Administrator
January 2010 to January 2015Accent Hospice Care, LLC － Meridian, ID- Planned, developed, organized, implemented, evaluated and directed the agencies programs, policies and procedures.
- Participated in and/or oversaw the decision-making process around all employment actions including hiring, terminating, promoting and demoting.
- Ensured quality staff and safe delivery of hospice services through management of policies and procedures, budgeting and referral follow-up.
- Acted as a liaison between the Governing Board, the Operations Leadership Team, Interdisciplinary Group, Physicians, Hospice Staff, Patients and other healthcare providers.
- Oversaw coordination of schedules and work assignments to provide consistent quality healthcare in the patient's home.
- Provided ongoing staff orientation and continuing education.
- Analyzed gross profit factors, market conditions, business volume/mix, competition and operational costs.
- Partnered with internal clinical resources to oversee the patient intake proves and to assess patient care needs.
- Coordinated services that reflected company philosophy and standards of care; and plan, develop, implement and evaluate services, programs and activities.
- Ensured compliance with all state and federal regulations, laws, policies and procedures that are applicable to hospice and Medicare/Medicaid reimbursement.
- Maintained written contracts/service agreements, including financial arrangements with other approved providers, to endure appropriate service necessary to meet patient needs.
- Continually monitored clinical episode management and provided direction/redirection as necessary.
- Reviewed patient care paperwork, referral information, re-certification processes, discharge information, and event reporting, etc.
- on a daily basis.
- Ensured that appropriate standards of patient care and nursing practices were established and implemented, and were consistent with current nursing theory and regulatory requirements.
Intake Coordinator
January 2007 to January 2010Guardian Home Care － Nampa, ID- Provided excellent customer services skill in dealing with discharge planners, medical support staff and internal office staff.
- Coordinated with nursing staff to ensure patients were seen in a timely and cost effective manner.
- Managed an extreme volume of referrals all the while maintaining a professional demeanor.
- Coordinated with Hospice and/or Home Health Directors to ensure all patients on our services were getting the most out of their hospice/home health benefits.
- Worked closely with the marketing team to ensure all potential referral sources were being met with.
- Verified all patient's payor coverage and backed up the Billing Director with billing when needed.
- Oversaw additional branch offices with their intake processes and problems.
- Developed and maintained relationships with referral sources and community agencies.
Insurance Claims Adjuster
January 2001 to January 2007Allstate Insurance － Boise, ID- Negotiated and settled claims in accordance with Allstate policies and procedures.
- Demonstrated proficiency in conducting investigations, damage assessments and claim evaluations.
- Documented all information that was relevant to the claim and prepared reports as required.
- Manage extreme volume of claims in an intense environment effectively saving company millions of dollars annually.
- Worked with insured and external business partners regarding the handling and/or disposition of claims and other issues.
- Chosen for multiple special projects from training policies and procedures to being selected as Ergonomics Advocate for the office.
- Recognized as #1 in customer satisfaction for our region.
- Achieved Rookie of the Year.
Assistant General Manager/Account Manager
January 2000 to January 2001Justifacts Credential Verification － San Luis Obispo, CA
Account Manager/Administrative Assistant
January 1997 to January 1999Nu-Seals, Inc － San Luis Obispo, CA
Store Manager
January 1996 to January 1997Claire's Accessories － Fremont, CA
Store Manager
January 1995 to January 1996Miller Stockman － Sunnyvale, CA
