Clerical

Debra Hoague

*** * ******* **** **

Caribou, ME *4736

Home: 207-***-****

*/** ** *******

Sodexo Food Service / UMPI

Supervisor

Supervise staff on tasks needed to run the dining area. Clean and make sure machines are working properly. Run the salad/deli department . Ensure the proper tempertures of foods and refrigerators. Greeting public and students of 250 people, operating the cash register. Wash and sterlize tables, machinery, dishes, counters, floors. Responsibile for locking up at night.

6/14 – 12/15

DHHS/ MaineCare/Third Party Liability

Medical Care Coordinator

Provide support for the Estate Recovery Unit. Review Notice to Creditors from Probate Courts. Produce the Vital Match report. Review assets to determine if further investigation is needed to determine whether a case needs to be opened. Responsible for the identification and distribution of incoming and outgoing mail for all of Third Party Liability which includes Estate Recovery, Casualty Recovery, Private Health Insurance Unit, the Insurance Recovery and Audit Unit. Responsible for the purging of closed cases. This position is also utilized for any supportive needs for all other units as needed

Communicate with MaineCare members to match their needs to Department of Health & and Human Services. Coordinate service for members, connect all local resources, helping members with solving problems in new ways.

Work with medical providers, other health care providers, and community supports.

Assist the Reimbursement Specialist with recovering monies from Hospital Audits.

Assist the Reimbursement Specialist with recovering monies from client Estates.

Work with confidential computer systems.

6/99-6/2014

Medical Care Coordinator, DHHS/MECDC/Bureau of Health and Human Services, Maine Children With Special Health Needs

Communicate with physicians, medical care providers, employers, health insurance companies, and MaineCare members in order to explain and determine eligibility for MaineCare services. Receive and respond orally and in writing to eligible members/caretakers how MaineCare services can be obtained; how the MaineCare program can provide assistance with arranging transportation, scheduling appointments and referrals for services not covered under Medicaid; and assist people with Medicaid denials. Review and determine client eligibility for special services and non-standardized MaineCare medical services. Also explain to individuals who belong to managed care plans such as Prime Care or NylCare Choice, must go through his/her Primary Care Provider (PCP) to obtain services as well as referrals to specialists. Review members records in order to ensure appropriate appointments and follow-up visits are being maintained. Also plan and assist the Provider Relations Specialist with activities that promote the goals and objectives of the program such as draft and prepare reports, educational materials and prepare and coordinate exhibits and materials.

12/97-6/99

Chemist Assistant, DHHS/Bureau of Health and Human Services, Maine Immunization Program

Assist in managing and administering the vaccine distribution center to ensure federal requirements for maintaining proper storage, handling and distribution of over 10 vaccine types. Communicate with physicians, pharmacist, medical care providers, and employers in order to provide technical information for requirements of program participation. Receive and respond to inquiries from the medical community in completing applications, providing information, and resolving problems in order to ensure vaccine eligibility.

Review and determine eligibility of provider applications for program participation. Discuss and explain policies and procedures for proper vaccine storage to health and medical service providers. Analyze and assess vaccine usage reports to ensure proper amounts of vaccine are being used and monitor wastage. Gather/analyze/assemble information to prepare and provide weekly reports for vaccine inventory. Receive/review/approve vaccine orders from medical providers through ImmPact Data System and provide technical information and assistance on ImmPact. Maintain and monitor UPS shipping database to identify and analyze vaccine shipping problems and implement corrective actions if needed. Developed and presented ImmPact training sessions for health and medical providers and Department employees.

2/97-12/97

Clerk Typist II, DHHS/Bureau of Health and Human Services, Maine Immunization Program

Screening all calls and correspondence for the program to ensure proper distribution of information. Gathered/assembled/analyzed information for the legislature, fiscal reports, travel reports, and bureau reports requested by the Program Manager and staff. Communicated with physicians, medical care providers, pharmacists, and general public on childhood and adult immunization recommendations. Received and respond to inquiries from the medical community, organizations and citizens orally and in writing to provide vaccine technical information. Investigated and analyzed international travel vaccine requirements in order to identify and determine proper federally required international vaccines are obtained before traveling out of the country. Assisted in analyzing and assessing vaccine usage reports to ensure proper program requirements are being met. Reviewed and determine eligibility of provider applications for program eligibility participation and prepared reports for data entry. Also assisted in responding to inquiries from the medical community in completing vaccine eligibility applications and usage reports to provide information and resolve problems in order to ensure vaccine eligibility. Contacted and interviewed citizens when epidemiological investigations occurred in public health disease outbreaks for analysis of cause and prevent further spread of disease. Review/monitored/authorized payments for pharmaceutical and laboratory bills. Also assisted in identifying and analyzing billing disputes to ensure proper reimbursement. Assist office manager and performed additional tasks as needed.

References

Deen Dunn, Manager Benefits Recovery

Work: 624-4065

Toni Wall, Quality Management Manager

Work: 287-6338

Patricia Williams, Assistant Director, Children With Special Health Needs

Work: 287-4802

Tina Walker, Reimbursement Specialist

Work: 624-6947

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