Lafayette, LA *****
March 2021- current
LHC group Lafayette, la
Financial intake specialist
Verifies insurance eligibility and benefits of prospects/ referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks, workflow, email and or phone calls with our agencies.
Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days, and patient responsibility to agency in an accurate and timely manner.
Reviews and replies to branch location's urgent requests in a timely and accurate manner.
Initiates one time letters of agreement (LOAs) and negotiates rates as dictated by established policies and procedures in a timely manner.
Obtains all authorization as needed from payer for services ordered/requested in a timely manner.
Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email.
Serves as a liaison between the branch location and the payer on a regular basis.
Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.
Manages work assignment to ensure all tasks and coordination notes are completed in a timely manner.
Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
Problem solves independently before referring issues to the Supervisor/Manager for resolution.
Performs eligibility and or similar, comparable, or related duties as may be required or assigned.
October 2014 to March 15 2021
Prairie Elementary School Lafayette, LA
Para-Educator -- Attended in-services, workshops and seminars.
Assist the classroom teacher for a group of kids with special needs to promote educational progress so maybe one day they would be capable of entering a regular ed class.
Assisted teacher in monitoring students' progress using structured methods and by reviewing test scores and classwork.
Prepared bulletin boards, classroom materials, and individual student portfolios to support lesson plans.
Ensured students safety inside and outside classrooms by proactively monitoring behaviors and tracking student movements, safety hazards, and visitors.
Nurtured and groomed social, emotional, intellectual, and physical development through age-appropriate enrichment activities.
Maintained a clean, sanitary, safe environment for the students.
Educate students to assist with mastering learning concepts through one-on-one and small group tutoring.
Organized lesson plans and activities suitable to their age and ability to help the kids succeed.
March 2006 to January 2007
The Mortgage Link Lafayette, LA
Received and routed incoming calls and correspondence to promote timely communication.
Greeted incoming customers with professional approach and provided friendly, knowledgeable assistance.
Assisted with administrative tasks, including filing, answering phones, and another task as asked to do so.
Filing and organization in the filing system
Maintained reception area by maintaining cleanliness for all visitors.
June 2005 to January 2006
Walmart Super Center Lafayette, LA
Maximized customer satisfaction by providing assistance with purchases, locating items and signing up for rewards programs.
Welcomed customers, offering assistance to help find necessary store items.
Helped customers find specific products, answering questions, and offering advice.
Processed customer payments quickly and returned exact change and receipts.
Wrapped items and bagged purchases properly to prevent merchandise breakage.
Stocked shelves at the end of the night.
March 2007 to September 2008
Adventures In Learning Daycare Lafayette, LA
Cleaned toys, play equipment, dishes and other surfaces to keep facility sanitary.
Secured indoor and outdoor premises to protect children under care.
Observed and monitored play to identify developmental strengths and target areas for enrichment activities.
Improved group and individual behavior with positive management strategies.
Managed crafts and other hands-on activities to engage kids and promote development.
Enhanced academic, social and emotional learning with use of structured playtime and unstructured free play.
Enforced rules to teach manners and maintain safe environment.
Cared for up to 10 children ranging in age from 6 weeks to 3 years old.
Led children in tidying up, handwashing, and teaching responsibility.