Care Coordinator Mental Health
Resume:
Raquel Torres
Atlanta, GA *****
******************@*****.***
Professional Summary
Hard working independent worker who loves to have more than one job to be as productive as possible. Authorized to work in the US for any employer
Work Experience
PatientCare Coordinator Supervisor / recruiter- hybrid Guardian home care-Londonderry, NH
July 2024 to September 2025
• Hires, trains and supervises care takers ( HHA/PC/HMK/NURSE ) and provides consultation on the clients we serve ( elders and mental health patient )
• Make schedules for my workers on a daily basis
• Ensures program staff complete required, appropriate and needed training.
• Monitors and assures quality service provision and ensures that individuals’ needs are met
• Assigns and manages Care Coordinator’s caseloads.
• Commits to a respectful, just, and supportive environment for individuals and coworkers aligning with the company’s commitment to diversity, equity, and inclusion.
• actively seeking, hiring, and developing talented, candidates and appropriately and fairly addressing issues related to diversity, equity, and inclusion in all interactions with staff.
• Reviews and Processes Incident Reports/Events and ensures appropriate intervention and follow-up.
• Reviews/approves timesheets and mileage forms for program staff.
• Participates in the rotating coverage of the agency emergency on call phone.
• Provides direct clinical services to people receiving services, as needed.
• To review applications and documents that requires a supervisor’s approval
• Reviews service documentation to ensure regulatory standards are met.
• Oversees process of Person Centered Planning.
• Oversees maintenance of individual program individuals’ files and program records
• Ensures compliance with Person Centered Services’ quality assurance standards and procedures.
• Participates in any committees as requested by supervisor.
• Demonstrates understanding and proficiency with EMR and CHOICES.
• Ensure that services provided are quality driven, cost effective, culturally appropriate.
• Other related duties, as may be assigned by the Director of Care Coordination. Medical Secretary Appointment Scheduler and Biller New England Allergy Asthma & Immunology-North Andover, MA October 2021 to June 2024
Conducted benefits investigation to verify eligibility and identify coverage. Performed billing duties such as accepting and submitting insurance claims for payment. Served as liaison between patients and healthcare professionals to collect information on any changes in accounts. Scheduled patient consultations, referral appointments and follow-ups, and resolved any scheduling conflicts. Documented all communications and correspondents. Maintained and organized office supplies. Performed prior authorizations
Worked on ECW AND EPIC
Office Administrator/ Housekeeper - weekends
Benchmark Senior Living -Ashland Farm-Andover, MA
July 2018 to August 2022
Admitted all new residents and maintained all resident demographics. Received inbound and made outbound calls to assist with questions and triage to appropriate departments. Managed appointment scheduler system and maintained accuracy. Demonstrated understanding of emergency call and nurse paging systems.
Responsible for cleaning residents room's, residents bathrooms, the spa area, utility rooms, storage room, linen room. Report any needed repairs to Supervisor. Make suggestions for changes in procedure and/or equipment to maintain high standards and safe working conditions. Perform other duties as assigned by Supervisor.
Customer service representative - call center
Northeast Dermatology Associates-Lawrence, MA
March 2017 to October 2021
Performed insurance verification and prior authorization. Coordinated with doctors and nurses to ensure accurate patient charts. Handled all patient check-ins and check-outs. Managed a high volume of inbound and outbound calls. Manage, train, and monitor team members and team leads. Direct and assign employees as needed to ensure all aspects of quality product or service delivery. Monitor employee compliance with operational standards, along with other department and company policies and practices.
Measures KPI's like inbound calls, call waiting, and call abandonment Dental Billing Specialist / Part time
Northeast Oral Surgery and Dental Implant Center-Andover, MA June 2015 to December 2016
• Creating and issuing invoices for private clients.
• Creating payment plans in consultation with dental staff and patients.
• Processing payments upon the rendering of dental services.
• Preparing and submitting claims for payment by health insurance.
• Informing patients of any co-payments or shortfalls in coverage by their health insurance.
• Liaising with health insurance providers to ascertain patients' benefits, as required.
• Ascertaining why claims have been rejected and implementing corrective measures.
• Updating patients; personal and health insurance details, as needed.
• Ensuring that patient information remains confidential. Education
GED
Adult Learning Center
December 2013
Skills
• Reception
• Customer service
• ICD coding
• Medical Scheduling
• Microsoft Outlook
• Triage
• Medical terminology
• ICD-10
• Microsoft Word
• Medical Coding
• Salesforce
• EMR systems
• Windows
• Epic
• Typing
• Bilingual
• Receptionist
• Organizational Skills
• Writing Skills
• Medical Records
• CPT coding
• Medical receptionist
• Marketing
• Front desk
• Microsoft Excel
• Analysis skills
• Microsoft Access
• Inventory
• ICD Coding
• Medical Terminology
• Medical Billing
• Detail-oriented (Less than 1 year)
• Documentation review
• ICD-9
• HIPAA
• Insurance Verification
• Filing (3 years)
• Microsoft Office
• Medical Office Experience
• Front Desk
• Scheduling (4 years)
• Data entry (1 year)
• Excel (Less than 1 year)
• Spanish
• Microsoft
• Phone Etiquette
• EMR Systems
• Customer Service Skills
• Medical coding
• Medical records
• Patient Care
• Project Scheduling
• Data collection
• Negotiation
• Cash register
• Live chat
• Front Office
Languages
• Spanish - Intermediate
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