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Click here or scroll down to respond to this candidateJKCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLE Red Oak, TX Street Address
Accomplished marketing professional with demonstrated success developing and implementing strategic approaches to drive market growth and bottom-line protability. Strong communicator with natural leadership talent and high energy. Impactful and successful manager talented in building teams and motivating personnel to new levels of performance. MarketingManagementCustomer Relationship ManagementMicrosoft OcePayrollBusiness DevelopmentBookkeepingPublic AwarenessGeneral Ledger AccountingGeneral Ledger ReconciliationAccount ReconciliationBalance Sheet ReconciliationBank ReconciliationAccountingEvent MarketingPricingEvent PlanningAuditingAccounts ReceivableBudgetingAccounts PayableJournal EntriesOce ManagementMulti-line phone prociencyAccurate DocumentationAppointment SchedulingCaseload ManagementInsurance VericationInsurance precertication processesReferral trackingMedical TerminologyMedical terminology knowledgeLead GenerationMS Oce expertiseHIPAA RegulationsOrganizational abilitiesPatient SchedulingDatabase ManagementFollow-up CoordinationHealthcare Systems UnderstandingCritical ThinkingMedical Condition Coding SoftwareDecision-MakingOutbound callsScheduling SoftwareInterdepartmental Functions CoordinationEpic SystemsActive ListeningHIPAA GuidelinesProfessionalismProblem-solving aptitudeAdaptability and FlexibilityAcute and rehabilitative careEective CommunicationAnalytical SkillsPatient RelationsRelationship BuildingReliabilityProcess ImprovementProt & LossFundraisingCommunication skillsCustomer serviceOrganizational skillsMedical terminologyNursingHospital experienceSocial workEpicLeadershipComputer networkingWindowsRelationship managementInterviewingClerical experienceBusiness developmentComputer skillsSummarySkillsMethodist Medical Group Dallas, TexasReferral Coordinator/Hybrid ProgramCoordinator I09/2022 - CurrentProcess medical referral's for over 100 specialists oces within the DFW areaResearch providers to determine if they are in-network or out-of-network for the patient's health plan.Verify patient's insurance benets and update any outdated information within the Epic systemContact physician oces to verify what insurances they accept and to help verify the physician availability for new patients Verify accuracy of physicians address and fax numbers Process each patients insurance through all major medical insurance companies via website or by phoneContact patients to update and enter any new or outdated information in the epic systemThis position also requires proper processing of denials and appeals. Review patient records and verify insurance eligibility. Provide support for administrative tasks related to medical referrals such as ling paperwork, scanning documents.Maintain databases of active referrals and tracked progress of each case until completion.Developed relationships with internal departments and external entities related to medical referrals.Advise referring physicians on changes made to insurance policies that may aect their ability to refer patients.Coordinated referrals with primary care physicians, specialists, and other healthcare providers.Process authorization requests from referring physicians in a timely manner.Superior Health PlanProgram Coordinator01/2021 - 11/2021Initiate authorization requests for output or input services in keeping with the prior authorization listResearch claims inquiry specic to the department and responsibility Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab resultsAssess and monitor inpatient censusScreen for eligibility and benetsIdentify members without a PCP and refer to Member Services Screen members by priority for case management (CM) assessment Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needsCoordinate services with community based organizations Attend marketing and outreach meetings as directed to represent the plan Produces and mails routine CM letters and program educational material Data enter assessments and authorizations into the system. DESOTO & LANCASTER NURSING &REHABILITATION Desoto, TexasRegional Marketing Director01/2020 - 09/2021Responsibilities Planning all Marketing events, teaming with community senior centers and churches to bring seniors in to visit Attending local meetings and eventsAlso, doing on-site assessments at hospitals, skilled nursing facilities and ExperiencehomesI also schedule and conduct tours To obtain a position with a strong and thriving company that utilizes the achievements, skills, strategic thinking, and leadership abilities that enable me to consistently exceed goals and expectationsAuthorized to work in the US for any employerEngaged with target audience through email campaigns aimed at increasing conversions.Developed strategies to drive website trac through SEO optimization techniques.Provided training on marketing techniques to sta members in the region. Coordinated with internal teams such as sales and product development to support regional goals.Produced reports summarizing performance data of various marketing initiatives at regular intervals.Identied areas of improvement within existing processes related to regional marketing operations.Coordinated internal communications to ensure all sta are informed of marketing initiatives and their role in their success. Directed the customer relationship management (CRM) strategy, including segmentation, targeting, and personalization tactics. Managed annual marketing budget, ensuring optimal allocation of resources for maximum impact.Delivered marketing strategy updates to upper-level management. Planned and facilitated meetings to share marketing plans and explain future business goals.Southwest LTC Desoto, TexasAdmissions Director10/2017 - 11/2019Market to LTAC and Acute Care Hospitals for patient referrals to our Skilled Nursing FacilityOnce referrals are received, I process all resident information to be admittedAs well as scheduled transport once acceptedI work directly with the Facility Executive Director and Director of Nursing My duties also include verifying potential residents' nancial status in order to be approved by the business oce for approval of admission Accomplishments Secured three physicians to work within our facility, which included a local hospital medical directorWorked with this team of physicians to plan a process of recycling referrals from their local hospitals into our skilled nursing facility I have also kept our facility budget over by 9 residents or more for the last four monthsFinally, I have been able to accomplish a bedlock on medicaid beds while still having a Q-Mix that is at budget or over at all times with a solid potential resident waiting list intactSkills Used Interpersonal skills, time management, budgeting as well as superb customer careTransport once acceptedI work directly with the Facility Executive Director and Director of Nursing My duties also include verifying potential residents' nancial status in order to be approved by the business oce for approval of admission Accomplishments Secured three physicians to work within our facility, which included a local hospital medical directorWorked with this team of physicians to plan a process of recycling referrals from their local hospitals into our skilled nursing facility Kept our facility budget over by 6 residents or more for the last eight months Director of Business Development and Marketing Prepared monthly reports on marketing activities for senior management review.Monitored competition within the region to ensure competitive positioning of company's products or services.Developed and implemented marketing plans to support regional sales goals.Managed annual marketing budget, ensuring optimal allocation of resources for maximum impact.Reviewed application packages submitted by applicants to ensure completeness and accuracy.Oversaw the preparation of reports on admissions statistics for senior management.Senior Care Centers Dallas, TexasAdmissions & Marketing Director03/2016 - 02/2017Responsible for Planning all Marketing events, teaming with community senior centers and churches to bring seniors in to visit Attending local meetings and eventsConduct on-site assessments at hospitals, skilled nursing facilities and homesSchedule and conduct tours of the community to visitors and potential residentsFunction in a dual role as Marketing and Admissions Coordinate with the department heads to get all events, paperwork and new move-ins successfully completedAccomplishments I have taken the Assisted Living community from zero admits and tours, to two community events a week and at least two large community events per monthThese events have produced 30 new admits within the last 4 months Collaborate with Regional Marketing to restructure the pricing which has increased customer tours as wellMet goals every month My goals as a hospital liaison is set at 15 per month, I have exceeded the goal every month by a minimum of two with the highest being 9Cover a territory that consists of 7 Hospitals while being responsible for assessment and referral follow though for all 108 Senior Care facilities Skills Used Customer Care skills Marketing and Networking are key skills that I have utilized in making successful tour conversions Also, my knowledge of the LTC skilled nursing and assisted living process has proven benecial from an aging perspectiveHeritage Place Mesquite, TexasAdmissions Director12/2013 - 02/2015Responsibilities Market to LTAC and Acute Care Hospitals for patient referrals to our Skilled Nursing FacilityOnce referrals are received, I process all resident information to be admittedAs well as scheduled transport once acceptedWork directly with the Facility Executive Director and Director of Nursing Duties also include verifying potential residents' nancial status in order to be approved by the business oce for approval of admission Accomplishments Secured three physicians to work within our facility, which included a local hospital medical directorWorked with this team of physicians to plan a process of recycling referrals from their local hospitals into our skilled nursing facility Kept facility budget over by 9 residents or more for the last four months Accomplish a bedlock on medicaid beds while still having a Q-Mix that is at budget or over at all times with a solid potential resident waiting list intactSkills Used Interpersonal skills, time management, budgeting as well as superb customer care.Williamsburg Village Healthcare CampusDallas, TexasAdmissions Coordinator07/2010 - 02/2011Screens prospective residents on both the acute and community setting Performs on-site clinical and nancial assessments to determine appropriateness of admissionWorks with residents/families on the front end of the admission process to ensure an ecient admission processDesigns and develops marketing and promotional materials for the facility These shall include, but are not limited to: iers, brochures, news releases, backgrounders, fact sheets, bios, newsletters and fundraising letters of solicitationEstablishes relationships and maintains contact with reporters, advertising media representatives and primary and secondary resources in the healthcare eldEstablishes relationships and maintains contact with various clubs, organizations and Senior Citizens groupsRecommends and implements initiatives that manage the target audience's perception of the Nursing HomeAssist SocialBaylor Tom Landry Fitness Dallas, TexasAccounting Clerk02/2000 - 04/2006Full cycle APCode invoices and expense reportsCut and distributed checksAveraged processing 100 invoices a weekResearched misapplied paymentsManaged manager meetings minutesOrganized and attended audit committee meetings and compliance committee meetingsManaged auditsCreated Board reportsAccount reconciliationBudget assumptions & developmentBalance General LedgerManaged osite ling storageDeveloped procedures to improve accuracy of nancial data entry processes.Provided support to the Accounts Payable department as needed. Reviewed vendor invoices for accuracy prior to payment processing. Reviewed banking activity regularly to identify any irregularities or unauthorized transactions.Prepared bank deposits by compiling data from cashiers. Ensured accurate recording of payroll related transactions such as employee benets deductions, vacation payouts.Assisted with the preparation of month-end close activities including journal entries, reconciliations, accruals.Northlake College Irving, TXCertication in Residential Loan Origination06/2004Dunbar High School Fort Worth, TXDiploma05/1992References available upon request.Education and TrainingReferences |
