Mental Health Specialist - Louisiana Methodist Children's Home - Ruston, LA
(2022-10)
Deliver direct care services under the supervision of a therapist or a mental health professional who is responsible for each resident's active treatment plan
- Assist in transport of youth on home pass with company provided vehicle
- Ensure all house or unit residents are present and on time for all clinical activities
- Ensure agency's Behavioral Management Plan is implemented with fidelity
- Participate in treatment team meetings and communicate fully regarding the delivery of treatment services to the house or unit residents
- Maintain the structure, cleanliness and organization of the house or unit
- Interact positively with residents, their family members, fellow staff members, and all other stakeholders
Customer Service Representative / Dispatcher - Access2Care Medical Transportation Management - St. Louis, MO
(2024-03 - 2025-10)
- Assisted with all phone call information and dispatching of rides
- Organized and route trips based on schedule and location to ensure optimal performance
- Documented complaints regarding transportation and scheduling
- Established and maintained effective communication with transportation providers
- Reported and recorded all incidents to the applicable manager
- Verified and reported provider no shows or on-time performance issues
Patient Unit Representative – Customer Service Operations - Parallon Business Solutions - Irving, TX
(2019-11 - 2023-08)
- Completed pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services
- Performed electronic insurance eligibility confirmation when applicable
- Collected patient cost share and payment via phone or set up payment arrangements
- Contacted patients via phone to confirm or obtain missing demographic information
- Received and recorded payments from patients for services scheduled
- Ensured appropriate documentation is entered in standard format on patient record
Discrepancy Analyst - Parallon Business Solutions - Irving, TX
(2012-12 - 2019-11)
- Researched to identify discrepancies between billed and received amounts
- Reviewed reports to determine types of discrepancies and assigned appropriate reason codes
- Made all corrections of non-payment related discrepancies
- Placed correct contractual adjustments on accounts
- Communicated with insurance agencies regarding overpaid discrepancies
Intake Services Representative – Customer Service - Managed Health Network - Irving, TX
(2008-08 - 2012-11)
- Determined members' eligibility; explained benefits and authorization procedures
- Resolved customer service issues regarding quality assurance, provider relations and billing
- Authorized voluntary EAP services and initiated outpatient services; managed email care treatment
- Followed procedures for special accounts and submitted referrals to mental health clinicians
Service Representative/Receptionist – Customer Service - Care Entrée/Precis Inc. - Grand Prairie, TX
(2001-11 - 2008-07)
Customer Service/Accounting
- Answered in-bound calls; created, updated, and maintained customer accounts
- Contacted customers regarding billing issues and delinquent payments
- Assisted account manager with monthly reports
- Managed incoming/outgoing mail and client traffic for company of 80+ employees
Claims Processor - Care Entrée/Precis Inc. - Grand Prairie, TX
(2001-11 - 2008-07)
- Initiated and processed UB-92 and HCFA claims
- Submitted denial forms to non-participating providers and members
- Contacted providers/members regarding claims received
Benefits Service Representative – Customer Service - Blue Cross Blue Shield of South Carolina - Dallas, TX
(2000-01 - 2001-11)
- Initiated and processed insurance claims to provide customers with healthcare coverage
- Educated customers on procedures and guidelines of health claims
- Issued adjustment transactions to correct payments for insurance claims
- Created, updated, and maintained customer accounts; resolved insurance claims
- Interacted with beneficiaries, physicians, and other healthcare providers to determine liability and negotiate the best settlement for all parties
