Management Customer Service
Resume:
Timmie Mitchell
Email: *********@********.***
Address: **** *** *** ***** **. Aptn H14
City: Greensboro
State: NC
Zip: 27410
Country: USA
Phone: 919-***-****
Skill Level: Management
Salary Range: $45,000
Willing to Relocate
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
Summary of Qualifications
* Highly self-motivated, achievement oriented with the ability to work independently, as a team member, director, or facilitator
* Excellent communication and group presentation skills
* Skilled at conducting trainings/workshops and employee orientations
* Strong research and analytical skills
* Implement and develop QA/QI management systems and initiatives
* Data Management - Compile, track and monitor data for compliance and accreditation
* Case manager with experience in providing therapeutic interventions and services to a specific client demographic based on medical and mental health diagnosis.
* Patient billing and reporting
* Proficient computer skills with Microsoft Office(Word, Excel, PowerPoint, ICAN); Desktop publishing
Education
BA Business Administration and Management, May 1997
Shaw University Raleigh, NC
Employment Experience
Wrights Care Services - Greensboro, NC
March 2012 - Present
Quality Assurance Specialist/Training Director
* Develop, revise, and implement the agency`s annual QA/QI plan.
* Ensure compliance with all documentation, staff qualifications, and other state, federal and accrediting body requirements for the services being delivered.
* Develop Quality Improvement plan for CARF standards to ensure agency accreditation and compliance with state and local supervising bodies.
* Measure outcomes using data collection and analysis of data from Surveys and Quality Improvement initiatives. Prepare quarterly reports to highlight analysis results, trends and activities.
* Oversight of staff credentialing process.
* Audit consumer and personnel files.
* Develop surveys (employee, consumer, and stakeholder).
* Responsible for creating Strategic Training Plans.
* Conduct orientation sessions and arrange on the job training for new employees.
* Review current policies and improve upon existing quality standards.
* Develop and create company Orientation Program and Presentations.
* Respond to client and provider calls, authorize benefits and resolve claims issues.
* Organize the counseling program by assessing needs, setting goals, and formulating a plan of action and program evaluation.
Wrights Care Services - Greensboro, NC
April 2010 - March 2012
Qualified Professional
* Provided case management for Mental Health services to adults by creating Person Centered Plans (PCP) indicating goals and desire outcomes for consumers.
* Responsible for supervision of staff coordination and provided referral services for consumers to outside agencies.
* Coordinated services within the established (PCP) by linking consumers to housing, food banks, Primary Care Physicians, and identifying community resources.
* Communication with physicians and other medical professionals to ensure compliance with plan of care.
* Provided complete documentation of services to include review of service notes to ensure accurate Medicaid billing.
* Development of various Skill Building Activities, including: Daily and Community Living Skills; Socialization Skills; Adaptation Skills; Development of Leisure Time; Interests/Activities; Symptom Management Skills; Wellness Education; Education substance abuse; Work readiness; Behavior and anger management.
Infinite Wellness Concepts - Burlington, NC
August 2009 - October 2011
Qualified Professional
* Provided Case Management for Mental Health services to Adults.
* Created Person Centered Plans and coordinated services within the established Person-Centered Plan (PCP) by linking consumers to housing, food banks, Primary Care Physicians, identifying community resources.
* Provided direct intervention and arranges, coordinates, and monitors services on behalf of the person.
* Provided complete documentation of services to include review of service notes to ensure accurate Medicaid billing.
* Responsible for supervision of staff coordination and provided referral services for consumer to outside agencies.
Wellness Supports - Raleigh, NC
October 2007 - June 2009
Associate Professional /Qualified Professional
* Responsible for supervision of staff.
* Provided Case management, crisis intervention, and assessment; develop treatment plans, collaboration with outside agencies and schools, coordinate and monitor treatment services & treatment teams, preparation of court documentation.
* Provided complete documentation of services to include review of service notes to ensure accurate Medicaid billing.
New Direction II/group home - Durham NC
May 2005 - June 2007
Qualified Professional
* Observed and recorded behavior management practices in the home; observed triggers and management of behaviors and emotions; developed a therapeutic relationship with consumers.
* Develop Person-Centered Plan modifications and oversight of emergencies and crisis plan.
* Coordinated, and monitors services on behalf of the consumer and assist with referral to community resources.
* Supported the consumer in the development of various Skill Building Activities, including: Daily and Community Living Skills; Socialization Skills; Adaptation Skills; Development of Leisure Time; Interests/Activities; Symptom Management Skills; Wellness Education; Education substance abuse; Work readiness; Behavior and anger management.
Western Wake Pediatrics - Cary, NC
March 1997-June 2000
Billing Specialist
* Posted Daily insurance payments.
* Assisted customers by telephone and in person.
* Researched billing problems.
* Worked independently with minimal supervision while maintaining productivity level within fast paced environment.
* Followed up on insurance denials.
* Collects all accounts current and past due.
* Assists client or insurance companies over the telephone regarding client accounts.
Dr.`s Physical Rehab and Medical Clinic - Raleigh, NC
August 2000-September 2003
Billing Specialist
* Knowledge of general insurance laws and guidelines.
* Electronic billing for Medicare and Medicaid accounts.
* Provided Customer Service and support to nurses and Doctors.
* Processed billing from external billing system.
* Analyzed data retrieved. Research and retrieve missing billing.
* Assisted corporate office personnel with billing questions and billing problems to a satisfactory resolution.
Computer Skills
Microsoft Office
Excel (Pie Charts/ Graphs)
PowerPoint
Certifications and Trainings
* CPR/First AID
* Blood Born Pathogens
* NCI (Part A/B)
* Med Administration Management
* Crisis Planning and Management
* Person Centered Thinking
* Seizure Management Training
* Clients Rights
* Motivational Interviewing
* Cognitive Behavioral Therapy
* Incident Reporting
Affiliations
* Member of Sigma Gamma Rho Sorority Inc.
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