Elysha Calhoun
Compassionate professional with over 15 years of client advocacy.
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About
Compassionate professional with over 15 years of a proven track record of client advocacy and support coupled with leadership skills to meet and exceed organizational goals.
Experience
Service Coordinator II at Texana Center (2023-08 – 2026-05)
- Advocacy and crisis prevention and management for individuals with an Intellectual Developmental Disability (IDD).
- Utilize trauma-informed care to identify and address maladaptive behaviors
- Conduct carious types of assessments to identify factors affecting care
- Complete person-centered assessments and monitoring of program deficiencies
- Monitor HCS waiver services for individuals with IDD
- Serve as a liaison between clients/families/clinical team/community-based providers
- Assist clients with enrollment in Medicaid programs and documentation support
- Conduct telephonic and virtual visits for service monitoring and follow up visits
- Compliance with applicable local, state and federal rules and regulations.
QMHP/Case Manager at True Mental Health Services (2022-12 – 2023-02)
- Provide one-on-one skill-building training in home or out in community
- Utilize evidence-based practices and curriculums relating to goals/objectives
- Provide support and crisis/emergency services for individual/family
- Maintain client documentation in electronic health record
- Utilize effective listening skills to establish and build rapport with clients
- Assist clients with daily living tasks to promote independent living
- Participate in staff meetings, professional development, and training as required
Office/Billing Manager at Fort Bend Christian Counseling Center (2021-01 – 2023-06)
- Coordinate/manage the referral intake process
- Manage/coordinate billing for various payor sources
- Daily reconciliation of posted payments/ERA's
- Knowledge of EOB, EOP, RA, Reconsiderations
- Manage collections of aging accounts
- Assist with contracting/credentialing
Independent Contractor at Wright Way Counseling Services (2017-07 – Present)
- Coordinate/manage billing for Mental Health clients
- Manage claim reconsiderations and appeals
- Provide consultation
Independent Contractor at Alexis Health Care, Inc (2017-01 – 2022-04)
- Coordinate Medicaid billing for pediatric Home Health
- Manage claim reconsiderations and appeals
- Maintain EVV system using Vesta Datalogic
- Provide consultation
Off Manager/Admin Assist at De'ross Health Care, Inc (2007-03 – 2018-09)
- Complete patient intake process and field assessments to maintain patient satisfaction, and follow up of patient care
- Coordinate referrals with various vendors to meet day to day patient needs
- Advocate for patients' rights and act as a link between patient coordination of outside resources
- Provide support and preparation for Regulatory Service and CHAP surveys and audits
- Manage Medicare/Medicaid billing and reconciliation with various payor sources
- Insurance eligibility and verification
- Manage scheduling for all skilled staff including skilled nursing and PT/OT/HHA
- Perform periodic electronic chart audits
- Kinnser, Axxess, and Cradle Software knowledge
Insurance Surveyor at Preferred Reports, LLC (2017-10 – 2017-12)
- Inspect exterior/interior condition of homes for various insurance carriers
- Measure exterior perimeter of homes, and submit diagrams of measurements
- Obtain photographs of residential homes for insurance purposes
- Complete Data entry for insurance surveys
Insurance Surveyor at Millennium Information Services (2015-01 – 2016-09)
- Inspect exterior/interior condition of homes for various insurance carriers
- Measure exterior perimeter of homes, and submit diagrams of measurements
- Complete Data entry for insurance surveys
Education
Bachelor of Arts in Social Work – Texas Southern University (2007-08 – 2011-12)
Associate of Science – Houston Community College (2005 – 2007)
