Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Assessments
Timeline
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ZELDA HAYES

Pensacola,FL

Summary

Successful Executive with over six years of demonstrated ability in delivering mission-critical results. Offering outstanding communication and cross-cultural team management skills. Entrepreneurial attitude for optimal profitability. Ambitious team leader adept at creating strategic alliances with organizational leaders and effectively aligning with and supporting key business initiatives.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Patient Care Coordinator

UnitedHealth Care Group
01.2022 - 04.2023
  • Documented conversations with patients and vendors
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care
  • Drove business decisions and reduced operational costs.
  • Maintained confidentiality of patient data and condition to safeguard health information
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures
  • Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication
  • Delivered excellent patient experiences and direct care
  • Worked closely with patients to deliver excellent and direct individualized patient care
  • Upheld confidentiality requirements and regulatory compliance guidelines
  • Provided support and guidance to patients and families to navigate healthcare systems
  • Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services
  • Monitored patient health records for accuracy to meet compliance with healthcare guidelines

Substance Abuse Counselor

Gateway Foundation
12.2019 - 12.2020
  • Assessed and treated over 100 individuals with mental, emotional and substance abuse problems.
  • Created and implemented HIV/AIDS program
  • Provided individual, group and family therapy
  • Document client course of treatment, weekly progress reports and notes via EHR system
  • Developed youth behavioral health discharge plan and aftercare plan
  • Assessed dynamics and functional level of each family in caseloads and then formulate and implement intervention plan
  • Collaborate with leadership and performance improvement activities by conducting periodic reviews to ensure compliance with policy.
  • Completed required testing, assessment and psycho-social history during intake of new clients.
  • Provided counseling and support to clients with drug and alcohol abuse issues
  • Kept accurate and detailed records to track and document client progress
  • Used knowledge of different treatment modalities to provide clients with individualized options for successful outcomes
  • Monitored client progress to make necessary adjustments for client success
  • Developed individual treatment goals based on history and diagnosis
  • Supported and assessed clients struggling with addiction or relationship issues and devised strategies based on client needs
  • Kept accurate and detailed records to track and document client progress.
  • Provided counseling and support to clients with drug and alcohol abuse issues.
  • Used knowledge of different treatment modalities to provide clients with individualized options for successful outcomes.
  • Supported and assessed clients struggling with addiction or relationship issues and devised strategies based on client needs.
  • Monitored client progress to make necessary adjustments for client success.
  • Developed individual treatment goals based on history and diagnosis.

Life Coach

Inner Vibrations Spiritual Clinic
01.2012 - 11.2019
  • Engaged clients in conversations to determine feelings and apprehensions
  • Maintained confidentiality, professional and care for over 70 clients
  • Case Management
  • Utilized EHR systems for client documentation and progress reports
  • Assess individuals with emotional, substance abuse or domestic violence issues and referred to outside agency when case is outside of metaphysical scope
  • Assisted clients with hospice care and end of life transition, funeral planning and grief counseling
  • Guided clients in developing skills and strategies for dealing with problems
  • Developed and implemented care counseling programs to meet each individual specific need
  • Maintained HIPPA Compliance.
  • Engaged with prospective customers to qualify product fit via multiple channels.
  • Helped clients build life management and coping skills to handle daily needs and specific stressors.

Sales Executive

West Inc
01.2006 - 12.2011
  • Ensure all correspondence is scanned and or filed, process, request for medical records release
  • Established and maintained effective working relationships with patients and employees
  • Manage RX records
  • Answer incoming calls from patients to schedule clinic appointment
  • Fill prescription for client as instructed by physician
  • Maintained electronic medical files
  • Maintain HIPPA Compliance
  • Contact patients to remind them of appointments
  • Reviewed customer data to assess current issues and determine potential solutions
  • Resolved customer issues and diffused situations through effective communication
  • Documented conversations with patients and vendors
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care
  • Collected and process payments and co-pays
  • Drove business decisions and reduced operational costs.
  • Generated new leads through networking and attending industry events.
  • Achieved sales goals and service targets by cultivating and securing new customer relationships.
  • Negotiated and closed profitable sales contracts with new and existing customers to increase loyalty and retention.

Education

Bachelor's degree - Psychology

Ashworth College
Jonesboro, GA
09.2023

FL Allceus
Pensacola, FL
02.2021

Ph.D. - Spiritual Counseling

University of Sedona - 501(c) 3 Organization
Sedona, AZ
04.2019

Everest Institute-Jonesboro
Jonesboro, GA
04.2009

Skills

  • Patient Education
  • Mental Health Support
  • Medical Office Administration
  • Intervention Planning
  • Client Counseling
  • Customer Service Management
  • Business Networking
  • Professional Networking
  • Employee Development
  • Quality Assurance
  • Program Support
  • Lead Prospecting

Accomplishments

2016 Nominated Winner Of The United State Of Women


Three Published Books

Certification

  • RMA, 08/01/23, 07/01/24
  • CMA/RMA AMT CERTIFICATION

Assessments

  • Typing, Proficient, 02/01/23
  • Transcribing text, Proficient
  • Project timeline management, Proficient, 02/01/20
  • Case management & social work, Proficient, 02/01/23
  • Work style: Professionalism, Proficient, 02/01/23
  • Case management & social work, Proficient, 07/01/22
  • Medical terminology, Proficient, 11/01/22
  • Retail customer service, Proficient, 03/01/23
  • Sales skills, Proficient, 01/01/22
  • Office manager, Proficient, 02/01/23
  • Medical receptionist skills, Proficient, 08/01/22
  • Customer focus & orientation, Proficient, 11/01/22
  • Clinical judgment, Proficient, 09/01/20
  • Protecting patient privacy, Proficient, 03/01/23
  • Case management & social work, Proficient, 01/01/22
  • Attention to detail, Proficient, 07/01/22
  • Administrative assistant/receptionist, Proficient, 02/01/23
  • Nursing assistant skills, Proficient, 12/01/20
  • Management & leadership skills: Impact & influence, Proficient, 11/01/22
  • Work style: Reliability, Completed, 07/01/22
  • Call center customer service, Proficient, 08/01/22
  • Management & leadership skills: Planning & execution, Proficient, 11/01/22
  • Basic computer skills, Proficient, 07/01/22

Timeline

Patient Care Coordinator

UnitedHealth Care Group
01.2022 - 04.2023

Substance Abuse Counselor

Gateway Foundation
12.2019 - 12.2020

Life Coach

Inner Vibrations Spiritual Clinic
01.2012 - 11.2019

Sales Executive

West Inc
01.2006 - 12.2011

Bachelor's degree - Psychology

Ashworth College

FL Allceus

Ph.D. - Spiritual Counseling

University of Sedona - 501(c) 3 Organization

Everest Institute-Jonesboro
ZELDA HAYES