Objective: Highly motivated professional with excellent leadership skills. Performance-driven individual who can create immeasurable success on a team and turn complex problems into solutions.
Experience: 11/13 – 03/14 AmeriHealth Caritas N. Charleston, SC
Rapid Response Care Coordinator
Assesses members to determine care coordination and case management needs
Completes comprehensive assessments of environmental, psycho-social and support needs
Schedules follow-up calls as necessary and makes appropriate referrals to management
Coordinates care and services with members and family members as appropriate, PCP’s, specialists and facility/vendor providers
Collaborates with department staff to assist members in receiving quality and cost effective services
05/13 – 08/13 Nason Medical Center Charleston, SC
Referral Coordinator
Ensure complete and accurate registration, including patient demographic and current insurance information
Responsible for updating Electronic Medical Record
Assist patients in problem solving potential issues related to the health care system, financial or social barriers
Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health
Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list
11/12 – 4/13 Medical University of South Carolina Charleston, SC
Patient Placement Representative
Registration of inpatient and outpatient to the facility
Roll patients from outpatient to inpatient
Obtain trip sheets from outlying facilities to register patients
Obtain insurance information to accurately update patient accounts
Print face sheets and arm band for all patients within facility
Assign correct physicians to patients
1/10 – 5/10 Compass Carolina Health Care Charleston, SC
Assistant Office Manager
Report Directly to Owner as well as Executive Vice President
Supervised twelve peers and supported medical staff
Verify insurance for all patients prior to daily visit
Obtain authorization from insurance company for services
Responsible for all network administration
Responsible for roll out of electronic Medical Records system
New hire and staff refresher training
10/05 – 12/09 Medical University of South Carolina Charleston, SC
Administrative Specialist II
Answered and direct all calls in the department
Printed physicians charts and audited for accuracy
Obtained all information on trauma victims upon arrival to ED
Collected lab results and disbursing to appropriate doctor and nurses
Assisted with roll out of electronic Medical Records system
9/04 – 06/05 Great Atlantic & Pacific Tea Co. Montvale, NJ
Online Customer Care Analyst
Heavy phone contact on daily basis with customers and site managers
Troubleshoot customer billing and technical issues
Handles escalations with customers by taking control and responsibility for every call
Create and maintain all reports for department reporting to President and department Director
Assisted developers with web site design and deployment
Train and support site managers and staff
Education: 2002-2002 William Paterson University Wayne, NJ
Skills: Experienced with interpersonal situations, in a one on one level as well as in a supervisory position. Also experienced working with AS-400, JD Edwards, AccPac, QuickBooks, Quicken, Word Perfect, Word, Excel, Power Point, Lotus, Lotus Notes, Mysis, IDX, and various other computer programs and Internet literate. Capable of handling multiple tasks and a fast learner, organized, efficient, responsible and punctual.
References: Available upon request.