Anetra C. Thrower

916-***-****

adukpx@r.postjobfree.com

Performance Profile

Dedicated Case Management Assistant with a passion for providing resourses. Proficeint in Health and Care Professionals Council (HCPC) medical coding and billing procedures include but not limited to ICD-10, CPT and UB92 on a Universal form. Known for my quality assurance program monitoring. Able to effectively coordinated physician and professional staffing schedules.

Core Competencies

CPT, HCPC & ICD-10 Coding

Medical Terminology

HIPAA Compliance

MedTrack E.H.R.

Medical Records (EHR)

Insurance Authorizations

Claims, Billing and Reimbursement

Data Entry

Medical Law & Ethics

Customer Service

10-Key Mastery (ksph)

Typing 45-60 WPM

Business/Professional Communications

Medical Office Procedures

Epic User

AllScripts User

Adobe Connect User

Work Experience

Sutter Health Hospitals 05/2007 to Present

Transplant Support Coordinator: Sutter Medical Center, Sacramento 10/2022 to Present

Professional demeanor, responsible for arranging all aspects of evaluation, treatment, and follow-up care of both inpatients and outpatients in the transplant department. Facilitates smooth and efficient department operations and communications. Prepares and maintains the clinical environment for safe and efficient clinical services. Cross-trained in other specialty areas within transplant department able to perform the duties of all counterparts.Room patients upon arrival for their scheduled appointments. Record patients weight, taking vitals, temperature checks, blood pressure along with reconciling and recording patients’ medication lists.

Case Management Assistant: Sutter Health Alta Bates Summit Medical Center 06/2016 to 10/2022

Professional demeanor, responsible for collaborating and providing resources to RN Case Managers and Social Workers to determine patient needs. Communicate with other community based liaisons for patient skilled nursing needs, Durable Medical Equipment and Home Health needs. Obtain prior authorizations for Skilled Nursing facility placement, Durable Medical Equipment and Medications. Answer multiple phone lines, communicate via Skype and Allscripts, arrange patient transportation needs, schedule patient follow up appointments for post hospital discharge continuity of care, assist with coordinating outpatient services and placement for indigent patients.

Care Management Support Specialist: Sutter Health 09/2013 to 06/2016

Professional demeanor, responsible for providing direct telephone interviews with patients in the Anticoagulation Program to provide support and monitoring for those patients potentially at risk. Produced and distributed reports, supported Care Management training and transitional needs.

Patient Financial Assistant: Sutter Health-PAFS 12/2012 to 09/2013

Professional demeanor, responsible for financially securing the patient account, which included Insurance Verification & Notification when not completed by Patient Access and securing the authorization number or written approval (TAR, etc.) concurrently throughout the patient stay. Completed Insurance Verification and initial Authorization request when insurance is discovered on "Uninsured" patients. Provided timely insurance verification and authorization process for all inpatient accounts.

Education

Bryan College(Health Information Mgt & Coding) Gold River, CA AA Degree Attained 03/2013

Valley High School, Sacramento, CA Diploma Attained 06/1994

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