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Title Customer Service Representative
Target Location US-CO-Denver
Email Available with paid plan
Phone Available with paid plan
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 Jennifer A Nwaokolo FoxLocation: Lewisville, TXPhone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLESummary:Dedicated healthcare care  professional with extensive experience in data management, patient care, Case management and provider enrollment. Known for a compassionate, patient-centered approach, combined with strong technical and analytical skills. Proven track record of enhancing patient outcomes and operational efficiency, positioning them as a highly valuable professional in the healthcare industry. skills:      Medical Review, Case Management, EMT, Athena, PECOS, CMS, Epic, Medical terminology.      Strong organizational and time-management skills.      Excellent communication and interpersonal abilities.      Proficiency in using systems and other healthcare software.      Ability to work collaboratively in a multidisciplinary team environment.      Compassionate, patient-centered approach to care.
      Jira, Agile, Scrum, Salesforce, and MS suites (Access, Excel, PowerPoint, Adobe and Outlook)      MySQL Database, Data visualization and Analysis using Tableau.Certifications
      Patient Care Technician (PCT)      Certified Scrum Master (PSM I)   Scrum      Tableau Analytics   Tableau
Education:Institution: Jayee University College, Accra. Ghana
Graduation Date: December 2014Degree: Bachelor of Business Administration
Course of Study: Human Resource ManagementProfessional experienceProvider Enrollment AnalystBroadPath -Remote                                                                                                February 2022   Present      Coordinate the enrollment of new healthcare providers into various insurance networks and payer plans.      Process updates for existing providers, including changes in location, specialty, panel status, licenses, and malpractice information.      Prepare, submit, and monitor enrollment applications for Medicare.      Generate reports on provider enrollment status and related metrics as needed.      Verify and validate provider information in CMS.gov (PECOS) to ensure accuracy and completeness.      Maintain up-to-date provider data in credentialing in OnBase
      Proactively address delays or issues in the enrollment process to avoid termination of application.      Monitor and manage work queues related to provider enrollment and billing.      Stay abreast of changes in healthcare regulations and payer requirements.      Ensure compliance with all state and federal laws, regulations, and payer guidelines.      Maintain confidentiality of provider information and sensitive data.   Maximus-DVA (AppleOne)-Remote
     Medical Bookmarker                                                                                                        December 2023- February2024
      Utilized electronic health record systems and other information management tools to bookmark and index relevant medical information.      Reviewed and dealt with mental health, dental, and Psych cases for veterans.      Created and maintained a system for organizing bookmarks to facilitate quick and accurate retrieval of information.      Reviewed the veteran s entire medical records and provided the pertinent information requested.      Reviewed bookmarked information to ensure accuracy and completeness.      Adhered to legal and ethical standards related to the management of medical information, including patient confidentiality and data security.      Stayed updated on industry regulations and best practices to ensure compliance.    DoIT-IDPH, (RL Canning) Remote
Data Analyst                                                                                                                            May 2023  December 2023      Collected, cleaned, and organized healthcare data from various sources including electronic health records (EHR), billing systems, and external databases.      Ensured data integrity and accuracy by conducting regular audits and validations.      Used statistical methods and analytical tools to interpret data and provide insights.      Develop predictive models to forecast healthcare outcomes and trends.      Created and maintained dashboards, reports, and visualizations to present data insights to stakeholders.      Communicate findings and recommendations to staff, administrators, and executives.      Worked closely with clinical and administrative teams to understand their data needs and provide relevant insights.      Assisted in the development and implementation of data-driven strategies to improve patient care and operational efficiency.NYC Health and Hospitals (White Glove)
        Patient Care Assistant (PEDS, ADO, BH, PC, FM  and GYN)                                      December 2021   April 2023      Attended regular team meetings to discuss patient progress, update care plans, and facilitate communication with primary care providers.
      Handled 50+ calls.
      Executed point-of-care controls every morning to ensure the accuracy and reliability of testing results.
      Assisted in admission, data collection, transfer, and discharge procedures, adhering to unit and service operations protocols.
      Collected vital signs and documented patient encounters in the electronic medical record system (Epic) and other electronic platforms, following established policies and procedures.
      Conducted pre-visit planning, efficiently scheduled and rescheduled appointments, and provided qualified support based on patient needs.
      Dealt with Mental health patients and assessed patients' ability to manage chronic diseases, collaborating with the care team to connect them with appropriate education and monitoring programs.
      Collected, accessioned, and transferred specimens for laboratory testing, maintaining a high standard of accuracy and efficiency.


       Acacia Network
       Case Manager (Family, Adult Male and Female Population)             May 2019   December 2021      Virtually conducted client intake interviews and assessments to ensure proper placement and identify client needs.
      Handled 50+ calls.
      Designed and implemented a communication strategy for reporting and escalating issues, ensuring effective communication between various departments.
      Virtually communicated with mental health patients and managed multi-line telephone operations, handling incoming and outgoing calls.      Reviewed clients' insurance coverage and referred them to appropriate medical providers based on their coverage.
      Conducted virtual psychosocial assessments to understand clients' mental well-being and determine the assistance needed for healthcare, employment, and housing stabilization.
      Provided virtual counselling and support to clients with disabilities, mental health issues, addiction, and abuse, and encouraged them to seek medical assistance when necessary.
      Updated and maintained case files with required documentation, both physically and electronically in the CARES system.
      Prepared and submitted daily and monthly reports to support senior case managers and the Director of social services in monthly audits and reporting.
      Documented attendance, interventions, and client activities in a communication logbook. Completed infractions or incident reports in accordance with agency and state policies.
Care Coordinator
Sun River Health-Inpatient Rehab (Part-time)                                                         May 2018   May 2019      Advocated for patient needs and preferences in care planning and decision-making.      Provided support and education to patients about the treatment process and available resources.      Addressed any concerns or issues raised by patients promptly and professionally      Maintained detailed and accurate patient records in the facility's electronic health record (EHR) system.      Provided regular updates to the medical team regarding patient status and any changes in condition.      Facilitated effective communication among interdisciplinary team members.      Acted as a liaison between patients, families, and healthcare providers.      Scheduled and coordinated medical appointments, therapy sessions, and other necessary services.      Monitored patient progress and adjusted care plans as needed in collaboration with the medical team.      Conducted initial medical assessments and screenings for new patients.      Coordinated with healthcare providers to develop individualized care plans.      Ensured accurate documentation of patient medical history, current conditions, and treatment plans      Resolved patients issues quickly and efficiently, notifying supervisors when problems escalated.
      Transcribed phone messages and relayed them to the appropriate personnel for prompt response.
Manager
Jenny Childcare- Queens New York                                                                             Aug 2015   May 2018
      Delivered efficient and safe services to infants and children aged from eight weeks to twelve years old.
      Remarkable experience working with children with autism.
      Assisted children with homework assignments and special projects across different subjects.
      Prepared meals changed diapers and administered medications.
      Communicated positively with children and guardians.
      Sanitized dishes, tabletops, toys, and frequently touched surfaces to prevent the spread of germs.      Worked with parents to develop and implement discipline programs to promote positive behavior.
      Monitored children's play activities to verify safety.

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