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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Raindance AveWesley Chapel, FL Street Address
EMAIL AVAILABLE PHONE NUMBER AVAILABLEEDUCATION/CERTIFICATIONSStreet Address Diploma, Coatesville Area Senior High School, Coatesville, PAPROFESSIONAL EXPERIENCEHumana Insurance Company, St. Petersburg, FLCustomer Service Specialist II, 10/2019 07/2024 Worked remotely answering inbound calls from Humana Florida Medicaid Members. Provided assistance with verifying coverage eligibility, benefits, changing primary care physicians, updating demographics, and locating medical providers/facilities. Assisted members with filing complaints/appeals, claims, pharmacy-related issues, and requesting prior authorization for medications, tests, and specialist visits.Keystone Home Health, Clearwater, FLTeam Coordinator/Scheduler, 09/2018 08/2019 Scheduled clinical staff for in-home patient visits according to Agency policies/procedures, plan of care, and physicians orders. Entered referrals, verified insurance, and obtained authorization for visits. Monitored clinical staff schedules for compliance and verified status of daily visits. Kept Clinical Managers apprised of missed visits, and other patient issues, in order to reschedule visits as necessary.Nurse-On-Call (Brookdale) Home Health, Largo, FLTeam Coordinator/Scheduler, 07/2015 09/2018 Scheduled clinical staff for in-home patient visits according to Agency policies/procedures, plan of care, and physicians orders. Entered referrals, verified insurance, and obtained authorization for visits. Monitored clinical staff schedules for compliance and verified status of daily visits. Kept Clinical Managers apprised of missed visits, and other patient issues, in order to reschedule visits as necessary.PROFESSIONAL EXPERIENCE (Contd)Nurse-On-Call (Brookdale) Home Health, Largo, FL (Contd)Medical Records Clerk, 06/2014 06/2015 Created/maintained patients medical records ensuring completeness and accuracy. Prepared charts, sorted/filed documentation into patient charts, thinned out charts, and broke down charts of discharged patients. Maintained confidentiality of patients and all Agency operations. Organized/boxed discharged patients medical records for off-site storage. Assisted with chart audits.NuVista Living at Hillsborough Lakes, Lutz, FLMedical Records and Central Supply Coordinator, 02/2013 03/2014 Created and maintained the Medical Records Department for a 120-bed facility. Responded to and filled requests for records in accordance with HIPAA and state regulations. Prepared new charts, maintained existing charts, and purged closed charts. Ensured medical supplies, equipment, and OTC medications were readily available. Maintained inventory levels, ordered, received, organized, and stocked Central Supply and medication rooms on Nursing Units.Unit Coordinator, 08/2012 02/2013 Coordinated the day-to-day operations of nursing units. Scheduled patients doctor appointments and arranged transportation. Managed patient records, filed documentation, and assisted nursing staff as needed.Rehab Care at Presbyterian Village, Austell, GAProgram Assistant, 05/2012 08/2012 Assisted the Therapy Rehab Program Director. Scheduled treatment minutes, secured staffing coverage, and managed therapists' work times. Scanned, maintained, and purged patient medical records, and faxed orders to physicians.REFERENCES Available upon request. |
