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Skills

  • No-Show Rate Reduction Strategies
  • Electronic Health Record (EHR) systems management
  • Healthcare policy implementation
  • Clinical outcomes analysis
  • Customer service
  • Budget management for healthcare initiatives
  • Quality control
  • Healthcare performance improvement
  • Communications
  • Rounds management

Work Experiences

  • Advocated for necessary services.
  • Achieved a resolution success rate of 75%.
  • Collaborated with risk management teams to analyze adverse events and implement corrective actions, reducing patient complaints by 81%.
  • Crafted patient assessments.
  • Solved method issues, improved operations, and provided excellent customer service.
  • Collaborated with physicians and specialists.
  • Saved $10 by putting in place cost-cutting measures that addressed long-standing issues.
  • Collaborated with procedure customers to determine their needs and deliver process service.
  • Collaborated with healthcare providers.
  • Collaborated with interdisciplinary teams.

Summaries

  • Expert at resolving complex issues with a wide range of patients, addressing complaints, and exceeding care goals.
  • Adept at overseeing a caseload of 8 patients.
  • Collaborated with healthcare providers.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Created outreach programs.
  • Collaborated with healthcare providers to resolve coverage and benefit issues, achieving a resolution rate of 72% for disputed claims.
  • Committed healthcare professional with a history of creating outreach programs that reduced no-show rates by 84% and improved patient engagement.
  • Dedicated to learning, growing, and succeeding in Healthcare.
  • Contributed to a 18% drop in 30-day readmission rates.
  • Achieved a 24% reduction in emergency room utilization.

Accomplishments

  • Standardized billing procedures across 14 locations, ensuring faster compliance with payer requirements.
  • Improved stakeholder relationship management, leading to higher satisfaction rates with payers and providers across 4 facilities.
  • Directed data analysis of patient demographics, identifying trends to enhance enrollment in at-risk population programs by 59%.
  • Created detailed project plans for in-depth audits, ensuring departmental compliance with CMS and HIPAA regulations for 3 years.
  • Identified cost-saving opportunities in patient discharge processes, saving the organization 8 annually.
  • Developed training programs on insurance protocols and compliance standards, raising staff adherence by 23%.
  • Collaborated with clinical teams to integrate managed care solutions, reducing overall hospital readmission rates by 62%.
  • Enhanced patient outcome tracking systems, improving accuracy and timeliness of reporting by 45% hours.
  • Led a team of 12 managed care professionals to streamline billing and claims processes, achieving a 45% reduction in processing time.
  • Designed and rolled out patient follow-up programs, leading to a decrease in no-show appointment rate by 40%.

Affiliations

  • Association for Behavioral Health and Wellness (ABHW)
  • Rotary International
  • National Association of Social Workers
  • National Rural Health Association (NRHA)
  • International Association for Health Care Quality (IAHQ)
  • American Society of Safety Professionals
  • Commission for Case Manager Certification (CCMC)
  • Case Manager Certification Program (CMCP)
  • Managed Care Risk Certification (MCRC)
  • American Public Health Association (APHA)

Certifications

  • Certified Clinical Documentation Specialist (CCDS)
  • CompTIA A+ Technician
  • Patient Navigator Certificate
  • Apple Certified Associate (ACA)
  • Google Certified Professional Cloud Architect
  • Salesforce
  • Certified Outpatient Coder (COC)
  • Cerner Millennium Certification
  • CompTIA Network+
  • Healthcare Customer Service Representative Certification

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