Verhonda Wiltz
ac6aeo@r.postjobfree.com
Experienced manager with excellent client and project management skills. Action oriented with strong ability to communicate effectively with technology, executive, medical and business audiences
EXPERIENCE
Americorp, Houston Council for Literacy, Houston, Texas-GED/ESL Tutor/Instructor Volunteer 08/2016-present
Proctored TABE and BEST testing, tutored and mentored adult students for GED exam, Instructor for beginner and intermediate adult ESL classes, assisted with student data collection, taught professionals using the BurlingtonEnglish ESL software program ProHealth Staffing, Houston, TX-Content Abstractor RN 1/2016-03/2016
Audited medical records in Clinic Station EMR for correct medications, medical histories and social information, HEDIS goals and transferred corrected information to EPIC EMR Harris Health System, Houston, TX Clinical Nurse Case Manager 8/2006- 6/2014
Coordinate outpatient medical and mental health care and provide community social resources for homeless individuals and families
Processed Social Security Disability applications with 90% positive results Prepared mandatory reports for city, county and state health departments Educated and instructed clients with managing chronic conditions Educated clients on preparations for ancillary testing Increased housing for clients by 10%
Houston ISD, Houston, TX Elementary School Nurse 8/2004- 8/2006
Triaged for illnesses, injuries and special needs of students and faculty Filed initial Workman’s Comp Claims and Risk Management forms for injured faculty Performed state mandated hearing and vision testing on all required students Monitored and maintained student immunization records with 80% compliance rate. Recommended community resources for faculty and families Planned and coordinated community resource representatives in providing on site trainings, services and screenings for students and faculty
Amerigroup, Bellaire,TX High Risk OB Case Manager 11/2002 - 8/2004
Coordinated telephonic medical care inpatient and outpatient for Medicaid high risk OB clients Audited and reviewed all medical requests for hospital admissions, medications, home health and durable medical equipment for medical necessity Educated clients on importance of health maintenance and compliance Harris County Hospital District, Houston, TX-Nurse Auditor 1/2000-11/2002
Reviewed and provided comments on the accuracy of Medicare/Medicaid billing and took necessary steps to correct any deficiencies
Prepared correspondence, accounting and financial documents for analysis Provided on site revenue management training
EDUCATION
Alvin Community College, Alvin, TX Associate
8/1983 - 5/1986
Registered Nursing
Lamar University, Beaumont, TX Bachelor
8/1979 - 8/1981
Speech Pathology
SKILLS
Certified TABE Administrator
Certified BEST Administrator
BurlingtonEnglish Administrator
ESL instructor
EPIC user specialist
Pharmaceutical knowledge
Creative problem solving
Customer needs assessment
Client Advocacy
Revenue management
Accurate data management
Experienced event coordinator
Detailed quality assurance auditing
Financial saving problem solving
Medical chart auditing
Quality assurance auditing
Experience in Medicare billing regulations
AWARDS
Customer Service Employee of the month
Outstanding Employee Service Award