Patient Care Coordinator - Southeast Alaska Regional Health Consortium - Juneau, Alaska
(2025-09 - 2026-04)
- Assured HIPAA compliance.
- Assisted in creating a positive environment for patients, family members, and staff by providing excellent customer service.
- Answered 50+ inbound calls while simultaneously checking patients in/out for cardiology, dermatology, neurology.
- Verify demographic and insurance information.
- Update changes and scan insurance cards to patients' chart.
- Assist patients in completing records release requests for continuity of care.
- Answer phones, return phone calls and respond to Artera messages.
- Educated patients on available health services and resources offered locally.
- Daily data monitoring to schedule patient follow-up appointments; coordinating with them to ensure labs and radiology orders have been completed prior.
- Initiate travel for patients via Aurora.
- Assist patients in portal creation via phone and in person in preparation for appointments.
- Patient portal resets ensured patients were able to keep their appointment.
- Coordinate with nurse case managers provider schedules.
- Reschedule patients due to inclement weather.
- Call patients daily to remind of next day appointment.
- Exceeded 80% fill rate weekly.
- Meditech ARM for referral management.
- Review referral queue daily and schedule accordingly, documenting communications with patients and action taken.
- Scan outside records to charts.
- Communicate to nurse case managers patient concerns via Tiger Text or patient chart.
- Respond promptly to emergency situations, following protocol.
- Participate in bi-weekly department meetings to provide feedback on improvements.
- Advocate for patients to ensure their needs were met timely.
- Sanitize wait room area daily.
- Other duties as assigned.
Authorization Specialist II - Southeast Alaska Regional Health Consortium - Juneau, Alaska
(2024-08 - 2025-09)
- Provide excellent customer service to all stakeholders.
- Capture and record inbound and outbound pre-certifications.
- Proofread orders ensuring accuracy of patient identifiers and CPT and ICD-10s.
- Submit incomplete orders to nurse case managers to correct and resubmit.
- Process pre-certification requests efficiently from start to finish using payor portals Availity, TriCare, Inovolon, One Health Port, Alaska Medicaid Health Enterprise.
- Processed an average 40 precertification requests daily, ensuring all clinical documentation was complete.
- Medical chart abstraction for precertification to Blue Shield Blue Cross and other payors.
- Document all determinations using standardized format.
- Track pending auths daily and update using internal systems.
- Receive and review denials.
- Inform providers and nurse case managers of denials from all insurance types to coordinate peer-to-peer reviews.
- Abstract records for peer-to-peer reviews.
- Keep departments and outside facilities abreast of pre-cert status regarding delays that could impact scheduled procedures.
- Attend weekly department meetings.
Accountant - Southeast Alaska Regional Health Consortium - Juneau, Alaska
(2021-02 - 2023-12)
- Create customer accounts using Lawson, QuickBooks and Workday.
- Update customer changes to accounts.
- Consistently met deadlines generating invoices for medical supplies, pre-employment drug screens, Covid testing, rent, travel expenses before month deadline.
- Post payments to accounts prior to established deadline.
- Reconciled accounts to ensure accuracy and compliance.
- Communicated to customers regarding late payments.
- Send delinquent accounts to collections.
- Manage long term care resident accounts by debit/credit accounts upon validating transactions.
- Credit accounts for all monies received.
- Correct discrepancies on accounts.
- Communicate with staff for questions such as requesting back-up documentation.
- Reconcile all accounts.
- Generate profit and loss reports monthly for each resident account.
- Generate customer aging reports.
- Post journal entries as needed.
- Enter credit memos on accounts.
- Respond to customer inquiries.
- Complete Engie accruals weekly.
- Complete positive pay daily.
- Discuss issues with accounts with assistant controller.
- Supported month-end closing activities through accurate documentation.
- Attend monthly close meetings.
Data Integrity Specialist HIM - Southeast Alaska Regional Health Consortium - Juneau, Alaska
(2019-12 - 2020-12)
- Maintained confidentiality of all patient information according to HIPAA regulations.
- Reviewed and validated requests for completeness before processing them.
- Leveraged computer software and technology to locate patient records.
- Use VACTRAK for immunization records as requested.
- Processed incoming and outgoing mail, emails, faxes, and phone calls related to release of information requests.
- Prepared correspondence notifying requestors when additional documentation is needed prior to releasing requested documents.
- Responded promptly and professionally to customer inquiries via telephone or email.
- Investigated discrepancies between requestor-provided authorization forms and actual patient record contents.
- Maintained positive working relationship with fellow staff, management and outside entities.
- Request patient records from archives.
- Assist in chart abstractions for audits.
- Identify incorrect diagnosis codes.
- Cancel FINS (Financial Identification Number).
- Identify provider coding deficiencies.
- Add addendums to existing provider notes.
- Create and merge encounters
Employability Assistance Caseworker (EA/GA) - Central Council Tlingit & Haida - Juneau, Alaska
(2015-10 - 2019-05)
- Use State of Alaska EIS and other interfaces to validate reported resources.
- Use Rite Track software to manage cases.
- Assessed client needs and developed personalized Self-Sufficiency Plans.
- Managed 60+ caseload.
- Built trust and rapport with clients to facilitate effective support.
- Processed payments and supportive services.
- Meet with clients each month to determine continued eligibility based on income guidelines.
- Documented case notes accurately in compliance with organizational policies.
- Conducted regular follow-ups to ensure client progress and satisfaction.
- Conducted home visits to assess client needs, evaluate progress toward goals, and document service delivery.
- Followed strict policies and procedures to maintain client confidentiality and keep data private.
- Responded promptly to phone calls from clients or referral sources seeking assistance or information about available resources.
- Developed relationships with local agencies to ensure access to necessary services for clients.
- Uploaded supporting documentation to client files.
- Supported families in navigating complex systems such as the court system or public benefits programs.
- Assessed clients' progress towards achieving established goals and objectives during treatment plan reviews.
- Collaborated with multiple agencies to coordinate services that would benefit the family.
- Conducted home visits to assess the safety of the family's living environment.
- Assisted families in identifying strengths, needs, and resources to increase their capacity for self-sufficiency.
- Testify as expert witness for the tribe in advocate capacity on behalf of the family.
- Research potential family placement for the child(ren)
- Apply state and federal policy to each case.
- Adhered to ethical principles and standards to protect clients' confidential information.
ICWA Family Specialist - Ketchikan Indian Community - Ketchikan, Alaska
(2014-01 - 2014-07)
- Supported families in navigating complex systems such as the court system or public benefits programs.
- Assessed clients' progress towards achieving established goals and objectives during treatment plan reviews.
- Collaborated with multiple agencies to coordinate services that would benefit the family.
- Conducted home visits to assess the safety of the family's living environment.
- Assisted families in identifying strengths, needs, and resources to increase their capacity for self-sufficiency.
- Testify as expert witness for the tribe in advocate capacity on behalf of the family.
- Research potential family placement for the child(ren)
TANF Case Worker - Central Council Tlingit & Haida - Juneau, Alaska
(2007-12 - 2013-10)
- Apply state and federal policy to each case.
- Adhered to ethical principles and standards to protect clients' confidential information.
- Explain program benefits, requirements to applicants.
- Verify all reported income to determine eligibility.
- Calculate monthly cash amount based on earned/unearned income and applying earned income deductions.
- Process monthly cash assistance and supportive services.
- Impose reduction of benefits for non-compliance.
- Draft written notification of changes to benefits and eligibility.
- Document all client interactions and actions on case.
- Conducted home visits to assess the safety of living environments for clients.
- Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
- Process quarterly ERF's (Eligibility Review Forms)
- Zero audit exceptions.
- Identify client strengths and weaknesses to develop Family Self-Sufficiency Plans.
- Participated in regular team meetings and in-house training sessions to boost group effectiveness.
- Provided referrals to appropriate health care providers or other community resources.
