Summary
Overview
Work History
Education
Skills
Timeline
Generic

Valerie Shelly

Newark,NJ

Summary

Detail-oriented professional skilled in patient advocacy, effective communication, and documentation accuracy. Committed to maintaining confidentiality while assisting patients in navigating health services.

Overview

35
35
years of professional experience

Work History

Representative of Citizens Complaints

Newark Dept of Health & Community Wellness
Newark, NJ
01.2024 - Current

Input and update data accurately, verify identification and supporting documents, collect personal information for insurance and eligibility, assist patients with paperwork, and retrieve necessary information for insurance applications. Facilitate access to assistance programs for uninsured patients by collaborating with outside agencies. Perform Presumptive Eligibility (PE) assessments for qualifying applicants, explaining state program requirements, and utilizing guidelines to determine assistance levels. Maintain confidentiality of DHCW sliding fee schedule and obtain clarifications from patients to accurately assess eligibility based on income sources and payment amounts. Resolve customer complaints professionally while demonstrating empathy.

Assisted patients in accessing health services and community resources, enhancing their ability to receive necessary care.

Counselor of Residential Services

Arc of Essex County
Livingston, New Jersey
04.2022 - Current

Maintain confidentiality and professional boundaries. Advocate for Residents needs and well-being. Implement individual service or treatment plans. Assis residents with completing work program applications.

Advocated for residents' rights within various service systems. Utilize and or allocate Agency/ Residents' funds as per agency procedures and guidelines. Ensure that funds are managed securely and appropriately for the residents. Assists in the planning of the Individualized Support Plan(ISP), and assumes the responsibility for the implementation and documentation of the goals and objectives designated in the Individualized Support Plan(ISP). Works closely with the Program Manager, behaviorists, agency nurses, medical care providers, psychiatrists, and other interested parties to address the participants behavioral and or medical concerns.

Registration Clerk

Newark Dept of Health & Wellness
Newark, NJ
03.2012 - 12.2023

Greeted patients upon arrival and directed them to appropriate areas. Assisted patients with completing registration forms and verifying information.

Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.

Ensured confidentiality of sensitive patient information in compliance with policies.

Processed patient registration forms, collected fees, and issued receipts for services rendered.

Provided assistance with completion of paperwork related to the registration process. Performed data entry tasks to update patient information in the system.

Explained forms and documents to patients, guardians and family members, distributing copies and confirming that they understand. Responded to incoming department phone calls and directed callers to appropriate areas based on need. Performed Presumptive Eligibility(PE) insurance to applicants who qualify for such program and explained the requirements for the state program.

Direct Support Professional

Arc Of Essex County
Livingston, New Jersey
10.2001 - 04.2022

Provided direct care to individuals with intellectual and developmental disabilities, fostering activities of daily living. Provided assistance to individuals with daily activities such as personal care, meal preparation and medication reminders. Provided individuals with the necessary skills for community participation and social inclusion. Understands and follows the "Danielle's Law" requirements for handling medical emergencies. Assist individuals with their medical insurance plan selections and eligibility. Retrieve personal information for necessary programs and financial needs. Communicates effectively with individuals' healthcare providers and families. Reads and understands the program Evacuation Plan and the Individuals' Evacuation Assessments.

STD Senior Clerk

Newark Dept of Health & Human Services
Newark, NJ
08.1999 - 02.2012

Interviewed and retrieved information from patients. Registered patients and assisted with completing the necessary paperwork. Scheduling appointments, answering multi-line telephone system and filing. Comply with HIPAA Federal regulations as mandated. Assist patients with completing insurance applications. Maintain confidentiality of patients' records. Responsible for securing all medical record files and confidential information. Evaluate patient source of income for insurance eligibility purposes. Responsible for proofreading and checking patient records for accuracy and completeness. Communicated effectively with clients to provide information and support services.

  • Processed client applications for health and human services programs.

Clinic Attendant

City of Newark Health Dept
Newark, NJ
04.1991 - 08.1999

Greeted patients, answered their questions and provided them with assistance. Retrieved patients information for registration purposes. Scheduling appointments, filing and answering phone calls. Maintain the confidentiality of patient records. Prepared examination rooms before and after each patient visit. Follow infection control and safety protocols. Update patients files and records as needed. Verify patient information for accuracy and insurance eligibility.

Education

Some College (No Degree) - Psychology

Eastern Gateway Community College
Steubenville, OH

Some College (No Degree) - Social Sciences

Essex County College
Newark, New Jersey, NJ

Skills

  • Eligibility assessment
  • Insurance verification
  • Patient registration
  • Presumptive eligibility
  • Data entry
  • Input verification
  • Documentation accuracy
  • Confidentiality compliance
  • Confidentiality adherence
  • Information retrieval
  • Telephone reception
  • Paperwork processing
  • Client service
  • Customer relations
  • Team collaboration
  • Effective communication
  • Patients advocacy

Timeline

Representative of Citizens Complaints

Newark Dept of Health & Community Wellness
01.2024 - Current

Counselor of Residential Services

Arc of Essex County
04.2022 - Current

Registration Clerk

Newark Dept of Health & Wellness
03.2012 - 12.2023

Direct Support Professional

Arc Of Essex County
10.2001 - 04.2022

STD Senior Clerk

Newark Dept of Health & Human Services
08.1999 - 02.2012

Clinic Attendant

City of Newark Health Dept
04.1991 - 08.1999

Some College (No Degree) - Psychology

Eastern Gateway Community College

Some College (No Degree) - Social Sciences

Essex County College
Valerie Shelly