Behavioral Health Administrative Assistant
Resume:
Jaimi L. Tomlinson
West Hartford, CT 06110
adyb2f@r.postjobfree.com
SUMMARY OF PROFESSIONAL ACHIEVEMENTS:
Associate degree in Business Administration
Associate Degree in Billing and Coding-concentration on Medical Office Management
Skilled in both the medical field and behavioral sciences
Medical Terminology, Anatomy and Physiology, Medical Transcription
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Independent, motivated worker, excellent verbal, and written communication skills
HIPPA training, CPR training, Certified Residential Medication Aid (CRMA), CNA (former), direct care
Management
Credentialing
Administrative
EPIC
Credentialing Team Lead
EDUCATION:
Northwest Technical College, Minnesota 2019-5/2021
AAS in Billing and Coding
Everest University Online, Florida 2010-2014
Medical Billing and Coding 2010-2011
Business Administration 2012-2014
Dean’s List 2012
Northeast Technical Institute, Scarborough, ME 2006
Medical Transcription Program Certificate
NHA-Certified Medical Transcriptionist (CMT)
United Technologies Center, Bangor, ME 1999
Health Occupations, CNA certificate- not currently active
EXPERIENCE:
Saint Francis Behavioral Health Group, PC/ 2016-Present
Trinity Health Of New England, Bloomfield, CT
Credentialing Coordinator/Administrative Assistant 2016-2021
Credentialing Team Lead 2021-Present
Update and maintain on a constant basis:
oRegional credentialing grid. This grid is forwarded weekly.
oProvider Roster- each tab is a different group. Medical Group, Pathology Group, Emergency Group, Behavioral Health, etc. Update when a provider terms and when one comes on board. Send out after updating.
oNotify group administrator of group changes to update Medicare record.
oUpdate CAQH as requested/when notified that document(s) are about to expire. I.e.: licenses, malpractice.
oProvider enrollment- Also responsible for Behavioral Health enrollments
Train and assist credentialing team on the usage of Morrisey (MSO) product for provider information storage.
When a new provider comes on, or a provider term:
oUpdate credentialing grid.
oUpdate roster and send it to Director and Risk Management.
oUpdate CAQH and notify insurance carriers.
oDelegate work to appropriate credentialing staff as needed.
Massachusetts credentialing
oLearned, and trained Connecticut credentialing team how to complete enrollments for BCBSMA and MassHealth
oConstant updating of rules for payor enrollment- tracked on an enrollment checklist
oReconciliations between payor enrollment rosters and Regional Master Credentialing Grid
Day-to-Day:
Schedule interviews with potential candidates for managers/directors as requested.
Credentialing and onboarding for Behavioral Health with:
oAetna, Anthem, Beacon, Cigna, Compsych, Magellan, Medicaid, Medicare, and Optum/UBH.
Prepare/assist with the preparation of documents as requested by Director.
Draft letters on Trinity Health Of New England Letterhead.
Check Credentialing workque in EPIC.
Assist Director with preparing/filing J1/H1 Visa documents.
Research insurance issues as requested by Director.
Create Excel documents for tracking purposes as requested.
oExcel projects as requested by Director.
Scan/fax documents as requested by Director.
Aid billing staff with credentialing questions.
Maintain the Census Report for Behavioral Health on a daily basis.
Assist Director will billing/coding projects
Miscellaneous administrative tasks as requested by Director.
Ciox Health, Varied locations 2015-2016
Medical Records
Visited multiple sites to process medical records requests.
CCARC, Inc, New Britain, CT 2009-2016
Assistant Manager 2009-2010
Residential Service Instructor 2010-2016
Assisted with the management of a group home and Supported Living Program.
Training and orientating of new staff.
Budget resident’s money for weekly spending, needs and vacations.
Schedule approximately 15 staff and substitute employees for various shifts.
Medication Administration, complete all documentation.
Create and implement protocols for resident’s health and safety.
Follow up with doctor’s appointments and orders.
Punch detail for payroll.
Clerical duties which include creating charts, answering phones, budgeting medical, and various bill payments.
Provided on-call coverage for manager as a Residential Service Instructor when she took time off.
Delegated to check medications and charting for medications and treatments for residents.
Brick House Home Designs, Wethersfield, CT 2010-2014
Office Assistant
Answer and direct phone calls to appropriate associate.
Fax confidential financial documents.
Provide excellent customer service and a face for the company.
Any duties requested to ensure the office runs smoothly.
Port Resources, South Portland/ Gray ME 2007-2009
Direct Support Professional
Complete monthly, quarterly, 6-month documentation on an individual within the program. Job title: Advocate.
Complete appropriate paperwork each shift.
Assist individuals working towards goals set by the individual, guardian(s), and other members of the “team”.
Assist with activities of daily living.
Manage “crisis” situations, and aggressive behaviors.
Administer medications, and document appropriately.
Transport individuals as needed.
Promote independence and build self-esteem by seeking and creating opportunities for individuals to exercise their strengths.
Home, Charleston, ME 2004-2007
Stay at home mother to a child with Autism.
Researched and sought out services for early intervention, for my child with special needs, to improve my child’s quality of life.
Maintain daily communication between service providers and myself (the parent) and tracked my child’s progress.
Create and follow through with various treatment plans for my child’s development.
Advocate for more services, better programs for children with special needs.
Atlantic Home Health Care, Bangor, ME 2003 – 2004
Behavioral Specialist I
Work with families of children diagnosed with mental illness, behavioral difficulties, and other special needs, including developmental disabilities.
Encourage community integration for children and families.
Taught coping skills to children.
Implement treatment plans created by the families and the Behavioral Specialist II.
Advocate for the needs of children and families of children with special needs.
Common Sense Housing, Eddington, ME 2002 – 2004
Direct Care Worker
Encourage and enable community integration for individuals who were diagnosed with mental illness, physical impairments, and the elderly.
Assist with activities of daily living.
Disperse medications to individuals living in group homes.
Charting and ordering of medications.
Provide job shadowing to new employees.
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