Camellia S. Chappy

PHONE: 612-***-****

ADDRESS: **** **** *** * ******** Park MN, 55444

EMAIL: ad2bs1@r.postjobfree.com

PROFILE SUMMARY

Dedicated and reliable professional, with nearly 10 years of experience Provides advice, support and coordination to achieve compliance with Joint Commission standards and CMS regulations and counseling and managing healthcare of severely emotionally disturbed children and youth, backed with solid experience in healthcare management, staff development, supervision, and client relations. Possess thorough understanding of client behaviors, program guidelines, and methods of intervention. Adept in crisis management and utilizing appropriate interventions when presented with challenging or unsafe client behaviors. Possess exceptional leadership skills providing a high level of staff productivity and efficiency.

CORE COMPETENCIES

•

•Supervision & Administration

•Cultural Competency

•Psychosocial Evaluations

•Behavior Modification Programs

•Crisis Intervention and Cast Management

•Strategic Action Plans Development and Implementation

•Superior Interpersonal and Rapport Building Skills

•Leadership, Training, and Team Building

•Client Care and Relations

•Time Management and Prioritization

•Problem Resolution and Decision Making

•Articulate Oral and Written Communication

\

PROFESSIONAL SKILLS

•Proficient in Microsoft Office applications (Word, Excel, PowerPoint, Adobe Acrobat and Outlook), with working knowledge of Epic PB, insurance/payer updates, and vendor updates (Inpatient Clinical Documentation, ADLs).

•Committed and accustomed to working with mentally and behaviorally challenged clients; capable of establishing rapport, making them comfortable and open for intervention.

•Demonstrate strong interpersonal and communication skills; able to work effectively with individuals and agencies across all levels.

•including complex financial data

•Excellent team player who is willing to initiate discussions as well as compromise for the benefit of clients and attainment of organizational goals.

•Exhibits a working knowledge of other key regulatory standards, including OSHA, HIPAA, etc.

•Prepare, file, retrieve, and maintain records, and documents from departmental filing systems; develop forms and/or assist with revision; oversee and manage supplies and inventory.

•Experience with the Medical Management Information System (MMIS) payment and eligibility system.

•Passionate in motivating students to identify life goals, facilitate positive change, obtain personal growth, while recognizing and overcoming barriers to personal success.

•Extremely focused with remarkable work ethic amidst critical and highly stressful situations.

•Effective in prioritizing and managing multiple projects simultaneously.

•Works in collaboration with the Accreditation Program Manager to advise clinical, operational, and physician leaders of new standards, changing requirements, and critical topics.

•Participates in survey readiness planning.

•Supports survey coordination requirements including scheduling, logistics, and documentation needs.

•Designs, prepares, and distributes meaningful reports.

•Provides advice, support, and coordination to achieve compliance with Joint Commission standards and CMS regulations.

PROFESSIONAL EXPERIENCE

Case Management Asst

2022-Present

Screen and identify potential candidates for program participation.

Perform client intake services.

Develop client service plans in compliance with funder requirements.

Identify and work to resolve barriers clients may encounter (language barriers, eligibility criteria, services fees, geographic location)

Provide resources and referrals necessary for clients to obtain and/or maintain access to HIV medical care.

Conduct reevaluation and follow up assessment throughout length of care in compliance with funder requirements.

Provide outreach to client’s family, friends, and significant others.

Maintain consistent contact (office visits, home visits, and telephone calls) with clients to sustain ongoing supportive relationship.

Partner closely with care team to implement service plan and to assure all team members are informed of clients’ needs and medical status.

Document services provided in a manner compliant with funder requirements.

Complete reports on services used and services needed by clients.

Maintain the level of knowledge and skills required to perform all duties in compliance with Ryan White case management and grant standards.

Other duties as assigned.

Medical Billing RCM Specialist

2019-Present

HCMC

RESPONSIBILITIES

Gathers information from patients, clients/family members, HCMC clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services

Requests, inputs, verifies, and modifies patient's demographic, primary care provider, and payor information.

Utilizes tools, including computer programs, when indicated.

Make appropriate referrals (i.e., Patient Financial Care Specialists, Collections Specialists) as appropriate.

Provides excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.

Answers questions (by phone and in-person) and provides quotes for services (including discounts), identifies financial resources, etc in accordance with HCMC policies and procedures.

Utilizes various databases and specialized computer software for financial care activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.

Establishes plans (patient liabilities, payment, etc.) and conducts follow up activities related to those plans.

Inputs, retrieves, and modifies information and data stored in computerized systems and programs; generates reports using computer software.

Explains charges, answers questions, and communicates a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies.

Works with Claims and Collections (both internally and with collection agencies) to assist patients and their families with billing and payment activities to increase cash flow.

Other duties as assigned.

Health Insurance Program Representative 1 Oct 2018

MNsure

•Experience in Health Care with an emphasis on Minnesota Health Care Programs.

•Established new customer accounts, which included providing insurance program and pricing option information and organization of customer documents before agent execution and submission.

•Experience using state mainframe systems such as MAXIS, MMIS, and METS.

•Develop and implemented customer understanding of our products which resulted in increased company efficiency and productivity.

•Knowledge of the Affordable Care Act.

•Ability to administer policies, procedures, and systems to discuss eligibility concerns or enrollment issues.

•Ability to multi-task and work independently with a strong work ethic and demonstrated record of regular attendance.

•Ability to interact and communicate with a diverse group of individuals.

Mental Health Practitioner Jun 2018 – Oct 2018

Kaire - Golden Valley, MN

•Mental Health Practitioner provides support to patients diagnosed with mental health conditions.

•Specific responsibilities for this job are conducting health assessments, creating personalized treatment plans, organizing therapy sessions, supervising courses of treatment, and assessing results, and referring patients to health professionals.

•Abilities such as clinical skills, medical teamwork, bedside manners, empathy, a non-judgmental approach, strong interpersonal skills, and recordkeeping.

Nursing Assistant/ Health Care Assistant May 2008 – Present

Hennepin County Medical Center - Minneapolis, MN

•Answer patient call signals, signal lights, bells, or intercom systems to determine patients' needs.

•Apply clean dressings, slings, stockings, or support bandages, under the direction of nurse or physician.

•Change bed linens or make beds.

•Clean and sanitize patient rooms, bathrooms, examination rooms, or other patient areas.

•Collect specimens, such as urine, feces, or sputum.

•Communicate with patients to ascertain feelings or need for assistance or social and emotional support.

•Document or otherwise report observations of patient behavior, complaints, or physical symptoms to nurses and in Epic (electronic medical record system).

Internship Feb 2018

North Point Health and Wellness Center - Minneapolis, MN

•Ensure client database is always well-maintained, making sure to include all necessary notes, forms and supplementary information through weekly checks and updates to promote efficiency.

•Meet with clients, individuals and community organizations as needed to create health programs designed for individual use and for groups.

•Participate in weekly outreach efforts to raise community awareness of general health, new diets/exercise programs and health risks to specific groups, such as pregnant women, minorities, and low-income populations.

•Review currently existing programs and health initiatives to ensure they’re up-to-date, effective, and safe for their intended audience(s).

•Reach out to clients daily using a variety of mediums (phone, person) to check up on their progress, answer questions, make personalized recommendations and changes to their programs if necessary.

•Complete administrative tasks on an ongoing basis to ensure proper and organized record keeping, working with staff members when/if necessary.

Refugee/Immigration Aide/ Case manager Internship Aug 2015

Lutheran Social Service Minnesota

•Helped refugees with immigration paper filing.

•Drove clients to doctor’s appointments.

•Set-up apartments for refugees that just arrived in the USA.

•Introduced clients to USA culture and helped clients find additional information that they may be required.

African Immigrant Services May 2015

Brooklyn Park, MN

•Contributed to management team activities on a regular basis.

•Assisted in establishment of consistent customer service policies and procedures.

•Oversaw regulation and coordination of a variety of community services.

•Maintained and updated customer activity records as required.

•Furnished assistance with staff evaluations and assessments.

•Evaluated client needs and plans on a regular basis.

•Assessed client eligibility for specific programs as required.

North Ridge

New Hope, MN

CNA NURSING ASSISTANTS NARS 2006 -2008

The Nursing Assistant (NAR) assists with providing total personal care to the residents in a safe and efficient manner. Help residents with bathing, eating, grooming, ambulating, and transferring. Make their day comfortable and enjoyable! Report on changes in resident conditions to licensed staff.

Grape Tree Medical Staffing, LLC

Nursing agency in Brooklyn Park, Minnesota 2019

CNA NURSING ASSISTANTS

Allowing for some variation in duties from one work setting to another, the following are typical responsibilities of CNAs:

Assist patients with activities of daily living, including bathing, toileting, dressing, feeding, and walking or exercising.

•

Record vital signs, height, and weight.

•

Measure and record dietary intake and output.

•

Observe or examine patients to detect symptoms that may require medical attention.

•

Document all care provided and refused and submit paperwork.

•

Maintain patient confidentiality.

•

Assist nurses or physicians in the operation of medical equipment or provision of care.

•

Transport patients to treatment units, operating rooms, or other areas using wheelchairs, stretchers, or movable beds.

•

Clean and sanitize patients’ clothing, rooms, bathrooms, examination rooms, or other areas, maintaining safety standards and infection control procedures.

EDUCATION & PROFESSIONAL DEVELOPMENT

The College of St. Scholastica - Duluth, MN

Master of Science Health Information Management Aug 2024

St Mary’s University of Minnesota Apr 2018

•Bachelor of Science in Healthcare Management and Human Services

Minneapolis Community and Technical College - Minneapolis, MN Dec 2015

•Associate degree - Human Services

Minneapolis Community and Technical College - Minneapolis, MN Aug 2006

•Certified Nursing Assistant & Home Health Aide/CPR

Elk River, MN Jun 2004

•High School Diploma

ACCOMPLISHMENT

•Led a team of 10 volunteers in planning, preparing, and serving meals for approximately 30 residents for families of ill children in the African Immigrant Community.

•Trained new hires at Hennepin County Medical Center to get them up to speed with accuracy.

REFERENCES

Available upon request

Contact this candidate