Regional Intake Manager Resume Example Soleo Health, Inc

REGIONAL INTAKE MANAGER

Education

August 2014

Bachelor degree: Social WorkMount Vernon Nazarene UniversitySocial Work

March 2012

Bachelor degreeColumbus State Community College

May 1997

Major courses of study were fine arts and business/economics LeadershipWest Virginia University

Experience

01/2014 to Current

Regional Intake ManagerSoleo Health, Inc － Dublin, OH

One of the founding team members starting the branch in Columbus, OH.
Manage intake departments in Columbus, OH, Atlanta, GA and Detroit, MI.
Liaison between pharmacy, home health agency, medical facilities and patients.
Help to create CE presentation on Ethics in Home Health Care.
Insure all intake referrals are processed efficiently and accurately.
Manage numerous reports to maximize revenue.
Supervise customer service team.
Conducted all new hire training for intake.
Maintain a role within sales force to support sales initiatives.
Help facilitate continuing education presentations.
Participate as a speaker in monthly training class for outside home health agencies.
Managed home health agency contracts and processed nursing claims.
Communicated insurance coverage to discharge planners and patients.
Maintained a supervisory role within the reimbursement department in quality assurance of benefit verification.
Analyzed referral trending to maximize sales initiative.

11/2010 to 01/2014

Intake ManagerCritical Care Systems － Dublin, OH

Regional intake manager for both Columbus, OH and Pittsburgh, PA branches.
Liaison between pharmacy, home health agency, medical facilities and patients.
Insure all intake referrals are processed efficiently and accurately.
Manage numerous reports to maximize revenue.
Supervise customer service team.
Conducted all new hire training for intake.
Maintain a role within sales force to support sales initiatives.
Help facilitate continuing education presentations.
Participate as a speaker in monthly training class for outside home health agencies.
Managed home health agency contracts and processed nursing claims.
Communicated insurance coverage to discharge planners and patients.
Maintained a supervisory role within the reimbursement department in quality assurance of benefit verification.
Analyzed referral trending to maximize sales initiative.

04/2004 to 11/2010

Team LeaderCoram Home Infusion － Columbus, OH

Maintain relationships between patients, referral sources, and home health agencies.
Insure all intake referrals are processed efficiently and accurately.
Quality check all charts and paperwork.
Manage numerous reports to maximize revenue.
Obtain insurance verification and authorizations for all new and ongoing patients.
Work with payers to collect on unpaid claims.
Managed home health agency contracts and processed nursing claims.
Supervise customer service team.
Conduct performance appraisals and discipline.
Participate in sales calls to support sales initiatives.
Work closely with sales team to secure new referral sources.

08/2003 to 12/2003

Enrollment & Benefits RepresentativeAnthem Life Insurance Kelly Services － Columbus, OH

Enroll members in life insurance benefits.
Post payments and premiums to accounts.
Research and problem resolution.
Data entry of group and member information.
Maintenance of group accounts.

04/2003 to 08/2003

Customer Service RepresentativePalmetto GBA － Grove City, OH

Address inquiries from beneficiaries and providers regarding Medicare coverage.
Customer service and problem resolution.
Process call follow up work.
Adhere to goals and standards set by management and Centers for Medicare and Medicaid Services.
Special project management.
Basic knowledge of ICD-9 and CPT coding.

Memberships/Scholarly Societies

Awarded Star of Excellence for outstanding customer service (Bank One) *Branch chairperson for United Way (Bank One) *Member of Village of Harrisburg town council (April 2008-Dec 2011) *Team leader for Race for the Cure (Coram) *Received multiple WOW's (employee recognition program) for excellence (Critical Care Systems) *Member of Education Committee for Susan G Komen for the Cure (2010-present) *Member of NASW (2012) *Member Social Work Advocacy Group-NASW *Political Action for Candidate Election Committee- NASW *Member of COCMN (Central Ohio Case Management Network) *Serving on Education and Conference Committees

Interests

Successfully secured 2 of the 5 speakers for the 2013 COCMN annual conference *Serving as secretary on the board for 2014 and 2015 *Member of Franklin County Task Force on Aging *Voted "Most Outstanding Student" for graduating social work cohort by students and professors

Personal Information

Licensure Licensed Social Worker

Additional Information

Licensure Licensed Social Worker
Successfully secured 2 of the 5 speakers for the 2013 COCMN annual conference *Serving as secretary on the board for 2014 and 2015 *Member of Franklin County Task Force on Aging *Voted "Most Outstanding Student" for graduating social work cohort by students and professors

Skills

arts, agency, Basic, benefits, charts, contracts, CPT coding, Customer service, Data entry, economics, Home Health, ICD-9, insurance, Leadership, nursing, performance appraisals, presentations, problem resolution, project management, speaker, Quality, quality assurance, Research, sales, supervisory

Resume Overview

Companies Worked For:

Soleo Health, Inc
Critical Care Systems
Coram Home Infusion
Anthem Life Insurance Kelly Services
Palmetto GBA

School Attended

Mount Vernon Nazarene University
Columbus State Community College
West Virginia University

Job Titles Held:

Regional Intake Manager
Intake Manager
Team Leader
Enrollment & Benefits Representative
Customer Service Representative

Degrees

Bachelor degree : Social Work
Bachelor degree
Major courses of study were fine arts and business/economics Leadership

Regional Intake Manager Resume Example

Resume Score: 90%

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