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Medical Records Service Management

Location:
Raleigh, NC
Posted:
April 21, 2024

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Resume:

LEONORA K. LAMPTEY, MS, QP

919-***-**** ad46ax@r.postjobfree.com Raleigh, NC

QUALIFICATIONS SUMMARY

Punctual People-Oriented Results-Driven Reliable

Organization Skills Multitasking Skills Oral and Written Communication Skills

Planning & Coordinating Delegation Decision Making

Individual Empowerment Training Teaching Problem Solving Skills Adaptability

MS Office MS Publisher MS Access Initiative Attention to Detail

EDUCATION

Master of Science, Psychology October 2017

Purdue University, West Lafayette, IN

Bachelor of Science, Health Service Management May 2014

East Carolina University, Greenville, NC

RELEVANT WORK EXPERIENCE

SERVICE COORDINATION SUPERVISOR 11/2022- current

A liaison between individuals, families, agency, other treatment providers and community partners

Worked collaboratively with all departments to ensure timely referrals to appropriate services.

Maintaining good relationships with our community stakeholders and clients

Oversight of 3 staff

Holds monthly/bi-weekly individual and corporate meetings

Administrative responsibilities (manage/ process claims and billing/insurance inquiries,

denials with billing department, gathering insurance information and insurance termination proofs).

Attend conferences and events

Provides program staff (and others as assigned) with adequate supervision, training and feedback on their performance.

Complete Medical Records Requests

Monitor and evaluate service coordination within programs.

Completing pre-screening for appropriate level of care

Scheduling comprehensive clinical assessments

Developing a resource directory of local social service agencies and providers

Assisting the team members in resolving customer complaints, and managing process discrepancies

UTILIZATION REVIEW COORDINATOR 04/2021- 10/02022

Holly Hill Hospital

Coordinate and monitor appropriate utilization and documentation of services throughout the course of treatment for patients admitted to the inpatient and outpatient programs and coordinate authorization with third-party payors.

Review cases for appropriateness of admission, continued stay, and discharge planning.

Assist in the promotion and maintenance of high-quality patient care through the analysis, review and evaluation of clinical practices within the Hospital.

Recommend plans of corrective action and monitor the impact of the action taken.

Maintain communication system based on documentation and verbal exchange regarding treatment.

Communicate with internal and external entities to facilitate acquisition of resources.

Completing retro and appeal

Running Medicare admit and discharge reports to ensure regulatory requirements were met for physician certifications and re-certifications.

Checking UR mail for notifications from business office to support claim and recovery efforts.

AS- STAND IN- DIRECTOR

Holly Hill Hospital 4/2022-6/2022

Completing retro and appeal/grievances

Running Medicare admit and discharge reports to ensure regulatory requirements were met for physician certifications and re-certifications.

Completing flash reports for morning leadership reporting regarding UR optimization.

Checking UR mail for notifications from business office to support claim and recovery efforts.

Running CFO reports to access for variance in authorization v/s length of stay.

Validated pre-certifications and concurrent authorizations were completed and documented in the system by discharge

REGISTERED BEHAVIORIAL THERAPIST 05/2017 – 03/2021

Learn With The Best, Raleigh, NC

·Execute developed behavior plan of care for 30 children with autism, epilepsy disorder, ADD/ADHD

·Prepare and deliver customized one-on-one lesson plans for 15 special needs students, ages 3 to 17

·Record data on student progress towards treatment intervention plan and make recommendations to supervisors and parents regards action steps

·Utilize positive reinforcements, token economy system, back-ward chaining to achieve modified behaviors

REGISTERED BEHAVIORIAL THERAPIST 10/2015 - 06/2016

Carolina Center for ABA & Autism Treatment, Cary, NC

·Executed plan of care and behavior intervention strategies for 15 special needs children ages 6 to 10

·Conducted ongoing after-school tutoring/consulting session with 8 special needs children

·Prepared behavior intervention goals for one-on-one special needs child

·Recorded observations using antecedent-behavior-consequence method

·Increased motivation for learning using positive reinforcements

PATIENT COORDINATOR 03/2015 – 09/2015

Growing Child Pediatrics/FastBraiin, Raleigh, NC

·Registered 225 new patients into various clinic locations, maintaining confidential patient information

·Cultivated positive environment for incoming special needs patients

·Tended needs of child patients and parent awaiting care

·Created new patient folders and patient file to computer system

·Managed 30 parent informational seminars for new patients

PROGRAM SUPPORT INTERN 01/2014 - 03/2014

Golden Living Rehabilitation Center, Greenville, NC

·Modified safety data sheets for 110 elderly patients using MS Excel and Word for emergency situations

·Organized and filed money spent on work materials

·Contacted equipment suppliers for new supplies needed

·Updated emergency 911 procedures for departments

RESEARCH PROJECT ASSISTANT 03/2013 - 05/2013

East Carolina University, Brody School of Medicine, Greenville, NC

·Prepare lab documents, reports and manuals for safety and hygiene

·Prepared data reports on researched chemicals

·Researched 20 toxic, detoxification mechanism, hazardous and cancer-causing chemicals

·Researched 13 development and application of modern analytical techniques in science databases

·Inventoried 50 lab chemicals and equipment

ADMINISTRATIVE ASSISTANT 10/2011 - 05/2012 East Carolina University, Brody School of Medicine, Greenville, NC

•Managed office documentation using excel, outlook, access and word

•Execute data collection, document report, organization, and presentations

•Exchange documentations through hospitals, medical consultants, specialists, managers and supervisors

•Answered multi-line telephone, routed calls, and took accurate messages

•Performed faxing, photocopying, lifting heavy items and filing duties

•Assisted supervisors with special projects and organize meetings

COMMUNITY CONTRIBUTION

VOLUNTEER 01/2013 - 03/2013

Vidant Medical Center, Greenville, NC

·Provided nurturing care for prenatal infants, changing, feeding and putting them to sleep

·Ensure proper hygienic standards of infant rooms

·Maintained careful records of child patients and documenting their progress

·Interfaced with new patients, parents and staff members

·Maintained accurate records of patient files in medical databases and scheduled patient appointments

VOLUNTEER 01/2012 - 12/2013

Little Willie Center, Greenville, NC

·Provided math, reading and writing tutoring assistance for 250 children/youth, in grades 5th through 9th

HONORS

Volunteer of the Year Award 11/2013

East Carolina University National Society of Leaders and Success

Volunteer Excellence Award 11/2013

East Carolina University National Society of Leaders and Success



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