Jameshia Butler

757-***-**** adt9hk@r.postjobfree.com

Suffolk, VA 23434

adt9hk@r.postjobfree.com

+1-757-***-****

• Strong customer service focus

• Effective verbal and written communication skills

• Teamwork orientation

• Organized and able to manage competing priorities

• Good judgment

• Resourcefulness in problem solving, Able to take and follow through with delegated tasks and accountability

Authorized to work in the US for any employer

Work Experience

Utilization Management Representative

Usgp - Camp Lejeune, NC

April 2022 to September 2022

Personnel shall participate in the Referral Management Program as stated in the Standard Operating Procedure (SOP), ensuring compliance with applicable processes, procedures, process timing parameters and other published guidelines

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Personnel shall identify and track approximately 3,500 eligible beneficiaries each month, who have been authorized to receive specialty care outside the medical capabilities of the MTF

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The contractor shall ensure accurate collection and input of patient care data in approved databases, electronic medical records and reports

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Personnel shall process approximately 300 Right of First Refusal (ROFR's)network referrals each month following Referral Management SOP guidelines including provider consultation into CHCS Referral Coordinator

Internal Medicine Primary Care - Jacksonville, NC

March 2016 to April 2022

Ensure complete and accurate registration, including patient demographic and current insurance information, Gathering information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist. Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians. Ensure that referrals are addressed in a timely manner.

Office Coordinator

Internal Medicine primary care - Jacksonville, NC

January 2016 to April 2022

Coordinate various office tasks and functions to ensure office operations run smoothly at all times. Tasks include, but are not limited to, front desk management, answering phones, maintaining office supplies requesting and receiving medical records, and scheduling meetings and appointments. Helping patients with billing issues, Running insurance Ensuring there care is the best. Patient safety Companion

Onslow Memorial Hospital - Jacksonville, NC

October 2013 to January 2016

Responsibilities

Being with a Mentally unstable patient for a period of time making sure they don't harm themselves or others. Using Communication and redirect to keep them focused. Crisis intervention Skills Used

Customer service listening skills

Mental Health Worker

Brynn Marr Hospital - Jacksonville, NC

March 2010 to June 2013

Responsible for administering and delivering mental health services to individuals while providing a safe and healthy environment, Making sure to follow Strict confidentiality guidelines regarding all clients. Directv Sales

Alorica - Jacksonville, NC

October 2006 to May 2007

Helping customers decide which package is best for them while exploring direct TV Education

HS Diploma

Maury High - Norfolk, VA

2000 to 2004

Skills

• Administration, Icd 10 codes, Billing and coding (3 years)

• Scheduling

• Billing

• Medical Records

• EMR

• Insurance Verification

• Medical Terminology

• Receptionist

• Time Management

• Filing

• Primary Care Experience

• Medical Billing

• CPT Coding

• Medical Office Experience

• Hospital Experience

• Patient Care

• ICD-9

• Clerical Experience

• HIPAA

• Strong medical skills and knowledge Strong ability to provide support to patients, family members and significant others Capacity to exercise good judgment in a calm manner when responding to psychiatric and medical emergencies or other unpredictable situations Demonstrates professional conduct and accountability, including understanding the legal consequences of patient’s rights and responsibilities. Assists with quality improvement, safety and regulatory functions as directed. Participates in process change to improve practice. Ability to de-escalate sometimes stressful patient situations Basic Life Support or Cardio Pulmonary Resuscitation Collecting soiled linen and distributing fresh linen to patients unable to do so themselves Improves and maintains own clinical competence in area of practice to ensure provision of quality care. Knowledge of motivational interviewing skills and techniques

• Crisis intervention (4 years)

• Medical Scheduling

• ICD Coding

• Experience Administering Injections

• Quality Assurance

Assessments

Work style: Reliability — Highly Proficient

July 2019

Tendency to be dependable and come to work

Full results: Highly Proficient

Medical billing — Familiar

July 2021

Understanding the procedures and forms used for medical billing Full results: Familiar

Remote fit — Familiar

July 2021

Measures the traits that are important for successful remote workers Full results: Familiar

Typing — Completed

March 2021

Transcribing text using a standard keyboard

Full results: Completed

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

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