Yyyyyy x. yyyyyy

Objective: (insert target position name)

Accomplished w Client Centered w Detail Driven w Leader w Mentor w Highly Effective

      Extensive and progressively responsible experience in healthcare administration, patient referral, Medicaid and other third-party payers

      Excellent communicator with demonstrated ability to collaborate with staff, management, business partners and others at all organizational levels

      Outstanding blend of organization, prioritization, leadership and interpersonal skills

      Proven ability to lead team members, manage a wide range of duties simultaneously and coordinate multi-level directives within healthcare management and patient care roles

      Consistent success is rooted within the combined concepts of quality, continuous improvement and effective process enhancements

      Proficient in all leading applicable software programs including Epic Resolute Professional

Key Strengths

Watson Group Home, Greensboro, NC, 2017 present

Patient Care Professional

         Assist residents with daily living activities while actively building positive relationships within a safe and supportive environment.

         Closely note and document on a daily basis any changes in residents conditions, informing individual treatment plan development and implementation.

         Supervise and guide residents during skills-building and social activities.

         Ensure continual appropriate staff-to-client ratio.

Care One Home Health Care Agency, Winston-Salem, NC, 2017

Patient Assistant

         Visited clients in their homes to provide non-medical care and assistance as required by each patient. Provided personal care assistance as well as housekeeping, laundry, shopping, and meal preparation.

Cone Health System (formerly Health Serve Medical Center), Greensboro, NC, 1999 2013

Patient Accounting Representative (2004-2013)

         Analyzed account balances to ensure accuracy of accounts for appropriate adjustments according to federal and state laws as well as hospital preferred provider contract.

         Provided verification and claim research for patient accounts to ensure accuracy and completeness of payments due from all private and public third-party payers including Blue Cross Blue Shield, Medicaid, TRICARE, and others. Monitored and documented patient insurance claim results on a daily basis.

         Ensured timely insurance claim filing and conducted active collection activities from public agencies including workers compensation claims and Medicaid insurance to keep payment cycle time under 60 days.

Continued

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Professional Experience, continued

         Exhaustively researched workers compensation details with patients employers to ensure full and accurate documentation. Served as liaison with other health care facilities for Medicaid verification.

         Worked closely with Human Resources workers compensation/risk management team to ensure implementation of policies and procedures for patient safety.

         Regularly communicated with various North Carolina State Programs relative to patient accounts.

Managed Care Coordinator (1999-2004)

         Collaborated with Social Workers and Guilford ACCESS Partnership (GAP) Case Managers in completing initial screenings, patient information, registration forms and assessments of Medicaid Carolina ACCESS patients.

         Referred Medicaid patients to specialty physicians and authorized company clearance.

         Assisted with the psychosocial portion of diabetes classes through teaching on the positive benefits of exercise, stress management and nutrition.

         Audited patients medical files for Medicaid Carolina Access insurance with special focus on screening for diabetes and examining eyes and ears.

Master of Science in Public Policy (Concentration in Health Policy), Walden University, Minneapolis, MN, 2016

Bachelor of Science in Healthcare Management, Pfeiffer University, Charlotte, NC, 2012

Certifications

         CNA #511851, Nurse Aide 1 Training Program, Guilford Technical Community College, Greensboro, NC, 2017

         Pre-Licensing Certification-Property and Casualty Insurance, Guilford Technical Community College, Greensboro, NC, 2014

         Microsoft Excel, Guilford Technical Community College, Greensboro, NC, 2013

Volunteerism and Community Involvement

         Graduate (2017) and member of foundational alumni group of the Greensboro City Academy Class, a group of 25 community members chosen to be educated about city government. Speak to and educate other community groups in the value of the program.

         Greensboro City Planning Board, 2015 present

Technical and Administrative Skills

         Patient recordkeeping, HIPAA regulations, medical terminology

         Medicaid, Blue Cross Blue Shield, and TRICARE; third-party billing knowledge

         Proficient in Epic Resolute Professional, data entry, and all components of Microsoft Office (Word, Access, Excel, Power Point)