YALETHA COLE
Chicago,IL
Summary
Detail-oriented healthcare professional experienced in fast-paced environments. Skilled in database management and various computer applications, with a focus on enhancing team performance. Strong communication and editing abilities complement a commitment to meeting deadlines and supporting management initiatives.
Overview
1
1
Certification
11
11
years of professional experience
Work History
PATIENT CARE COORDINATOR
WellNow Urgent Care
Chicago, IL
10.2024 - Current
- Coordinated treatment planning for procedures and medications to meet continuing care requirements.
- Reviewed care outcomes with cross-functional teams to identify improvement opportunities and implement recommendations.
- Partnered with other departments to streamline test procedures and ensure scheduled consultations.
- Coordinated patient care requirements through active participation in interdisciplinary meetings with providers.
- Coordinated with providers in meetings to align on and enhance patient care strategies.
- Completed patient rounds and maintained case management files to monitor care delivery.
- Assessed patient needs and linked patients with financial assistance resources to support next steps.
- Evaluated patient financial data to identify payment needs and assess eligibility for assistance.
- Reviewed patient financial data to identify payment requirements and assess qualifications for assistance programs.
CLAIMS ADJUSTER
Progressive Casulty Insurance
Cleveland, OH
09.2022 - 07.2024
- Interviewed claimants, witnesses, and related parties to gather details for accurate claim validity determinations.
- Negotiated claim resolutions with customers and insurance carriers, achieving fair outcomes for all parties.
- Negotiated resolutions of claims with customers and insurance carriers, ensuring fair outcomes for all parties involved.
- Reviewed policy documents and loss facts to confirm coverage eligibility.
- Reviewed policy documents and facts of loss to verify coverage.
- Carefully reviewed claims forms and internal customer records to determine claimant's level of insurance coverage.
- Carefully reviewed official documentation such as police reports and medical treatment records to determine the true extent of liability.
- Maintained accurate documentation to retain claim file integrity.
- Maintained updated knowledge of [Type] claims, current guidelines, and court decisions impacting claims function.
INFECTION PREVENTION COORDINATOR
Rush Medical Center
Chicago, IL
03.2019 - 09.2022
- Collaborated with physicians to identify patient care needs and develop strategies that achieved quality care metric goals.
- Coordinated patient reminders to enhance adherence to annual wellness and chronic care appointments.
- Implemented staff accountability initiatives across operating units to enhance compliance with infection prevention protocols.
- Maintained patient confidentiality by adhering to HIPAA protocols and managing sensitive data with discretion.
- Scheduled patient reminders for annual wellness and chronic care appointments.
- Monitored and enforced regulatory standards to maintain operational integrity.
- Implemented quality assurance measures to enhance service delivery and patient safety.
- Provided comprehensive patient care by assessing needs and coordinating services.
- Reviewed medical records to identify and close information gaps by obtaining records from previous healthcare providers, ensuring comprehensive patient care.
- Educated patients on disease management to improve understanding and engagement in care coordination.
- Maintained meticulous healthcare documentation to support clinical operations.
- Utilized medical terminology effectively to communicate with healthcare professionals.
- Coordinated medical record requests to ensure timely access to patient information.
- Restructured job responsibilities to incorporate current demands of changing systems.
CORRECTIONAL COUNSELOR
Illinois Department Of Corrections
Chicago, IL
06.2015 - 02.2019
- Outlined offenders' conditional release requirements, specifying restitution payments and education or employment stipulations to ensure compliance.
- Arranged postrelease services to facilitate successful reintegration of offenders into society.
- Coordinated individualized treatment services for medical, mental health, and substance abuse based on offender needs.
- Educated offenders on impact of substance abuse and anger management on criminal behavior to promote awareness and accountability.
- Arranged postrelease services to support people's reintegration into society.
- Educated offenders on how substance abuse and anger management issues affect criminal behavior.
- Used surveillance, interviews and search and seizure to investigate alleged parole violations.
- Initiated court action as response to parole breaches.
- Initiated court action as a response to parole breaches.
Education
Associate of Science - Health Information Management
DeVry University
Chicago, IL10-2026
Skills
- Patient data management
- Medical record oversight
- Healthcare management
- HIPAA regulations
- HIPAA compliance
- Patient confidentiality
- Insurance validation
- Insurance claims processing
- Operational standards
- Appointment management
- Team collaboration
- Critical thinking
- Organizational skills
Accomplishments
- Eliminated unnecessary care bottlenecks to drive improvements to patient satisfaction and quality assurance initiatives.
- Drove overall improvements to quality assurance and patient satisfaction initiatives by removing bottlenecks to effective care.
Certification
- RMA - Registered Medical Assistant
Timeline
PATIENT CARE COORDINATOR
WellNow Urgent Care
10.2024 - Current
CLAIMS ADJUSTER
Progressive Casulty Insurance
09.2022 - 07.2024
INFECTION PREVENTION COORDINATOR
Rush Medical Center
03.2019 - 09.2022
CORRECTIONAL COUNSELOR
Illinois Department Of Corrections
06.2015 - 02.2019
Associate of Science - Health Information Management
DeVry University