Patient Care Administrative Support

Shantina Bankston

RALEIGH, NC ***** 984-***-****

ad5cqc@r.postjobfree.com

Highly skilled in technical, clerical, staff, patient, and administrative support. Strong ability to multitask, ability to work under and communicate clearly and effectively with patients and staff. Team player with strong attention to detail. Dedicated to utilizing patient care and administrative expertise to provide the best information, services, and assistance. Credited with swiftly handling response operations, and consistently attaining high satisfaction and quality ratings while maintaining large volumes of accurate intake and historical data. Proven history of maintaining a safe, secure, and healthy work environment always by ensuring compliance with all policies, procedures, rules, and regulations.

Areas of Expertise:

Information Technology

Interpersonal Communications

Office Inventory

Policies and Procedures

Detail Oriented

Financial ERP Systems

Strategic decision-making

fiscal/budgetary theories

Process Improvements

Data Management

Maestro Care

Time Management

E-Health

General Service Administration

Financial Analysis

Methodology

Medical Terminology

Regulatory Compliance

Customer Service

Workplace Safety

EPIC

Management analysis

IT specific

Professional Experience

Durham county social services june-2016-Present

Public Health Nutrition Manager

Manages the Public Health Nutrition Clinic, including staffing schedules, clinic appointment rosters, interactions with other clinics, client registration, billing, and clinic statistics.

Provides guidance to and supervision of program staff. Assures personnel perform job duties in an effective and efficient manner. Provides on-going coaching and mentoring as needed. Keeps necessary documentation.

Understands sources of revenue and monitors reimbursements including obtaining and maintaining required credentials and contracts.

Oversees the agency’s Diabetes Self-management Training program including assuring all requirements are met to maintain American Diabetic Association credentialing and revenue generation.

Assesses quality of services delivery on a routine basis for the purpose of standardizing/improving program delivery and meeting evaluation plans recommended/required by various funding agencies.

Represents nutrition services in clinical and community groups and meetings related to program area.

Develops/revises proposals for programs that are funded through third party funding contracts and prepares accurate and professional reports required by funding sources according to funding contracts and expectations.

Provides administrative tasks such as budget preparation and monitoring, program planning and evaluation, and data collection and analysis.

advance community health march-2015 – June-2016

Team Lead Referral Specialist

responsible for the coordination and timely follow-up on all patient referrals to other medical sites

Obtain request from doctor, research patient’s managed care organization for proper providers and educate patient about referral guidelines or policies.

Obtain current identification for managed care, prepare certification as required and prepare authorization with patient diagnosis and request from primary care physician.

Make appointments and request follow-up information.

Review and explain process for referral to patient, including but not limited to what is involved, who providers are and how to get to hospital or referral specialist’s office.

Maintain up-to-date knowledge of referral guidelines, active providers, necessary coverage information, insurance requirements necessary for pre-certification.

Maintain adequate records for risk management on referrals to completion of patients needing to be seen outside of ACH.

Timely mail, fax or communicate appropriate records, certificates, and authorizations to appropriate persons for the completion of the referral process accurately and timely.

Duke Primary Care, Raleigh NC May-2013-March-2015

Patient Service Assistant/Referral specialist/Telehealth Support Specialist/financial Care Counselor/Service Access Manager

Coordinate and facilitate client admissions, transfers, and discharges to inpatient psychiatric services; recommend client referrals to outpatient services and departmentally sponsored research programs as appropriate.

Assess, review and monitor each client's insurance coverage and advised physicians appropriately; obtain pre-certification verification as appropriate; ensure that treatment decisions serve the purposes of quality assurance and cost containment with minimum utilization of physicians' time and effort; optimize utilization of departmental resources and services.

Monitor, track and update information about available beds, anticipated admissions, pending transfers and discharges, status of inpatient units and availability of outpatient treatment options within the Duke University Department of Psychiatry; maintain ongoing census and waiting lists for inpatient units.

Stay abreast of new and ongoing research programs within the Department of a mass of different specialties; coordinate and facilitate appropriate referrals of clients to these programs.

DUKE HOSPITAL, Durham, NC November-2009–May-2013

Advanced Unit Health Coordinator Dept. Cardiology

Dedicated to charismatically greeting patients and answering calls.

Follow established procedures and meet all given deadlines in order to thoroughly prepare for all upcoming appointments.

Maintain effective and efficient calendars and serve as a strong gatekeeper; keep all information confidential.

Drive seamless problem resolution by proactively keeping records, managing data, and corresponding.

Develop and execute policies, procedures, and processes that support the information lifecycle needs of the organization.

Guarantee customer and client needs are met before, during and after services provided.

Created new and improved forms that increased productivity and staff satisfaction.

Monitor all records and interactions in order to maintain compliance with all requirements, rules, regulations, laws, procedures, and guidelines relevant to business.

DUKE UNIVERSITY HEALTH SYSTEM, Durham, NC May- 2009 –November 2009 Production Associate

Maintain and calculate appropriate patient data according to established guidelines

Visit patients to obtain their menu selections and input selections into a handheld computer

Visit patients on assigned floors upon admission to explain menu process and collect diet

UNC Hospital, Chapel Hill, NC January-2007-May-2009

Administrative Support Assistant Dept. Radiology

Interpret new directives, policies and regulations and inform appropriate personnel of changes; make decisions on specific operating problems and issue instructions in the name of the department or division head.

Control and maintain divisional or departmental files of records, reports and correspondence required for reference and efficient operation of division or department; insure maintenance of up-to-date management and procedural manuals, directives and related records.

Assist in the preparation of complex and diversified departmental or divisional budgets making recommendations and projections based on knowledge of program activities and departmental operations; inform staff members of financial status of various projects.

Compile data and statistics; prepare complex reports and proposals requiring the identification of sources, compilation, analysis and evaluation of data.

Schedule and coordinate arrangements for seminars and conferences and establish appointments, meetings and speaking engagements; attend meetings to provide information and serve as a resource person; interview callers; answer questions concerning departmental or divisional activities and transmit instructions and/or information to and from staff members; serve as liaison with administrative personnel and external agencies concerning all policies and procedures, grant administration and budgetary preparation and control.

Review reports received for supervisor; check and compare with source documents and bring significant items, changes, errors or omissions to the attention of the supervisor.

Maintain physician outlook calendars and assist with QGenda assignments.

Submit receipts for reimbursements for NC Medical License and DEA, travel and other on behalf of the physicians

Education & Credentials

Bachelor of Business and Administration, Strayer University, Raleigh, NC - Anticipated 2021

Associates of Business and Administration, Strayer University, Raleigh, NC-Complete 12/2019

High School Diploma, Southern High School, Durham, NC

Certified Nursing Assistant, K’s Healthcare Intuition NC, Oxford, NC

Trained in:

Practice Manager, Team Lead Income Maintenance, Clerical Work, Administrative Work, Microsoft Office Suite, Business Communications, Duke Financial Systems, Customer Service, Office Protocol, and Problem Solving from the Professional Development Institute at Duke University, Durham, NC

Certified Notary Public, State of North Carolina

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