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Health Care Case Management

Location:
Camden, NJ, 08102
Posted:
November 18, 2023

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Resume:

IVORY CORRELL-WILSON

New Castle, DE.***** 267-***-**** ad09ck@r.postjobfree.com

Professional Summary

Dedicated health care professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow, and excel in Healthcare Management.

Skills

·SKILLS/KNOWLEDGE:

·Lawson Systems

·IDX Certified

·Proficient in EPIC

·Delphi- Oasis System

·MDAudit

·Avatar Systems

·Verus

·Zoom, Skype

·Sharepoint

·Navinet

·UHC portal

·Interviewing skills

·Teambuilding

·Excellent Communication

·Problem-Solving

·Multitasking Abilities

·Organization and Time Management

·Proficient in MS Office (Word, Excel, and Powerpoint)

·Attention to Detail

·PPE Compliance

·Teamwork and Collaboration

Work History

Case Management Specialist, 05/2021 to Current

CHILDREN'S HOSPITAL OF – PHILADELPHIA, PA

·Ordering and managing supplies for department

·Reconciling payor faxes

·Reconciling messages and forwarding and executing request

·Receiving and sorting mail

·Reserving conference rooms for meeting request

·Entering denials, appeals, determinations and various documents into patient EPIC charts

·Reconciling inpatient days into Epic

·Interviewing potential new employees

·Organizing onboarding for new employees

·Obtaining prior authorizations for transports for patients upon discharge

·Obtaining prior authorizations for benefits for patients prior to discharge

·Entering patients risk scores in Epic system

·Requesting and managing IS task for Case Management

·Assisting with onboarding new employees

·Executing transportation for patients between facilities and home

·Performing various task as assigned

Clinical Operation Support, 04/2012 to 12/2018

PENN MEDICINE – Philadelphia, PA

·Answer multiple phones for Child and Family department

·Input client triage information, verify insurance, and schedule appointments

·Insurance verification

·Input doctors and therapist schedules into Avatar systems

·Retrieve client charts for upcoming appointments

·Prepare information for Clinical Staff Meetings, take meeting minutes, and distributes minutes throughout department

·Prepare meeting agendas and materials for Policies and Procedures Committee meeting and update policies and submit them for posting on intranet.

Administrative Assistant, 05/2006 to 04/2012

University of Pennsylvania Health System – Philadelphia, PA

·Managers and Billing Compliance staff with task as assigned

·Responsible for the coordination of Microsoft Outlook calendars for (Associate Vice President and Billing Compliance Officer, Director, Associate Directors, and Managers) and scheduled all internal meetings

·Ordered, maintained, and administer supplies for the entire office personnel

·Scheduled meetings, prepare materials, follow up on confirmations, and file all documents for the meeting for AVP, Director, Associate Director (Professional Liability) and Managers

·Answered multiple phone lines and administered calls for Chair(s), Legal Department, Physicians, and consumers

·Formatted Excel spreadsheets, input statistical data, and revised documents pertaining to audit results meetings and education sessions

·Coordinated MS Outlook calendars and scheduled all annual education sessions, prepared materials for sessions, inputted statistics upon session completion, and submitted all documents to the CME Office upon completion of education sessions

·Coordinated MS Outlook calendars and scheduled all Initial Audit meetings, and conference calls for CPUP and CCA; prepared materials for the meetings and tracked statistics in Excel for refunds to be processed

·Received, sorted and distributed mail to department personnel

·Tracked and submitted monthly expenses for payment processing

·Filed, proofread, edited, and typed correspondence

·Executed any other assigned tasks., Checked patients in and out for appointments; documented and accepted co-payments; copied insurance cards and obtained signatures when required

·Answered multiple phone lines and entered appointments into IDX

·Processed medical records request in accordance with protocol

Patient Service Representative, 09/2004 to 03/2005

University of Pennsylvania Health System – Radnor, PA

·Checked patients in and out for appointments

·Collected co-payments and made cash deposits

·Answered multiple phones and scheduled and updated appointments in IDX

·Operated EPIC Systems to create telephone encounters logs

·Processed and verified insurance referrals.

Education

Master of Science in Health Administration, Expected Completion 01/2024

University of Phoenix - Philadelphia, PA

Bachelor of Science in Health Care Management, Degree Awareded 01/2022

University of Phoenix

CERTIFICATION IN MEDICAL TERMINOLOGY COMPLETED: AMERICAN, 2020

AAPC, PROFESSIONAL CODERS) ONLINE

Diploma: Medical Office Administration, 06/2004

DPT Business School - Philadelphia, PA

ICD 9 and CPT Diagnostic and Procedural Coding; Lytec Medical Systems; Medical Terminology; Microsoft Excel

Affiliations

AAPC- American Academy of Professional Coders

IAP- International Association of Professional Organizations

Certifications

Certified Life and Relationship Coach

Certification in Medical Terminology and Anatomy and Physiology

Project Management



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