Healthcare Professional with Strong Patient Care Focus

Khadijah Carter

Healthcare

Philadelphia, PA ****0 +1-267-***-**** ********.*.******@*****.***

Professional Summary

Extremely motivated and focused individual with proven ability to consistently excel in any work capacity through an exceptional work ethic and dedication to quality.

Work Experience

Mental Health Technician

Merakey Philadelphia, PA

May 2022 to Present

Under direct supervision, provides child, adolescent, or adult patient supervision in a treatment or educational milieu; assists in the maintenance of a safe, secure environment that enhances treatment and/or educational effectiveness. Clinical Intake Coordinator

UnitedHealth Group Pittsburgh, PA

June 2015 to December 2016

Call center work entering notification and Providers' status of an existing notification and determining if notification is required.Complete Notification Wizard along with ICD-10 and CPT Coding. Provide excellent Customer Service to both Providers and Enrollees. Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.Using templates for denials to send to Members and/or Providers using CareOne. Assist with faxes and emails Licensed Customer Service Agent

CATALYST 360 Horsham, PA

May 2013 to January 2015

Duties included Responding to client problems and assist in finding plausible solutions, provided responses to inquiries about obtaining coverage, handling and resolving any complaints, and servicing existing accounts. Intake Specialist

CRC Health Group York, PA

March 2010 to March 2013

Conducted Interpersonal intakes via phone, Received and responded promptly to inquiries, Answered all incoming calls in a prompt and efficient manner and directs them to the appropriate staff member or department, Conducted and completed prescreen assessments releases and appointment scheduling, Ensured all clients receives necessary information and adequate referral, Verified patients insurance information ensuring all required Respond to phone calls from medical and support personnel requesting medical records or patient identification to be read from the record. is accurately obtained and documented accordingly. Quality Assurance Monitor

Ceridian Plymouth Meeting, PA

January 2009 to January 2010

Monitor calls, emails, service requests and various CRM queues for accuracy.Compile results into provided email template and forward to managers for coaching.Meet regularly with Supervisors to review team errors and highlight potential areas for retraining.Spot trends and forward to appropriate teams. Complete all audits in a timely manner.

Continually evaluate and develop audit/monitoring procedures to improve efficiency and effectiveness. Perform other duties as requested by management.

Information and Referral Specialist

Ceridian Plymouth Meeting, PA

January 2008 to January 2009

Duties included using a comprehensive data base of up-to the minute local, state and national resources to cut through confusion and connect callers needed services. Interview callers, assist with problem solving and assess service needs and recognize and respond appropriately to persons in crisis and main accurate records on each client contact.

Resident Manager

Education

Medical Billing & Coding (Diploma)

Penn Foster College Remote

September 2023 to Present

Communication Arts (B.A. in Communication Arts)

Cheney University Of Pennsylvania

August 1997 to May 2001

Upper secondary education

High school diploma or GED

Bachelor's degree

Master's degree

Skills

Data collection Driving High-risk population support Compliance documentation Client services Medical insurance coverage verification Event marketing Classroom experience Customer support Billing troubleshooting Delegation Healthcare insurance patient portal navigation Health insurance verification via electronic systems EMR systems Customer complaint resolution Outbound calling Staff training Outdoor work Healthcare team management Staff development Microsoft Access CRM software Interviewing Medical scheduling Patient medication reminders Staffing management HIPAA Office equipment management Operations management Clerical experience Data entry Microsoft Office Food preparation Companionship support Investigations due process Public relations Active listening Property leasing Revenue cycle management Child protective services Working with people with disabilities Progress documentation Care plans Autism spectrum disorders support Social media management Decision making ICD-9 Talent acquisition Fair Housing regulations Administrative experience - Administrative experience (3-5 years) Documentation review Attention to detail Medical coding Office maintenance scheduling Experience with individuals with neurodevelopmental disorders Medical receptionist Working with individuals experiencing homelessness Supervising experience Computer operation Clinical counseling Task prioritization Succession planning Escalation handling General counsel Family advocacy in school social work Adolescents Assisting with ADLs Housing assistance programs Case management De-escalation techniques Lead generation Social service program performance evaluation Phone call management Computer skills Summative assessment Managed care Productivity software Grammar experience Handling insurance claims Dressing assistance Group home experience Leadership Typing Microsoft PowerPoint Implementing HR recruitment processes ICD-10 Life skills IEP goal implementation Medication administration Teaching Customer service Windows Intake Computer literacy Fair Housing Act Compliance Insurance verification Child welfare Social work Community outreach Patient monitoring Technical Proficiency Medical office management Climbing Experience with children Meeting facilitation Program development Medical billing inquiries Individual therapy Working with individuals with disabilities Office supply management Home & community care First aid Technical troubleshooting support Social service program staff supervision Working with people with developmental disabilities Health insurance authorizations Toileting assistance Quality assurance Program management HIV/AIDS care Social service program planning Medical terminology Life skills workshops for youth Safety plans CPT coding Direct support Working with individuals with developmental disabilities Facilities management Change management Ceridian Working with trauma survivors Patient observation Call center management Substance abuse Working with children Banking Social service program development Prospecting Restaurant experience Classroom Teaching Electronic health records (EHR) management Cigna health insurance Working with youth Copywriting Health insurance knowledge Crisis intervention Writing skills Multitasking Behavior intervention Report writing Senior care Customer follow-ups Referral coordination Health insurance claim processing Health insurance plan information Vital signs Case worker experience Medical office experience On-call coverage Communication skills Professional networking Team development Managing customer accounts Office management Experience with individuals with mental health conditions School experience Recruiting Dog handling Organizational skills Caregiving Problem-solving Performance reviews Insurance prior authorization Medical billing Customer issue escalation Regulatory compliance Records management Section 8 Phone communication Medical documentation Experience with individuals with substance use disorders Medical records English ADP Microsoft Outlook Volunteer management Working with individuals with mental health conditions Social service program data collection methods Employment law Cross-training (employee development activity) Workforce development program experience Meal preparation Experience with individuals from underserved communities Interpersonal skills UnitedHealthcare health insurance Time management Events management Dental office experience Achieving HIPAA compliance Patient interaction Teamwork Microsoft Excel EMR/EHR Clinical case management Behavioral health Team management Spreadsheets Customer communication Maintaining patient confidentiality Languages

English

Certifications and Licenses

Healthcare insurance producer

January 2020

Driver's License

CPR Certification

Basic First Aid certificate, Any valid issuer for CA BLS Certification

AED Certification

First Aid Certification

CPI Certification

Insurance Producer License

Groups

Delta Sigma Theta Sorority, Inc.

Additional Information

Office management

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