SHERECE WALKER

Queens, NY,

Cell: 347-***-****

Email: adichd@r.postjobfree.com

Education

Nassau Community College – Garden City NY, September 2011-2013

Associate Degree in Arts & Liberal Sciences

Long Island University, CW Post- Brookville, NY September 2016-2018

Bachelor’s Degree in healthcare and Public Administration

Master’s degree in healthcare administration concentration (Gerontology) May 2019

Work Experience

09/2019 to Present- Humana Senior Bridge

Home Care Branch Administrator (Part time)

Ensures that requests for homecare service are filled promptly, and scheduled into computer in a timely manner for all 3 Long Island branches

Ensure that homecare schedules are complete and accurate in computer for the billing cycle

Reviews Santrax records daily to ensure that all staff are at clients as scheduled.

Follows up immediately on any discrepancies.

Reports any client or staff issues to supervisor promptly

Communicate with staff regarding client/family issues

Answers phones and triages calls to appropriate professionals in the branch

Ensures sufficient supplies, stationery and forms on hand in the branch

Data entry Ensures accurate filing of records in office.

Have good and open communication with the billing department regarding client’s insurance issues.

Submit documentation in a timely manner

03/2019 to 08/2019- Centers- Hollis Wood Center for Nursing and Rehabilitation- Hollis, NY

Admissions & Finance Coordinator (Fulltime Monday-Friday 9am-5pm) externship

Take all incoming calls related to admissions

Conduct facility tours

Confirm rooms are ready prior to an admissions arrival

Show admissions to their rooms upon admission

Facilitate room changes and room assignments

Update facility bed board daily

Send out admission alerts to the facility

Meet all residents within 72 hours to interview the resident/responsible party and ensure that there is cooperation regarding payment and Medicaid applications (where applicable).

oResidents that are Private pay or Medicaid pending should be met within 24 hours.

Order any necessary equipment required for a new admission

Confirm that every admission signs the Admission Agreement.

Reporting

Complete monthly metrics report

Daily preparation of census report

Timely notify the Regional Financial Coordinator, Tracker, and Aging Supervisor of difficult cases within the building (i.e. lack of cooperation on behalf of a resident).

Ensure that all requests to AP conform to procedures and protocols.

Weekly review of new admissions and pressing accounts with the “Financial Tracker”.

Attendance at (Tracking/UR) meetings that discuss patient status changes.

Attendance at the monthly AR “aging meeting” to report on status of authorizations, Medicaid eligibility and applications, and Private/NAMI collections.

Complete monthly metrics report

Send out quarterly patient funds statements.

Financial Management

Organize this section as one seamless process. For example, start with set-up, obtaining signatures and then financial management tasks. Remove any instances of duplication and combine bullets if you can.

Upon patient admission ensure all financial and billing information is obtained and any advance money paid.

Have residents sign “Financial Awareness Form”

For Private Pay admissions, collect a one-month security deposit

Verify that secondary insurances will cover charges.

Set up and maintain financial files.

Enter demographic information to the billing software.

Enter income information to the billing software for residents that are anticipated to be covered by Medicaid or Managed Medicaid.

Have income questionnaire filled out and sent to Tracker.

Ensure that demographic and payer information in Point Click Care is accurate.

Set up and enroll resident’s income in RFMS.

For residents that require Medicaid, initiate and submit a Medicaid application on behalf of the resident. Follow up with the Medicaid office regularly until an approval is received.

Request Fair Hearings on all Medicaid denials and forward hearing dates to Regional Financial Coordinator, Tracker, and Aging Supervisor.

Ensure that continued custodial authorizations for residents on Managed Medicaid plans are obtained.

Educate Medicare Advantage patients to the options of Medicare vs. Medicare Advantage

Ensure prescription drug coverage (Medicare Part D or other prescription drug plans as applicable) is in place for all residents whose primary payer is Medicaid, Pending Medicaid, or Managed Medicaid, as well as any resident who will remain in the facility long term.

Complete SSA representative payee applications when necessary and complete the SSA rep-payee reports.

Scan insurance denials to the Biller at CBO.

Billing of Private pay accounts by the first of each month.

Collections follow-up for Private pays (including NAMIs). This includes all methods of collection (credit cards, direct debits etc.)

Track and ensure that Medicaid recertifications are submitted timely so that there is no lapse in Medicaid coverage.

Prepare Deposit Slip (for AR and PNA), make daily deposit and send to CBO.

Administering of facility petty cash according to policy (distribution of cash and check payments).

Administration of patient fund account (distribution of cash to residents).

02/2016 to Present- North-Well Long Island Jewish-New Hyde Park, NY

Patient Engagement Specialist (Part time)

Promotes a safe, caring and respectful environment in which patients can be given intensive care needed for stabilization and treatment.

Uses dynamic appraisal of situation aggression instrument treatment plan, and prescribed verbal and non-verbal techniques with the goal of reducing risk of aggression.

Updates treatment team members regarding patient activity, interactions and observations

Applies physical restraints with the under direction of a RN

Respond to questions and concerns about patients to family member’s and visitors and ensures that problems are resolved in a timely fashion.

Assist with patient bedside care with RN’s and PCA’s

09/2015-12/2018 ACMH Care management and housing (Creedmoor)-Queens, NY

Program Specialist (Fulltime 8am-4pm)

Teaches skills for maintaining personal hygiene, laundry and apartment cleaning.

Monitors overall maintenance of apartments and alerts program director of maintenance problems. Teaches skills for budgeting, shopping, meal planning, preparation and clean-up.

Teaches skills for self-preservation, monitors living units for safety and cleanliness.

Administers/ instructs the client cooking safety test.

Monitors, documents and teaches self-administration of medication, according to program policy and procedures.

Reports incidents or behavioral changes in residents to supervisor.

Provides Coverage for Administrative Manager

oPuts in agency orders

oBudgets for the organization

oDistribute client checks

oConducts Room inspections

oCommunicates with Social Security, HRA, Medicaid and Medicare

oCommunicates with banks regarding accounts

Teaches travel skills and escorts clients, where needed.

Documents services rendered and client progress in a timely manner.

oAttends training as requested by supervisory staff.

oDuties as assigned by supervisor.

04/2013-09/2015 ACMH Care Management and Housing (Creedmoor)-Queens, NY

Front Desk Monitor (Fulltime 8am-4pm)

Provided and administered medication to residents at a certain time including (PRN’s)

Monitored and documented clients paperwork

Assisted with client cooperate meal plan

Monitored the buildings entry log for residents and guests

Took telephone messages

Notified management, NYPD, or fire department in case of emergency

Distributed clients mail

Collected specimens

Documented accurate activity

Assisted clients with finger sticks and insulin

02/2012-03/2012 New York State Department of Civil Service Testing Service Division-Brooklyn, NY

Test Proctor (seasonal)

Provided room supplies

Reviewed Test Administration materials

Adjusted room environment

Placed signs

Verified Candidates identification

Made sure that candidates have the right test/ code

Checked that all information matches and check candidates out after the test.

06-08/2009 North Shore Long Island Jewish Hospital- New Hyde Park, NY

Receptionist

Filed Paperwork and answered the phone, set appointments

Confirmed that patients’ files were kept confidential

Completed work task on schedule time

Made sure that patients were in assigned rooms

Assisted (doctors, nurse) with errands

Achievements

Honors

Tau Sigma Honors Society

Phi Alpha Alpha

Activities

2009- Volunteered: Long island Jewish Hospital

2007- Volunteered: Foster Laurie Summer Day Camp

ACHE Member

Skills

Certified CPR

Contact this candidate