Frances Bishop Email & Phone Number

Austin, Texas Area

Coordinated patient care services for assigned caseload within an interdisciplinary inpatient rehabilitation program. Responsible for meeting, completing assessments and developing coordinated treatment care plan to attain optimum outcome. Described and educated program and accurately described details. Provided direction regarding quality, timeliness, appropriateness of services and arranged all discharge planning. Initiated, managed and completed plan to meet patient needs to include coordination with all parties involved. Performed concurrent review to payers and maintained authorizations for inpatient stay. Strong working knowledge of community resources, State and Federal programs and insurance benefits. Responsible for meeting set goals per administration for patient satisfaction, discharge to community and management of length of stay. Included one to one interaction with patient, families, and other required individuals.

Utilization Review for chemical dependency program. Coordinated services for inpatient treatment fromadmission to discharge. Performed insurance concurrent and retrospective review, extensions, denials and appeals for all inpatients. Maintained phone and written communication with all internal/external entities to include staff, administration, insurance payers and patient. Acquired strong knowledge of laws and regulations for numerousstates. Successfully reduced insurance denials and/or appeals. Responsible for maintaining objectives of the program while meeting state certifications, Medicare/Medicaid standards.

Coordinator for Case Management department. Managerial duties to include staff supervision, department goalsand objectives, coordination of all departmental services, utilization review and direct patient care caseload.Attained departmental and hospital goals as established by administration. Successfully developed a strongdepartment that succeeded in maintaining customer satisfaction. Strong working knowledge of insurance, eligibility,benefits, exclusions, authorization and utilization review to meet hospital financial goals.