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Click here or scroll down to respond to this candidateCandidate's Name
Licensed AFL ProviderGastonia, NC Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLEProvider of residential housing to developmentally disabled adults in the NC area. I am a qualified applicant having a high school diploma, valid NC drivers license, reliable transportation, 14 years experience working with people with intellectual disabilities and or mental illness. I am able to provide a suitable bedroom that allows for storage of personal items and privacy. I am able and willing to assist individuals with activities of daily living and independent living skills. Willing to relocate to: Charlotte, NC - Waxhaw, NC - Belmont, NC Authorized to work in the US for any employerWork ExperienceLicensed Alternative Family Living ProviderUnique Caring Network-Gastonia, NCOctober 2023 to PresentProviding residential support to members of the IDD/Mental Health population, in my home, assisting with daily living, independent living skills & more. Small Business Owner, Customer Service, Inventory Clerk Accessories & Things-Gastonia, NCJanuary 2004 to PresentIn January 2004, I started my own business, Accessories & Things. This was accomplished by obtaining a wholesalers and business license to purchase wholesale cost and sale at retail cost. Providing women and men's, celebrity and designer inspired fashion leather handbags, jewelry and accessories. There have been many accomplishments including opening of boutique and working from home, growth in revenue and clientele. I've maintained several positions, Customer Service, Inventory Clerk, Accountant, and Payroll, successfully.Licensed Alternative Family Living ProviderResCare- Community Alternatives of NC-Conover, NCJanuary 2019 to October 2023Providing residential support to members of the IDD/Mental Health population, in my home, assisting with daily living, independent living skills & more. AFL Provider/ParaprofessionalRenewed Services-Shelby, NCSeptember 2017 to December 2017Provided residential support and care to an Autistic special needs adult male, who resided in my home. Assisted him with independent living skills, community linking, health/hygiene, meal preparation & more, as needed, daily.AFL Provider/ParaprofessionalOne On One Care, Inc-Shelby, NCNovember 2016 to May 2017Provided residential support and care to a female adult with I/DD. She resided in my home. Assisted with independent living skills, community linking, health/hygiene, meal preparation, daily, and more, as needed.Therapeutic Foster ParentRapha For Kids, Carolina Therapeutic Services, Support, Inc., Just Kidz Services, Lutheran Family Services-Gastonia, NCMarch 2013 to October 2016Provided residential support and care for adolescents in foster care and in need of therapeutic care. Implemented a loving, caring and structured home for teenagers who had been displaced from their families, for various reasons, including their own mental health issues, substance abuse and violent behaviors. As needed, provided medication administration, transported to doctor's appointments, therapist visits and actively, engaged in sessions with the foster child. Also, actively, participated in the child's education, by scheduling meetings and keeping appointments with teachers, principals, guidance counselors, etc to keep child on target with person center plan (PCP) and goals. CX SpecialistFull Creative-Portland, ORApril 2015 to September 2015ResponsibilitiesVirtual Customer Service Specialist, answering various call types for various companies. Skills UsedCustomer Service, Client Services, Communication, Typing, Data Entry, Talk & Type Patient Services SpecialistOrthoCarolina Sports Medicine-Gastonia, NCMarch 2014 to March 2015Responsible for greeting patients, preparing forms, collecting insurance information, and verifying patient information in a timely and accurate manner Cross-training in patient check-in and check-out Provide superior customer service to patients and guests Additional duties may include scheduling and re-scheduling appointments, answering phones, over seeingpatient waiting area and maintaining an appropriate patient flow Access SpecialistCaromont-Gastonia, NCAugust 2014 to December 2014ResponsibilitiesPatient Registration for the Emergency Department at Carmona Regional Medical Center, formerly known asGaston Memorial Hospital.Skills UsedExcellent Customer Service, Strong Communication, Empathy, Typing 70wpm, 10-Key House ManagerNew Hope Group Home-Gastonia, NCMay 2010 to December 2010New Hope Group HomeHouse Manager Manage and maintain four consumer/client beds at Residential Level III, Therapeutic Facility and 15 Staff members Complete monthly Staff schedule Maintain house calendar with various consumer appointments Keep accurate Medication Administration Records and prescription order refills timely Customer Service NavigatorNovant Medical GroupOctober 2008 to February 2010Identified patients with no medical insurance and/or having a financial assistance need and communicated with the patient regarding potential sources for financial assistance. Interviewed patients and assisted with completing the Financial Assistance Questionnaire Investigated and verified documents related to patient's application for Financial Assistance Reviewed patient's financial information and provided face to face and/or phone communication with the patient and/or responsible party, of any third party reimbursement coverage and/or the portion due from thepatient for health care services Completed social and financial assessment and appropriately refer patients who have no insurance coverage or qualify for financial assistance to a medical eligibility agency for potential assistance through Federal, State or Local healthcare programs. Worked as a liaison between client & various community agencies Made timely referrals to the medical eligibility agency to explore all available assistance and help in qualifying and filing for the eligible programs (Medicaid, NC Health Choice, Food Stamps, Friendship Trays, etc). Assisted patients in applying for Medicaid services and prescription assistance Maintained knowledge of Medicare, Medicaid, Managed Care Contracts, and Compliance Regulations as well as system and department processes Collected payment, set up payment plans prior to or after services rendered, and work the appointment schedule for the physician practice. Documented all pertinent financial information and efforts in the patient's account Financial CounselorPresbyterian HealthcareFebruary 2008 to October 2008Completed Financial Counseling and Patient Accounting, relative to Bankruptcy and Financial Assistance Knowledgeable of state and federal laws as they apply to charity care, financial assistance and debt Collection Provided excellent customer service with patient/customer relations, insurance follow and legal interactions Appropriately status, accounts and review account status for necessary follow up and the sending out of correspondence, as needed. Handled additional duties as assigned by supervisor Customer Service-Medical BillingPresbyterian HealthcareMay 2007 to February 2008Answered ACD phone line Responded to caller inquiries in an accurate and professional manner Accessed accounts and identify problems to communicate accurately to the patient in a timely and efficientmanner Documented in the patient accounting system a clear and concise note stating the facts and results of the patient call Reviewed patient accounts, communicate status of the patient account to the caller, request payment of balance or establish a payment plan if necessary Good understanding of statement logic Added insurance and file claims when applicable Verified payments and adjustments are applied appropriately per EOB Utilized all available on-line systems to check claim status and eligibility Determined if further action is needed and forward to the appropriate party for resolution Identified trends or new issues affecting or relating to patient accounts, statements or reimbursements and reporting to supervisor Maintained high degree of poise and professionalism in dealing with customers even under adverse circumstances Interacted with other departments within the CBO to resolve patient accounts Answered all patient correspondence in an accurate, timely and professional manner Utilized imaging system to assist in completion of account or to retrieve explanation of benefits Obtained correct mailing address for returned statements and mail to customers Updated Patient accounting system with correct patient information Additional Duties as assigned by supervisorProcessing AssociateRandstad Work Solutions at The Vanguard Group-Charlotte, NC October 2006 to May 2007ResponsibilitiesProcessing Associate for Client's requestProduction environment for various client request (New Accounts, Additional Purchases, Address Changes, and numerous maintenance transactions on investment accounts) Made outbound calls for clarification, follow up and confirmation to client's correspondence Leave of Absence SpecialistHewitt Associates-Charlotte, NCFebruary 2006 to September 2006Inbound Call CenterProvided administrative and transactional support services for Wachovia employees on Short Term Disability and Leave of Absence requestCounseled Wachovia employees and managers on the Family and Leave Act policy, Short Term Disability, Paid Time Off, and properly returning to work procedures Created payroll notifications/updates, regarding supervisor notifications for leave of absence Tracked Wachovia employee leave of absence from start to finish and gave appropriate counseling, by educating employees on leave policies and procedures (local, state, & federal) Coordinated Return to Work for the Wachovia employee Researched and resolved issues, independently regarding Short Term Disability approval/denials, payroll investigations and adjustmentsSenior Reimbursement Counselor/Reimbursement Counselor/Patient Case CoordinatorLash Group Healthcare Consultants2002 to 2005Administered Patient Assistance Programs, Patient Education and Reimbursement Support Lines regarding high dollar injectables for pharmaceutical companies Reviewed residential, medical, and financial criteria to determine indigent and under insured patients eligibility for assistance Completed benefit verifications, prior authorizations, claim denial/appeal assistance and grievance strategies as a patient advocate Provided coding/billing assistance for high dollar injectables Researched payer policy, alternate insurance coverage for clients/patients Trained new team members and new hires Mentored team members ongoingPatient Account RepresentativeCarolinas Healthcare System Temporary Services-Charlotte, NC October 2000 to July 2001ResponsibilitiesPre-registered patients for outpatient services in Radiology and registered patients for laboratory work Notified insurance payers for patient's outpatient scheduled surgery Completed insurance verification and patient registration Verified eligibility and insurance benefitsObtained prior authorizationsEntered patient account notes, via facility database-Star Patient Financial RepresentativeInsurance Overload Systems-Gastonia, NCAugust 2000 to November 2000ResponsibilitiesProcessed Insurance Follow Up for Business Services Department, relative to commercial contracts and managed care accountsResolved outstanding medical claims, by obtaining payment and completing several outbound submitted appeals to insurances, on denied claims.Resubmitted medical claims, by mail or fax and submitted adjustment request to correct patient account balancesEntered account notes, using facility database-Invision EducationGaston College2003 to 2004University of North Carolina at Charlotte - Charlotte, NC 1993 to 1998Skills Special Education Typing 65 wpm (10+ years) 10-Key Skills (10+ years) Medication Administration (10+ years) CPR (10+ years) First Aide (10+ years) North Carolina Intervention (NCI) (10+ years) I'm Safe You Safe (5 years) Developmental Disabilities Experience (10+ years) Autism Experience Mental Health Counseling (10+ years) Managed Care (10+ years) InVision (5 years) HR Sourcing Customer service Typing (10+ years) Communication skills Account management HR sourcing (2 years)Certifications and LicensesLicensed Alternative Family Living ProviderDecember 2020 to PresentResidential Services provided to IDD population, as needed; 3 beds. |
