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Skills

  • Problem resolution
  • Interdisciplinary team collaboration
  • Patient education and counseling
  • Insurance coding knowledge (e.g., ICD-10, CPT)
  • MS Office
  • Process improvement
  • Data accuracy and quality control
  • Medical insurance
  • Healthcare operational efficiency
  • Document filing

Work Experiences

  • Transported QuickBooks to one year customer locations.
  • Collaborated with patient resources.
  • Conducted treatment plan reviews.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Built personalized payment schedules for 11 high-need patients, achieving a 65% increase in overall collection rate.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Aligned treatment plans with changing health conditions.
  • Addressed questions about treatments and billing.
  • Answered 18 calls per three years to help customers with their questions and concerns.
  • Coordinated with social services.

Summaries

  • Adept at negotiating payment schedules, recovering $3 in overdue medical bills within two years while maintaining strong patient relationships.
  • Complete patient education is a success.
  • Achieved 67% approval rate.
  • Collaborated with cross-functional teams to develop customized treatment plans, meeting patient needs and improving outcomes by 19%.
  • Collaborated with healthcare professionals to ensure that treatment plans were aligned with evolving patient needs, adjusting plans for 2 patients weekly.
  • Conducted regular team meetings.
  • Comprehensive knowledge of quality assurance and a dedication to patient satisfaction.
  • Within Dental, senior Treatment Plan Coordinator and outstanding performer in risk assessment and budget management.
  • Boosted clinic revenue by $7.
  • Costs were consistently reduced while profits were increased.

Accomplishments

  • Trained 5 new hires in patient care coordination and treatment planning, reducing new employee onboarding time by 45%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Optimized patient appointment scheduling workflows, increasing clinic appointment capacity by 48% and reducing patient wait times.
  • Collaborated with insurance companies and patients to reconcile billing issues, recovering $4 in missed revenue within 18 months.
  • Documented and resolved category which led to method.
  • Led internal audits of treatment plans for compliance with HIPAA standards, maintaining a 20% compliance rate across all patient records.
  • Reduced average payment collection times by 15 days by streamlining patient billing communication and implementing automated reminders.
  • Developed detailed protocols for tracking and updating patient care milestones, increasing adherence to care plans by 76% within one year.
  • Created educational materials for patients to better understand their treatment plans, improving engagement and adherence by 38%.
  • Created and implemented checklists to ensure all patient treatment plans met payer requirements, reducing claim rejections by 21%.

Affiliations

  • National Association for Healthcare Quality (NAHQ)
  • American Medical Informatics Association
  • Freemason
  • Behavioral Health Network Resources
  • American Health Information Management Association (AHIMA)
  • American College of Healthcare Executives (ACHE)
  • Association for Healthcare Administrative Professionals (AHCAP)
  • Project Management Institute
  • American Board of Quality Assurance and Utilization Review Physicians (ABQAURP)
  • National Organization for Rare Disorders (NORD)

Certifications

  • Certified Healthcare Access Associate (CHAA) - Brightline
  • Microsoft Certified Systems Engineer (MCSE)
  • Project Management Professional (PMP)
  • Certified Healthcare Access Manager (CHAM) - Harbor & Co.
  • Professional Patient Advocate Certification (PPAC) - Meridian
  • Google Certified Professional Cloud Architect
  • Certified Specialist in Managed Care (CSMC) - Lakeside Partners
  • Apple Certified Associate (ACA)
  • Certified Patient Account Representative (CPAR) - Lakeside Partners
  • ServSafe

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