Behavioral Health Information Technology

Sheree Bowen *** East ***rd Street, Phoenix, IL **426 • 708-***-**** • ***********@*****.***

OBJECTIVE

To obtain a position within the healthcare industry that will challenge me, while allowing me to use my education, skills and past experiences in a way that benefits my employer and provides room for me to grow and advance.

CORE QUALIFICATIONS

• Supervisory analytical and problem-solving skills

• Effective listening and communication skills

• Administration and time management

• Cultural awareness and sensitivity

• Compassion and understanding

• Flexibility

EDUCATION

Masters of Addiction Studies and Behavioral Health May 2020

Governors State University University Park, IL

Bachelor of Health Administration May 2016

Governors State University University Park, IL

AUPHA Certified Program

Associate of Applied Science in Health Information Technology July 2012

Kaplan University Chicago, IL

EMPLOYMENT HISTORY

Fiscal Operations Specialist July 2024 - March 2025

United States Government - Department of Labor Chicago, IL 206-***-****

Identify and resolve medical bill payment issues within the unit or between organizations as necessary.

Ensure bill processing reports are accurate, to resolve substantive problems with data, and ensure weekly compensation benefits are paid to medical bill providers and claimants.

Educate service providers, vendors, and others, regarding payment practices and related billing issues.

Serves as a point of contact between the medical bill processing unit and the US Treasury to identify and resolve payment issues within the unit or between organizations.

Behavioral Health Counselor January 2023 - July 2024

Advocate Health Care South Holland, IL 708-***-****

·Develop and manage behavioral health treatment plans for individuals and families

·Design, implement, and oversee behavioral health programs based on the needs of the population served.

·Provide assessments, screenings, and crisis intervention services to clients

·Monitor and evaluate program effectiveness, implementing necessary changes to enhance outcomes

Senior Receivables Clerk January 2022 – January 2023

University of Chicago Medicine Burr Ridge, IL 773-***-****

·Reviews and/or perform correction of charge posting (billing) errors for hospitals laboratories charges (anatomic pathology and clinical pathology) via manual computer entry or paper submission

·Manage and train new and existing employees as well as assist in the development and implementation of new billing and audit procedures

·Performs periodic audits of automated and manual charge posting for hospitals laboratories charges (anatomic pathology and clinical pathology)

·Obtains missing information using various information systems or CPT and or ICD9 coding changes according to Medicare and third-party reimbursement guidelines confirmed by appropriate documentation

Provider Service Representative March 2021 – January 2022

Centene Corporation Burr Ridge, IL 630-***-****

·Serve as primary contact for providers and act as a liaison between the providers and the health plan

·Support, develop and maintain service relationships with all participants (physicians, providers and administrators)

·Investigate and resolve all issues related to claims, payments, and authorizations

·Educate providers regarding policies and procedures pertaining to referrals and claims submission and EDI’s

Behavioral Health Coordinator June 2019 – March 2021

Aunt Martha’s Health & Wellness Chicago Heights, IL 708-***-****

·Assists patients, families, and non-patients, by making appropriate referrals, with problems that are intangible in nature i.e., marital conflict, family dysfunction, chronic mental illness, substance abuse, and dementia.

·Develops psychosocial assessments of clients to identify emotional, social, physical, familial, economic, and vocational/avocational needs and resources

·Assists patients, families, and non-patients, by making appropriate referrals, with problems that are intangible in nature i.e., marital conflict, family dysfunction, chronic mental illness, substance abuse, and dementia.

·Assists patients, families, and non-patients, by making appropriate referrals, with problems that are intangible in nature i.e., marital conflict, family dysfunction, chronic mental illness, substance abuse, and dementia.

·Provide mental and substance abuse education to patients and brief problem-solving cognitive intervention.

·Motivational Interviewing to develop behavioral strategies aimed at modifying negative thinking and promoting self-efficacy.

Home Care Coordinator August 2017 - June 2019

Franciscan Alliance – FSHW PACE Program Dyer, IN 219-***-****

·Facilitate coordinated care to (age-specific) patients by developing, monitoring, and evaluating interdisciplinary care.

·Work with patients both in person and over the phone to create and review their plan of care and progress towards their goals.

·Manage referrals, when needed, to appropriate agencies required to assist the client in achieving the goals and objectives identified in their Care Plan.

·Working collaboratively with other team members provide care management services for high-risk patients.

·Create all authorizations for referral processing tasks and referral providers both internal and external.

Insurance Verification Specialist December 2016 – August 2017

Franciscan Alliance Hammond, IN 219-***-****

·Verify health insurance policies for all major commercial carriers, as well as government healthcare agencies.

·Complete Prior Authorization, Insurance Verification, and coordinate all patient medical and demographic information necessary to process the referral.

·Review and resolve discrepancies in received data and perform data verification routines in accordance with company procedures/ Report any errors found as well as recommended resolution.

·Fax and email LOMN (letter of medical necessity) with clinical notes to provider for authorizations.

·Familiarity with EPIC, ICD-9/ ICD-10 and CPT coding, Medical Terminology and all patient demographics.

·Train new hires in standard operating procedures, procedure manuals, operating and maintenance instructions.

Personal Assistant July 2005 - Present

Department of Human Services Chicago Heights, IL 708-***-****

·Transport clients to and from doctor’s appointments

·Assist in daily household chores, preparation of meals, and activities

·Track client’s overall well-being; document and update patient care plan

·Assist clients with personal, physical mobility, and therapeutic care needs

Patient Service Representative October 2015 - December 2016

Franciscan Alliance Munster, IN 219-***-****

·Obtained current patient information from established and new patients.

·Accurately pre-screened and scanned information into Electronic Health Record.

·Scheduled and re-scheduled appointments as needed.

·Performed those duties necessary to ensure all accounts are processed accurately and efficiently.

·EPIC Super-user

ADDITIONAL SKILLS

EPIC Super-user, Proficient in EPIC Healthcare System, ICD-9, ICD-10, and CPT coding, and Medical Terminology, Microsoft Office Word, Power Point, Excel, Outlook, Datatel, Colleague, and other various Telecom Software. Excellent in Verbal/Non-Verbal Communication, Reporting and General Consulting Skills, and Multi-tasking.

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