Rita P Alewine

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

Snellville, GA 30039

404-***-****

ad39mr@r.postjobfree.com

Objective: To obtain a position with a company that will offer me a challenge with potential growth and advancement from within.

Experience: Dec 5 2022 - July 2023 Piedmont Eastside Medical Center, Snellville Ga.

PEM Patient Access Day Surgery

•Checking patients in for outpatient surgeries, infusions, pre-ops, etc.

•Entering all patient info into Epic, Demos, patients insurance etc.

•Balancing accounts with stimtions of what's patients responsibilites to their accounts.

•Collecting and balancing cash drawer.

•Verification of all insurances.

•Prior Authrizations

•Calling to confirm patients visits for pre-ops and or surgery's scheduled.

•Working side by side with surgens, nurses and day surery staff with assisting in any areas needed.

•Working with radiology and or other departments as needed.

Jan. 2022 – Dec. 2022 Interim Healthcare, Sandy Springs, GA

Home Care Business Development Representative

•Establishes and maintains contacts and relationships with referral sources for home care patients and clients, including physicians, hospitals, skilled and other nursing facilities, community resources and others appropriate to targeted markets and service lines.

•Prepares and conducts presentations regarding Interim Health Care to organizations where prospective clients might be reached or influenced.

•Implements account development strategies to sell to and secure growth in account market share with large complex referral and payor organizations.

•Uses contact management system to track and report on activity as well as monitor account development status and plan next steps, reviews reports and activity with supervisor on regular basis. In conjunction with the Administrator establishes and monitors the process to track all referral activity, including sources and disposition.

•Works a key account plan established and modified in conjunction with the Administrator. Meets with appropriate operational managers to monitor customer service levels and review identified target accounts.

• Completes other assignments as requested and assigned.

•May have access to personal health information ("PHI") necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization/department.

•

Jan. 2021 – Jan.2022 WellStar Atlanta Medical Center, Atlanta, GA,

PAN / Post-Acute Navigation / Liaison

•Responsible for processing referrals when the patient is ready for discharge.

•Referrals that are to be processed are DME, HHC, SNF, SAR’s, LTAC, Hospice, IV, TPN and Tube feeding.

•Patient cares follow up with the referrals with proper agencies and facilities to make sure everything has been secured properly prior to patient’s discharge.

•Handling phones between referral liaisons, care coordinators, admissions and intake personal.

•Entering all data in EPIC Care Link for all orders processed.

•Follow up in EPIC Care Link with Service Request and all staff messaging.

•Insurance verification in Eligibility E-Solutions, MVP, Trace Tracker for pix cert documentation.

•Preparing daily logs in Excel, then emailing logs to manager at end of the day.

•Making sure the patients are setup with PCP prior to discharge.

•Follow up with the Care Coordinators on all documents needed to properly process a referral if not sent originally to be able to process a referral in a timely manner.

•Help cover other hospitals with within WellStar when needed.

Sept. 2013 – Dec. 2020 Advanced Home Care, Norcross, GA

Sales / Marketing (promoted within company)

•Responsible for 5 hospitals within my territory.

•Handle marketing and sales of all medical equipment.

•Delivery of immediate equipment needed to hospital territories.

•Continuing education of all equipment and updates.

•Lunch & Learns with staff at hospitals to go over new equipment, Medicare & Medicaid guidelines, changes, etc.

•Handle quarterly commission reports.

•Follow up with all Doctors for proper documentation needed for billing purposes.

Oct. 2007 – Sept 2013 Extrakare, now Advanced Home Care, Norcross, GA

Patient Account Representative Level 3 of 3

•Team leader and employee trainer.

•Answering telephone in a timely manner. Taking orders, Order confirmation, physician services, maintaining open order edit list, branch deposit & maintaining stock for the branch.

•Develop relationships with assigned hospital discharge planner, physician groups, or other professional organizations as needed to accomplish team goals.

•Through daily work activities, identifies trends or patterns either system or process driven that can be corrected to show improvement.

•Actively involved in team activities, evidenced by participation, mentoring & training with coworkers.

•Specialize in o2 enteral/tube feeding and IV Patients.

•Achieve companywide order edit list goals of 5 days and show progression towards goals in terms of money and number of pages. Achieve company goal for operational audit for region or show progression towards goal. Achieve company goal for regulatory audit for region or show progression towards goals.

•Obtain assignment agreement signed and reviews new patient packet with patients.

•Balance cash drawers daily, completes deposits and balances to finance cash

Jan. 2005 - Oct. 2007 Lincare, Lawrenceville, GA

Patient Account Representative Level 2 of 3

•Answering telephone in a timely manner.

•Taking orders, Order confirmation, physician services, maintaining open order edit list, branch deposit & maintaining stock for the branch.

•Develop relationships with assigned hospital discharge planner, physician groups, or other professional organizations as needed to accomplish team goals.

•Through daily work activities, identifies trends or patterns either system or process driven that can be corrected to show improvement.

•Actively involved in team activities, evidenced by participation, mentoring & training with coworkers.

•Submit and follow up on CMN’s

•Working held sales reports

Education: 1973-1978 / Shamrock High School / Decatur, GA / Vocational Technical Diploma

Qualifications: Microsoft Word, Excel, Power Point, Access, Quick Books, Microsoft Outlook, 97-2010 Windows, Windows XP Home and Office, plus special programs / databases such as Ceridian Software experience, Brightree experience, CPR, Epic Care Link, Vyne Tracker, Eligibility Live, Certifications from VGM, Certified X-Ray Technician

Contact this candidate