, and industry trends
- Verified accuracy of all submitted documents before submitting them to the insurance companies
- Developed comprehensive knowledge of medical billing and coding principles, including ICD-9 and 10 and CPT codes
- Supported physicians in examinations, procedures, and diagnostic tests
- Monitored supply inventory for low stock and worked with staff to reorder
- Showed patients to examination rooms and prepared for physician
- Arranged for hospital admissions for certain cases requiring more specialized care than what can be provided at an outpatient clinic
- Educated patients about their conditions and treatments
- Documented medical data in patient charts, facilitating accurate records
- Conducted pre-authorizations and referrals to meet third-party insurer requirements
- Coordinated follow-up appointments with specialists as needed for further treatment or evaluation purposes
- Organized and managed caseloads to ensure timely completion of goals and objectives
- Schedule evaluations and procedures for patients
- Liaise effectively with patients, doctors, and staff members, assessing medical charts and promoting high level of communication and interaction
- Submit various medication requests electronically
- Facilitate daily interaction between patients and hospital staff, coordinating special events for patients and families and providing educational materials and emotional guidance
Medical Assistant
Nexus Recovery Center
01.2014 - 03.2015
- Maintain MAT client files according to licensure standard, update client appointment schedule for medical providers, counselors, and medication pick-up
- Maintain documentation on CMBHS and STATS
- Perform drug screens according to current protocol and enter results in CMBHS
- Assist Nurse Manager in completing assigned audits for quality monitoring
- Enter group notes and medical provider notes in CMBHS
- Order and replace supplies as needed to maintain stock level
- Schedule random callback appointments for medication counts and drug screens
- Perform various clerical tasks, filing, copying, etc
- Other duties as assigned
- Perform preliminary physical tests, such as taking blood pressure, weight, and temperature, accurately recording results in patient history summary
- Print and file examination data records according to HIPAA patient standards
- Assist physicians by preparing patients for procedures, including EKGs, phlebotomy, glucose testing and pulmonary function tests
Medical Assistant
Homeward Bound Recovery center
12.2011 - 01.2013
- Coordinate mental health care services
- Assist in patient assessment
- Monitor and document care
- Ability to utilize technology (phone, internet, EMR) to conduct patient visits and complete day-to-day tasks
- Measured patient peak flows to improve workflow efficiency
- Print and file examination data records according to HIPAA patient standards
Education
Bachelor of Science (B.S.) - General Psychology
Capella University
Minneapolis, MN01.2025
Diploma - Medical Assistant
Everest College
Arlington, TX09.2011
Skills
- Electronic Charting
- Planning Processes
- Multidisciplinary Collaboration
- Pharmacy Management
- Individualized Care Plans
- Corrective Action Plans
- Drug Therapy
- Patient Interaction
- Patient Care Assessment
- Meditech EHR Software
- HIPAA Guidelines
- Code Compliance
- Product Promotion
- Persuasive Selling
- Time Management
- Productivity Maximization
- Assigning Tasks
- Customer Assistance
- Corrective Actions
- Teamwork and Collaboration
- Independent Judgement
- Insurance Verification
- EPIC Software
- Insurance Practices
- Billing Experience
- Case Management
- Claims Processing
Certification
CPR Certification
Timeline
UM Care Coordinator
Carecentrix
06.2022 - 09.2024
Patient Care Coordinator
UHC/Optum
01.2022 - Current
Care Coordinator
Angels of Hands
10.2017 - 07.2024
Medical Assistant/Unit Coordinator
Parkland Hospital
03.2015 - Current
Medical Assistant
Nexus Recovery Center
01.2014 - 03.2015
Medical Assistant
Homeward Bound Recovery center
12.2011 - 01.2013
Diploma - Medical Assistant
Everest College
Bachelor of Science (B.S.) - General Psychology
Capella University
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