Competent Medical Outreach Assistant experienced in providing patients with necessary education, coordinating program referrals and determining appropriate treatment plans. Proficient in documenting changes, maintaining records and working with insurance companies. Prepared to apply 20 years' experience in the field and take on a dynamic new role at Aetna in Richmond.
I work at the VCU Health Center for Advance Health Management serving as a liaison between the patient/ family and the health systems to facilitate access to health care. I contact Patient with Medicaid, manage care organizations (MCO) and private insurance. I educated them on the benefits of connecting with a Primary Care Provider. Coordinate patient new patient appointments at the Center for Advanced Health Complex Care clinic, help them with transportation and identify barriers in health care. Completed a risk stratification questionnaire to tier patient and inform the provider and staff of patient needs prior to arrival. Educate the patient on their manage care organization and help patients understand their benefits. I educated patient regarding the appropriate use of the ED, Primary Care and community resources. I develop relationships with the patients and monitor compliance of Primary Care Provider appointments via telephone calls and home visits. I work closely with RN Case Manager, Providers and RN to provide patient and families with access to resources for their health care-related needs. I schedule specialty clinic appointments for the medical staff and communicate with patient to assure patient compliance. Educate patient on chronic disease management, diabetic and hypertension training. I also monitor the patient progress. Assist patient with complete documentation for eligibility screening for various programs (i.e. Indigent, Medicaid, Medicare, Family Access to medical insurance (FAMIS).
I work in the ED serving as a liaison between the patient/ family and the health systems to facilitate access to health care. Educated patient regarding the appropriate use of health and community resources. Schedule primary care and Specialty clinic appointments for the ED medical staff. Monitor compliance of Primary Care Provide appointment via telephone calls and home visits. Assist patient with complete documentation for eligibility screening for various programs (i.e. VCC/Indigent Care Program, Medicaid, Medicare, Family Access to medical insurance (FAMIS), etc.) work with Lead care Coordination and RN Liaison to provide patient and families with access to resources for their health care-related needs. Improve communication to assure patient follow up. Educate patient on chronic disease management.
As a Patient Financial Counselor I provided financial counseling, Medicaid referral services, Affordable Care Act Enrollment and Governor Access Plan to all patients regardless of where patient has been seen. To ensure a timely and accurate financial outcome based on obtaining accurate and complete demographic and financial information along with appropriate signatures on appropriate forms. Collects appropriate co-pays, deductibles and/or service deposits from patients and/or guarantors to benefit receivable reduction. All activities are performed with attention to quality customer services. My responsibilities Must be able to problem solve and take appropriate action when necessary to make referrals to outside resources. Ability to analyze financial data to determine documents needed for application approval and/or to establish appropriate payment arrangements. I have years of patient scheduling/registration work experience in a healthcare setting. I have a strong customer service skills and patient /customer centered focus in a positive manner in all situations.
Perform daily registration audits for 20 outpatient clinics, maintain a daily report. Communicate the findings to the department supervisors. Supervises assigned staff in the GYN/OB and ENT clinics daily operations of area(s) and evaluates performance. Coordinates and delegates daily work assignments. Monitors work flow and makes alterations as needed. Serves as contact and liaison with other VCUHS departments. Identifies and implements process change to improve patient services and staff productivity. Issues that involve violation of VCUHS policies and procedures, involve conflicts of a sensitive nature or that would be considered unusual in nature are to be brought to the attention of a higher level supervisor as would be warranted by the immediacy of the issue. Hires and trains/mentors assigned staff. Approves/denies leave requests. Supervises 12+ FTEs and evaluates performance. Participates in disciplinary actions. May be required to manage/oversee other areas in the absence of the Manager. Keeps employees abreast of priorities, activities and procedural/policies changes. Implements, enhances and monitors on-going initiatives designed to reduce errors and improve patient services. Analyzes policies, procedures and work flow/processes and makes appropriate recommendations for changes.
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