Organized and dependable professional, successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Financial Assistance Advisor
Medserv Global
01.2023 - 07.2023
Worked remotely as a financial assistance advisor
Processed charity 50 plus applications for Medicare/Medicaid recipients from a online que
Placed outgoing calls to applicants in order to request more information to process
Assisted incoming calls from questions from patients regarding approval or denial
Director of Social Services
Integrity Nursing Home
09.2021 - 02.2022
Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Completed psychosocial evaluations and needs assessments.
Updated treatment plans on monthly basis with latest intervention strategies and progress notes.
Worked with medical teams, patients and families to implement effective treatment plans.
Developed and maintained courteous and effective working relationships.
Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Assessed electronic medical record for required documentation to support MDS coding.
Verified prompt and accurate completion of MDS activities for billing.
Completed assessments for residents admitted under assessments requiring Number day books.
Helped develop monthly schedules and assignments.
Maintained excellent attendance record, consistently arriving to work on time.
Maintained best-in-class standards for individualized care in Number-bed unit by continuously checking in with patients and families and quickly providing care.
Social Services Assistant
Alton Memorial & Rehabilitation
07.2018 - 03.2019
Made contact with insurance carriers to discuss policies and individual patient benefits.
Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plan.
Completed psychosocial evaluations and needs assessments.
Coordinated program referrals for community-based resources.
Documented case notes daily and coordinated follow-up for seamless case management.
Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Completed resident assessments in accordance with current regulations and guidelines.
Generated, posted and attached information to claim files.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Processed and recorded new policies and claims.
Membership Services Representative
Centene/ Illini Health Care
01.2020 - 08.2020
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Worked remotely during COVID
Answered customer telephone calls promptly to avoid on-hold wait times.
Verified Insurance Eligibility for Medicaid Members
Mailed out membership materials, handbooks, and insurance cards
Dietary Aide
Prairie Assisted Living @ Chataqua
07.2016 - 06.2018
Set up and prepared cooking supplies and workstations during opening and closing to maximize productivity.
Served meals to residents in accordance with established schedules and dietary procedures.
Added food items, beverages and utensils to trays and immediately delivered to correct rooms.
Distributed food during busy peak periods to drive customer satisfaction.
Social Services Intern
Senior Adult Services
09.2015 - 03.2017
Assisted in implementing programs to meet needs of individuals with developmental disabilities.
Performed assessments on activity programs to determine what specific activities were suitable.
Planned resident outings and special events to mark holidays and celebrate special occasions.
Improved case management efficiency by maintaining accurate and organized records for each client.
Assisted clients with navigating complex social service systems, resulting in increased access to resources.
Conducted comprehensive assessments to identify client needs and develop appropriate interventions.
Office Associate
State Of Illinois-Department Of Human Services
08.2023 - Current
Prepared detailed reports, presenting data clearly and concisely for dietary department
Created recipe and ingredient databases, production line menus, nutritional analysis reports, regular and special tray cards.
Generated requisition for food stocks, modified diets, generated reports on caloric intake and nutritional values.
Answered phones, took messages, scheduled appointments
Take care of all incoming and outgoing mail and office correspondence
Senior Prior Authorization Coordinator, medical Case Manager at MedServ InternationalSenior Prior Authorization Coordinator, medical Case Manager at MedServ International
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