Requests
6
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Work Background
Malvern Treatment CentersAdmissions Counselor II
Dec. 2024United States
Belmont Behavioral Health SystemAdmission Clinical Supervisor
Jul. 2023 - Dec. 2024Manage the intake, admissions and utilization review process for incoming patients.
• Serve as direct contact for the patient families and/or guardians.
• Organize, plan and direct work assignments for Admissions staff.
• Serve as liaisons between hospitals and facilities in the event of transfer.
• Report, analyze and guide activities that influence the work of these departments.
• Develop and monitor QI activities of these departments.
• Serve as a link between Admissions, Intake and other departments to ensure the efficient transfer of information essential to operations.
• Supervise and monitor personnel adherence to established Admissions criteria and ensures that appropriate documentation of approval/denial occurs.
• Manage the intake, admissions, and utilization review process for incoming patients. • Organize, plan and direct work assignments for admission staff.
• Attend leadership meetings and or reporting out of MTD, scrubbed daily admissions track board to identify any missing information on accounts, and updated; accordingly, and providing reeducation on errors to admission counselor.
• Conducted the interviewing, hiring, and training of admissions counselors, behavioral health technicians and ensured compliance with all relevant protocols for Belmont Behavioral Hospital personnel.
•Develop and monitor QI activities of these departments.
Penn Medicine, University of Pennsylvania Health SystemCommunications Specialist
Nov. 2022 - Jul. 2023Partner in the development and implementation of printed and online publications, websites, presentations, and collateral materials to help guide communications strategy.
Assist with electronic communications, including daily, weekly, and monthly notices and special-purpose electronic communications; write, edit, and review content for internal/external communications.
Establish and maintain collaborative relationships with partners, contractors, and stakeholders.
Thomas Jefferson University HospitalsPractice Transformation Coordinator
Aug. 2022 - Dec. 2022Philadelphia, Pennsylvania, United StatesEngaged with physicians and staff to deliver education related to transformation efforts of the practice, to include the re-design of practice workflow, implementation of standard operating procedures, and the optimization of Electronic Health Records workflow.
• Served as a key member of population health and practice transformation team to deliver team training, resolve issues, and proactively advance a culture of quality in primary and specialty care.
• Built and maintained relationships with provider organizations and worked with population health staff to create/update web-based communications and information; developed, distributed, and facilitated training in quality workflows.
• Accurately coded each diagnosis of service and procedures according to standards; utilized tools including SQL, Tableau, and Excel for various projects.
Thomas Jefferson University HospitalsED Seamless Access Lead, Methodist Emergency Department
May. 2021 - Aug. 2022Managed and oversaw the day-to-day administrative operations of hospital Emergency Department for seamless access, to include the planning, training, and supervision of all non-medical staff, assigning daily staff work locations, and monitoring the daily updating of health records for the department. Ensured patients and families were promptly greeted and efficiently checked in.
• Attended leadership meetings, scrubbed ED track board to identify any missing information on accounts, and updated accordingly; included traumas and anonymous/unidentified patients.
• Led responsibility for the initial and ongoing training of new patient access representatives and ensured compliance with all relevant health system and personnel protocols.
• Ensured all demographics are accurate within Epic for establishing claim bill-outs to insurance carriers and reconciled daily services, to include collection and processing of payments received.
• Entered and reviewed diagnosis codes according to pre-established practice guidelines, while managing the daily maintenance of patient records following OSHA, HIPPA and JCAHO.
Children's Hospital of PhiladelphiaPatient Service Representative
Jul. 2016 - May. 2021Philadelphia, Pennsylvania, United StatesDelivered all aspects of patient services support, to include facilitating the patient lifecycle, supporting daily operations, reviewing/verifying insurance benefits coverage, and coordinating financial arrangements for the management of out-of-pocket medical expenses for treatments and procedures, while handling the daily maintenance of patient records and provider schedules following HIPPA guidelines.
• Handled staffing schedules, supervised all staff members, and performed the initial and ongoing training of new patient service representatives, while following protocols for CHOPS personnel.
• Served as clinical liaison between staff and patients to ensure a quick response to all referrals via the planning and coordination of multiple priorities and patient needs.
• Created, generated and monitored weekly reports, researched/resolved incorrect and misapplied payments, explained payment rejections, and handled issues with outstanding accounts.
• Communicated treatment balances, issues with treatment plans and discharges to patients, while managing/resolving problems, issues and conflict with clinical/office staff and patients.
• Created a Behavioral Health Template within Epic for establishing claim bill-outs to insurance carriers and processed requests for prior authorization to ensure insurance coverage.
• Reconciled daily services to include collection and processing of payments received, scheduled follow-up appointments, and entered diagnosis codes according to pre-established practice guidelines.
Pediatrix Medical GroupNew Born Hearing Screen Coordinator
Jun. 2012 - Oct. 2015Philadelphia, PennsylvaniaManaged the coordination, delivery, documentation, and reporting of hearing screens on newborns using established guidelines and protocols, while assisting in managing department activities, supervising all staff members, and interfacing extensively with parents, hospital personnel, and physicians.
• Organized, managed, and tracked computer-based data, completed payroll templates, uploaded data, completed monthly statistics, and monitored reports.
• Facilitated all aspects of the referral process for all referred babies, developed rapport with families and local ENT/audiologists, and handled the state reporting of hearing screening results as needed.
• Conducted the interviewing, hiring and training of hearing screeners and ensured compliance with all relevant protocols for NBHS personnel.
• Reviewed/submitted employee payroll, ran diagnostics of portable laptops systems for newborn hearing screens, ensured equipment was functioning properly, including annual calibrations.
• Observes, adheres to and enforces all established company and hospital policies and procedures, and participates in both company and hospital training/orientation when applicable.
• Ensured employee files were up to date and in compliance with Pediatrix requirements, as well as facility, OSHA, HIPPA, and JCAHO.
• Assessed and evaluated personnel regularly using guidelines established by MEDNAX and appropriately documented findings.
Pediatrix Medical GroupNewborn Hearing Screening Technician
Jun. 2012 - Aug. 2013Philadelphia, Pennsylvania, United StatesPerforms hearing screens on newborns in the parent’s room (unless conditions do not permit) using guidelines and protocols established
Responsible for state reporting of hearing screen results where applicable
Interfaces professionally and timely with parents, hospital personnel, and physicians
Responsible for facilitating refer process for all referred babies, as well as developing rapport with both refer families and local ENT/audiologists with Pediatrix requirements as well as facility, OSHA, HIPPA and JCAHO
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