Objective

My extensive experience would serve your company well., I have held increasingly responsible positions in my field. The stable work history listed attests to my employment loyalty and belief in following company policy to the letter. I am recognized for my ability to assess a situation and devise a corrective action to the issue in a timely manner.

Education

University of Phoenix

2015 - Bachelor of Science in Healthcare Administration

Phoenix, AZ

Lawrence Central H.S.

January 2001 Core 40 Diploma

Indianapolis, IN

Experience

October 2017- November 2018 Fusion Event Staffing Alpharetta, GA

Executive Assistant of Finance

Process Timesheets for Payroll

Payroll Invoicing

Maintain financial records for client companies by analyzing balance sheets and general ledger accounts

Reconcile bank statements by comparing transactions to the general ledger

Assist with day-to-day operations of the Finance department, including filing, report generation, budget review, etc.

Maintain accounting documents and records, ensuring all files are up to date

Process I-9 forms

January 2016- Oct 2017 United Healthcare/ Optum Atlanta, GA

Clinical Administrative Coordinator

Provide holistic family support to families of children with special needs, owning end-to-end resolution of benefit issues

Serves as an ongoing, single point of contact for members, primarily via the phone channel (may also will use email, chat, text), delivering compassionate support to consumers, creating a memorable, positive consumer experience. Must create and build ongoing relationships with others (to include both consumers and teammates).

Plans, prioritizes, organizes and completes work to meet established objectives.

Anticipates member needs and proactively seeks out external and internal resources where appropriate to add unexpected value for the member. Ability to determine appropriate referrals to other programs / services as needed without technology guidance.

Provides end to end resolution of coordination of benefits, and medical & pharmacy claims, billing / appeals / prior authorization / etc. issues; striving to remove the burden from the consumer

Help members with medical, behavioral and pharmacy needs as well as connect them with resources in and out of our company.

Support in researching and identifying healthcare providers that meet and align with consumer needs

Educate and coach consumers on clinical, wellness and community resources they can use to help increase their family’s quality of life

Educate consumers on their benefit package and quarterback interactions to additional benefit experts or resources. Expected to do much more legwork on the member’s behalf and not transfer.

Intervene with care providers (healthcare provider offices) on behalf of the consumer to assist with appointment scheduling or connections with internal specialists for assistance when needed

Patient Care Coordinator

Verify Program Eligibility

Coordinate outreach to schedule and confirm home visits with NP’s

Track all inbound and outbound calls and NP visits

Documents all activity in electronic health record

Identify and correct inconsistencies in documentation demographics/notations

Fax NP encounter assessments to PCPs

Communicates and collaborates with other members of the team (NP, NCM, manager) to coordinate care and services

Coordinate inbound/outbound calls – patient calls, appointments, DME, referral updates

Maintain confidential health information according to state and federal regulations including HIPAA.

Assist with gathering and organizing of appropriate medical records (e.g. history and physical, l ab work, test results).

Monitors EMR for note completion and assigns patients to appropriate provider and program

Perform data collection, data entry and quality monitoring activities, as applicable

August 2013-December 2015 WellCare Health Plans, Inc. Atlanta, GA

Provider Operations Coordinator

Supports the Provider Relations Field Reps to resolve claims and payment issues.

Answers incoming telephone inquiries from providers and assist with problem resolution of issues.

Root cause analysis of operational and health services issues.

Reviews and processes incoming and outgoing paperwork, including directory updates, provider credentialing applications, contract maintenance forms and other related forms.

Tracks new contracts through sidewinder.

Audits configuration loads on new contracts.

Provides office, project management, provider recruitment and data analysis support.

Performs special projects as assigned or directed.

Administrative Sales Assistant

Supported the Director and VP of the Sales Department; as well as managers and sales agents.

Worked on various programs which includes Salesforce, Oracle, MS office and Outlook..Perform essential non-daily routine duties as assigned by management and corporate to promote effective office flow.

Provided administrative services such as ordering business cards and supplies, printing labels, developing and printing flyers etc. for the sales team. Filed expenses for management. Booked hotels for travel Scheduled department meetings.

Managed calendars for management. Prepared documents for department meetings

Accomplishments and Awards

Ability to maintain personal health information confidentiality (PHI).

Efforts ensured compliance with HIPAA regulations to improve patient care/satisfaction.

Performed administrative duties utilizing specific knowledge of medical terminology and hospital, clinic, or laboratory procedures. Duties include scheduling appointments, billing patients, and compiling and recording medical charts, reports, and correspondence.

A solid understanding of inventory related best practice and coordinating inventory related projects.

Managed compliant data disposal & off-site storage of medical records.

WellCare Health Plans, Inc. – Service Award (March 2015)

WellCare Health Plans, Inc. – Service Awards for Cross Departmental Projects (July 2014 & March 2015)

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