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Insurance Verification Residential Supervisor

Location:
Katy, TX
Posted:
November 09, 2023

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Resume:

Ashley Ragston

Katy, TX *****

ad0y2m@r.postjobfree.com

+1-346-***-****

Hands-on Residential Supervisor with a strong commitment to providing for the safety, health and well-being of individuals in a group home. Offering a high level of energy and able to remain calm and poised in stressful situations. Considered a valuable asset and a champion for both team members and residents. Team-oriented Residential Supervisor with extensive talents in activities management and staff scheduling. A focused professional with more than 5 years' expertise providing safe, welcoming environments for individuals with a range of disabilities. Seeking a new position with a great organization.

Work Experience

Insurance Verification Specialist

Northside Gastroenterology Associates - Houston, TX January 2022 to Present

• Accurately enter insurance information into computer system.

• Responsible for pre-certification/authorization and insurance verification for all patients.

• Research, follow up and resolve open & pending authorizations in a timely manner

• Calculate cash estimates for patients on upcoming visits/ procedures.

• Contact patients regarding financial obligations.

• Document activity in the patient accounts.

• Concisely, precisely and accurately document all information. Health Care Giver

Tobi Health Care - Houston, TX

September 2009 to Present

• Delivered assistance to elderly clients in daily activities including bathing, dressing, physical transfers and care for incontinence

• Administered prescribed medications under direction of physician

• Wiped down equipment with proper cleaning products after each patient transport to reduce instances of infection

• Completed entries in log books, journals and care plans to document accurately report patient progress

• Helped clients with managed home care, ensuring efficacy of care by monitoring health status

• Assisted with general household activities, such as cooking, meal preparation and grocery shopping

• Helped patients safely transition between sleeping surfaces and mobility assistance such as wheelchairs by providing consistent support

Paraprofessional

Trinity Charter Schools - Katy, TX

January 2021 to November 2021

• Assist in individual and group instruction of students, as assigned by the teacher.

• Assist teacher in supervising students in the classroom, to maintain a positive and effective learning environment.

• Take on additional assigned responsibilities in the temporary absence of the teacher from the classroom

• Assist in the implementation of Positive Behavior Intervention Plans.

• Assist teacher in supervising students throughout the scheduled workday, including before and after school hours, during transitions and recreational activities, for restroom breaks, and at mealtime.

• Follow all school policies, and assist with the appropriate enforcement of established rules and guidelines

• Model appropriate language, dress, and behavior for students.

• Communicate professionally and effectively with students, administrators, teachers, and other school staff.

• Other duties as assigned.

Insurance Verification Specialist

Westpark Springs Hospital - Richmond, TX

March 2018 to January 2021

• Accurately enter insurance information into computer system.

• Responsible for pre-certification/authorization and insurance verification for all patients.

• Research, follow up and resolve open & pending authorizations in a timely manner

• Calculate cash estimates for patients on upcoming visits/ procedures.

• Contact patients regarding financial obligations.

• Document activity in the patient accounts.

• Concisely, precisely and accurately document all information. Resident Care Aide

Willow River Farms - San Felipe, TX

June 2019 to February 2020

• Wiped down equipment with proper cleaning products after each patient transport to reduce instances of infection

• Reported any unusual or urgent circumstances in patients' condition or environment immediately

• Kept close eye on behavior and emotional responses of clients, consulting with management to address concerns and protect each person from any harm

• Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life

• Assisted patients with handling daily chores and errands by transporting to appointments, cleaning personal spaces and purchasing supplies

• Performed household tasks such as laundry, dusting, washing dishes and vacuuming

• Monitored and maintained cleanliness, sanitation, and organization of assigned station and service areas

• Planned, prepared and served meals and snacks according to prescribed diets

• Monitored and assisted residents through individual service plans modulated by the facility

• Recognized and reported abnormalities and/or changes in patients' health status to case manager Supervisor Residential Treatment

Tobi Health Care - Wallis, TX

April 2014 to May 2019

• Supervised staff

• Make sure clients are safe

• Observed student behavior and developed behavioral interventions

• Helped to organize client's schedule

• Maintains age appropriate rules and enforces the behavioral management system, including proper conduct of residents

• Worked collaboratively with other mental health professionals to provide consistent care and minimize diversion

• Prescribed and monitored psychiatric medications and recommended clinical interventions when needed

• Utilized positive uncertainty and multi-systemic family systems therapy to encourage clients and help to handle ambiguity, accept inconsistencies and trust intuition in decision-making

• Directed family-centered, strengths-based, culturally competent and individualized intakes and assessments

• Ability to restraint when needed to be

Supervisor

Five Oaks Achievement Center - New Ulm, TX

November 2013 to March 2014

• Supervised staff of associates and resident assistants

• Charted on each patient daily

• Scheduling

• Prescribed and monitored psychiatric medications and recommended clinical interventions when needed

• Supervises residents in activities in order to observe or effect changes in their social behavior. Teaches rules, manners,

• policies for interpersonal relationships, personal care, etc.

• Completes shift documentation including but not limited to residential case notes, incident reports, and resident inventory

• Maintains age appropriate rules and enforces the behavioral management system, including proper conduct of residents

• May administers and records medication as ordered by physician

• Works to prevent unacceptable behavior in resident or group. Education

DIPLOMA

PENN FOSTER HIGH SCHOOL

Skills

• Supervisory training

• Privacy and confidentiality

• Patient care

• Positive behavior modeling

• Patient-focused care

• Scheduling

• Behavioral Intervention Plans

• ADLs

• Behavior management

• Special education

• Patient monitoring

• Home care

• Medication administration

• Classroom management

• Experience working with students (6 years)

• Curriculum development

• Caregiving

• Behavioral therapy

• Customer service (3 years)

• Typing (4 years)

• English

• Phone etiquette

• Medicare

• Insurance verification

• Medical office experience

Languages

• English - Expert

Certifications and Licenses

CPR Certification

First Aid Certification



Contact this candidate