LiveCareer-Resume

case management support ii resume example with 6+ years of experience

JC J S S JS J S S JS J S S JS J S S JS J S S JS J S S JS
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
  • Professional, Mature and Reliable
  • Adept Verbal and Written Communication
  • Proficient Interpersonal Skills and a Quick Learner
  • Exceptional Customer Service
  • Excel Under Pressure and Time Restraints
  • Critical Thinking
  • Work Planning and Prioritization
Experience
03/2022 to Current Case Management Support II Ascension Health | Tawas City, MI,
  • Creates, develops, and nurtures culturally appropriate interactions, connections, and successful working relationships with colleagues, customer-owners, and the community.
  • Understands key SCF concepts including same day access, continuity of care, empanelment, and integrated care.
  • Provides exceptional customer service; Receives customer-owners within the department in a friendly and courteous manner;Answers telephones, directs calls to appropriate staff member or department, and takes messages as required; Assists customer-owners by providing accurate information that meets the customers-owner’s needs;Responds to non-technical questions regarding department processes..
  • Works collaboratively by building bridges and creating rapport with team members within departments and across the organization.
  • Maintains provider preferences and scheduling
  • using the appropriate electronic health record application.
  • Provides training and education to employees as directed. Acts as a resource and mentor for administrative support, and trainer for entry level case management support.Answers questions from others according to standard procedure and best practices.
  • Applies knowledge of the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to ensure the privacy of individuals is protected to the fullest.
  • Adheres to 42 CFR Part 2 confidentiality requirements to ensure that customer-owners privacy and confidentiality is assured.
  • Performs computer-based tasks and utilizes electronic health record system which includes accessing and reading charts/provider notes for basic information to respond to customer-owner inquiries and requests; entering notes in records; and performing complex scanning of documents to health records.
  • Coordinates complex scheduling of customer-owners for multiple providers to include scheduling customer-owners with other clinics and facilities, arranging transportation for customer-owners, and applying knowledge of provider preference.
  • Performs job with minimal supervision.
06/2018 to 11/2019 Behavioral Health Intake Specialist La Clinica De La Raza | Pittsburg, CA,
  • Obtain demographic/billing/insurance information from clients and enter into the registration/billing systems for service and claims processing
  • Insurance verification to determine patient out of pocket amount, educate patient on their financial responsibility, and collect payments
  • Data entry of admissions, encounters, and discharges into the Alaska Automated Information Management System (AKAIMS) in compliance with State reporting requirements
  • Provide program orientation to new clients, and annually thereafter, obtaining all required signatures and complete and accurate documents related to the admission process
  • Provides and promotes professional, efficient, and congenial customer service through all communication and interaction with patients, clinicians, visitors, and co-workers.
  • Reconcile and consolidate the Behavioral Health Credit card Monthly.
  • Referred patients or clients to community resources or specialists.
  • Maintained confidentiality of records relating to clients' treatment.
02/2017 to 06/2018 Panel Management Assistant Kenaitze Indian Tribe | City, STATE,
  • The Role Of The Panel Management Assistant Is To Work With The Providers, In The Primary Care Setting Of The Dena’ina Wellness Center
  • Ensure Accurate Empanelment Occurs Congruent With Scheduling Of Patients That Are New To The Area
  • Processing Referrals to Outside Service Providers, most times obtaining Prior Authorizations from Medicaid
  • Completed Travel for all customer owners that needed travel to another health facility for health care.
  • Received and screened incoming calls and visitors, alerting management to priority matters.
  • Templated Providers schedule's into the EHR Cerner
  • Coordinated and facilitated calendars to arrange appointments, meetings and conferences with Behavior Health Counselors.
10/2012 to 09/2015 Purchased Referred Care Specialist Alaska Native Tribal Health Consortium | City, STATE,
  • PROCESSING REFERRALS AND CLAIMS FOR INDIAN HEALTH SERVICES BENEFICIARIES
  • VERBAL EXPLANATION OF BENEFITS, MEDICAL CLAIM REGULATIONS, AND COMPANY POLICIES & PROCEDURES TO PATIENTS, CARRIERS, AND External partners
  • RESOLVED PAYABLE CLAIMS BASED ON ICD-10 AND CPT CODES, PURCHASE ORDERS, AND OUTSTANDING CLAIMS
Education and Training
Expected in 10/2022 to to High School Diploma | Behavioral Health Bethel Regional High School, Bethel, AK GPA:
Expected in to to ANTHC BHA Curriculum | , , GPA:
Certifications
RELIABLE VERBAL AND WRITTEN COMMUNICATION STRONG INTERPERSONAL SKILLS QUICK LEARNER EXCEPTIONAL CUSTOMER SERVICE Excel Under Pressure and Time Constraints

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Bethel Regional High School

Job Titles Held:

  • Case Management Support II
  • Behavioral Health Intake Specialist
  • Panel Management Assistant
  • Purchased Referred Care Specialist

Degrees

  • High School Diploma
  • ANTHC BHA Curriculum

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: