Customer Service Care

Narita B Goff, MPH,MHSA

*** **** ***** **. **********, La. 71115

Email: **********@*********.*** Phone: 318-***-**** of (318)426-

2090

Profile

I'm eagerly seeking this invigorating career opportunity. My current

administrative experiences include working within the ranks of several

healthcare companies and gaining on-the-job training and experience in

community health care disparities, case management, utilization review,

healthcare revenue cycle, and healthcare program planning. In my current

position at Always Best Care Senior Services; my primary responsibilities

include working in a leadership role collaboratively with our multi-

disciplinary team to expedite high quality, cost effective in home care

service. Additionally, I currently have the pleasure of serving our clients

as a regional representative for Tri-care medical solutions

I am enthusiastic about pursuing this exciting appointment. Upon

employment, you will find my customer service experience, communication

skills, and leadership ability invaluable in meeting your company's goals.

~Core Competencies~

In-home care Program Medical Records Appeals/Denial Policy

Administration Planning Chart s Development

Abstracting/

Performance

Improvement

CPR Organizations Field Site Review Clinical Assurance

budget audit Credentialing and Liason

Assessments

Professional Experience

* Always Best Care senior Services, Shreveport, La.

. Administrator May 2012- Present

o Responsible for coordinating, negotiating, procuring, and managing

the care of complex patients to facilitate achievement of quality

from admission to discharge.

o Act as clinical liaison with the multi-disciplinary team members to

obtain information regarding current charges, reimbursement, and

payor source limitations.

o Review admissions utilizing InterQual criteria regarding

appropriateness of admission to level of care and continued stay

reviews for necessity of services and length of care.

o Hiring all new caregivers

o Marketing focused on specific areas in the community as determined by

company owners

o Handling all In home care assessments and paperwork with the client

o Coordinating in-services with physicians, nurses, assisted living

communities, independent living communities, hospital, rehabs, etc.

o Delegated patient care assignments, evaluated and verified the

validity of clinical findings and documentation for the Certified

Nursing Assistant.

* Blue Cross and Blue Shield of Louisiana, Shreveport, La.

Marketing Support Specialist July 2010- August 2012

o Wellness benefit Coordinator for Eat right Move more Campaign

o Sponsorship Coordinator with American Heart Association / program

planning and coordinating

o Provides on-going consultation and technical assistance to

professional and support staff on programmatic issues

o Healthy Heart Coordinator for the Heart Walk

o Health Information Compliance consultant

o Group Insurance Billing Analyst

o Group Payment Processing

o enrollment application processor/reviewer

o Generates group payment/billing reports

o Research e-mail inquiries.

o Build expertise for successful product implementation.

o Provided certified Epic design expertise in collaboration with

organization's current business practices and translated them into

proper configurations and workflows.

o Completed specific task activities as documented on the Work Plan.

o Escalated concerns relevant to critical path and/or timeline in a

timely manner.

o Developed subject matter expertise, maintain models, as well as

documentation of business and system requirements, and configure

systems accordingly.

o Attended weekly team meetings to discuss team and project related

activities, issues, change, communications, and updated

o Contributed to preparation of testing scripts, materials, perform

unit, system, and integrated testing tasks.

o Assisted with Post live implementation activities and production

support.

o Managed multiple projects at various levels of complexity. Provide

technical and analytical guidance to assigned teams.

Maintain corporate account relationships and promote membership growth

and retention

I have also obtained the position of team leader for BCBSLa's sponsorship

for the American Heart Association to work with the American Heart

association to implement programs and evaluate their success and ways to

improve on the program level. My position with BCBSLa has afforded me the

opportunity to stay abreast on the health care reform and how it affects

the health and well being of the public. Extensive training on healthcare

policies allows me to better serve our citizens and push for wellness

benefits that can have positive impacts on their quality years of life

* Louisiana State University Health Sciences Center, Shreveport, La.

. Laboratory Research Assistant May 2009- July 2010

o Conducting Skin Cancer Research

o Performing Bacteria transformations.

o Answering Laboratory phone inquiries

o Work with treating physician to determine eligibility for research

studies, follow patient through entire course of care as a contact for

coordination of care, patient education, and facilitator for other

needed resources.

o Compiled data, tracked outcomes, and made recommendations for process

improvement.

o Provided referrals/support for follow-up care for patients who were

uninsured or underinsured.

* Veterans Affairs Hospital, Pineville, La.

. Patient Care Technician

August 2004 - May 2010

o Utilized the nursing process, provided nursing care based on

recognized professional and legal standards of practice and promoted

collaboration with physicians and other disciplines.

o Met organizational expectations as defined by the Employee Standards

of Performance, l and department policies and procedures, and the

hospital's strategic goals.

o Verbalized a clear understanding of continuous quality improvement and

customer satisfaction measures and actively participated in

improvement initiatives.

o Assessed/reassessed patient's condition. Documented all aspects of

patient care Assisted in the orientation and training of new nurses,

student nurses, and patient care assistants. Served as preceptor when

needed. .

o Floated to assigned unit(s)/departments as needed.

o Attended unit meetings as scheduled. Completed all mandatory and

elective competencies and continuing education as required.

Participates in staff meetings, educational programs, committees

o Ensure patient care

o Respond to RNA

o Data entry and analysis

o Assist with Program Planning activities for the elderly

Education

Louisiana State University Shreveport BS, Biological Sciences with Cellular

and Molecular concentration (2009)

LSUHSC-Shreveport, MPH, Master of Public Health (2011)

* This degree places emphasis on: Monitoring revenues and expenditures of

statewide program budget; formulates budgetary projections, Prepares and

submits grant proposals, Revises rules, regulations and procedures to meet

changes in law or policy. Also this degree prepares caregivers for the

community outlook on healthcare concerns.*

Louisiana State University Shreveport, MHSA, Master of Science in Human

Service Administration (2013)

*This degree places emphasis on grant and proposal writing, RFP selections,

Program evaluation, Financial Statement Analysis, etc. *

Honors and Awards

Award of Excellence for Human Anatomy Research

Graduating Class Valedictorian

Alexandria Outstanding Community Service)

Louisiana Association of Nonprofit Organization, Community Leader (2010)

Skills and Training

. Proficient in the use of Microsoft Office Suite

. Internet Teamwork: Worked with a team of 5 or more peers to provide

prospective students with information regarding academics as well as

social life at LSUS.

. Received mastery reviews in social and customer service skills.

. Experience with microbial microscopy as well as many other laboratory

instruments.

. Customer Relations: Interacted with customers through service and

sales; utilized computer resources essential to effectively service

customers.

. Program Planning and Evaluation & Public Health leadership proficiency

. Experience with R-Statistical Analysis database and SPS data base

. Received the Award of Excellence for Laboratory and Clinical Research

. Microsoft Office Suite

Professional Affiliations

American heart association (2010-2012)

Tobacco Free Living- Regional Tobacco Subcommittee, (2010)

Biological Sciences Advancement Society, (2006-current)

Delta Sigma Theta Sorority, Inc., PiPi Chapter ( 2006- Present)

o Publicity Chair (2013-2014)

o Emerging Young Leaders Cmte (2011-current)

o Health Cmte (2009- current)

. Minority Association of Premedical Students, Recording Secretary

Volunteer Affiliations

America Heart Association - 2010-2012 Heartwalk Team Captain

Shreveport/Bossier Rescue Mission (2010-2011)

Susan G. Komen - Race for Cure

Louisiana Medical Association ( LMA) - Christmas Cheer Partnership

.

References:

Available upon request

Contact this candidate