Sheila M Fox
East Lyme,CT **333
ad5czk@r.postjobfree.com
860-***-**** Cell
Profile
Extremely well organized, personable, professional; establishing long and short term goals, possesses a positive upbeat report with patients, coworkers and outside resources
Professional attitude; possesses a yet realistic outlook while multitasking and as an enthusiastic team player; completely self directed
Ability to demonstrate proficiency in the use of end- users computer applications (MS work, Excel, Outlook) EMR; EPIC, IKnowmd, Advmd, Rajic, PBI filter tool and HIPAA compliance.
Professional experience
Remote Customer Care Intake Specialist/call center, LifeStance Health, Oklahoma
12/2022 - 10/2023
Mental health medication management and talk therapist providers
Assisting new patient and establishing care with a LifeStance Health providers, initial assessment, scheduling, collection of necessary, demographics, and insurance information, handling referrals, and clinical history to a patient appropriate provider
Processing and managing referral paperwork, follow up activities may include; contact referral source, patient, and or provider office to obtain additional information that is required to complete verification of benefits and or prior approvals, communication with patient and provider regarding delays and processing referral or prior authorization and assist with incoming emergency calls as appropriate, to 50 calls intake daily and 50 to 80 calls
Patient service representative
William Backus hospital/Hartford healthcare
11/2016 - 6/2022
Schedule speech therapy, occupational therapy, and physical therapy patients
Manage six therapist schedule daily, including patients rescheduling, and check in and check out processes
Register, patients demographics, explanation of insurance benefits, collect and document co-pays
Daily huddle board representative; coordinate upcoming events, policies, standard work, teambuilding, activities, recognize outstanding employee performance
Maintain providers templates and staff and calendars under minimal direction of site supervisor
Facilitate verifications/precertification for all insurance companies while maintaining an excel report for end of date visits and request of additional visits receive incoming authorization request from providers, via telephone and fax and obtain necessary, administrative information and work to resolve non-clinical issues
Completes daily WQ referrals for intern/external providers, calls place within 24 hours of receipt, scheduling appropriately to the diagnosis, contact provider offices for further details on referrals, if necessary
Patient care coordinator
Connecticut oncology group
1/2012 - 1/2016
Manage satellite office through detail planning, exceptional, organizational skills, and excellent communicator
Performed multi dimensional support for doctors and APRN
Answered multi phone, lines, including affiliated hospital, patient, and private doctors
Check patients in and out while scheduling multiple appointments for office and chemo visits, surgical consultations, radiological examinations and second opinions
Investigate and proceed accurately all medical insurance authorizations
Working with providers and other members of clinical services to solve complex and urgent issues, ensures that appropriate clinical staff within all departments of the organization is appropriately involved with accessible issues.
Receptionist/team leaders supervisor
Gales ferry pediatrics
2008 - 2012
Supervised nine employees, including, but not limited to, their work schedules, vacations, PTO, and performance reviews
Managed coordinated marketing strategies for new families to, establish monthly team leader meetings, including the doctors and clinical staff
Insurance verification prior to patient’s appointments and works side-by-side with the billing office for collections of outstanding balances
Promoted receptionist the satellite office to team leader supervisor at the primary office for exceptional performance