Shene Mitchell Nrma, Cpc, Ccma Email & Phone Number

United States

Assisting with various specialties: internal medicinepodiatry, cardiology, psychologyOff site health fairs to assist with marketing for new patientsVital signs, medication administration, phlebotomyEKG’s, retina vue’sDepression, alcohol, cognitive and COPD screenings Procedure set up, autoclave instrumentsAbility to effectively collaborate and partner with team members, including physicians and other clinicians, market leaders, center managers, nurses, case managers, front desk staff, center managers, and market leadersMindset focused on resolving problems for patients and achieving team goalsKnowledge of medical products, terminology, services, standards, policies and proceduresSkilled in basic phone and computer operationMust be detail-oriented to ensure accuracy of reports and dataAbility to maintain effective and organized systems to ensure timely patient flowAbility to act calmly in busy or stressful situationsProficient skills in Microsoft Office Suite products including Word, PowerPoint, Outlook and Excel plus a variety of other word-processing, spreadsheet, database, e-mail and presentation softwareAbility and willingness to travel locally and/or regionally up to 10% of the time to assist in covering other centers, as neededHousekeeping, extermination of bed bugs

Richmond, Virginia, United States

*Coordinate all incoming referrals * Insurance verification, data entry* Appointment scheduling*Ensure that referrals are addressed in a timely manner*Ensure use of alarms to enable appropriate follow up*Maintain a tracking system and follow up on obtaining reports for all outside referrals*Maintain communication with patients and clinical staff throughout the referral process*Obtain and document all required pre-authorizations*Use Athena to its highest functionality to perform all the above

Richmond, Virginia Area

* Serve as the key responsible person for Surgical/ Medical Weight loss program* Assist with preparing representatives to respond to customer questions and troubleshooting* Answering agent questions regarding best practices for specialty calls* Identifying operational issues and suggesting possible improvements* Preparing reports and analyzing data to assist management as they determine call center goals* Working with supervisors and management team members to support agents and maximize customer satisfaction* Provide excellent customer service to internal and external customers* Coordinate scheduling for Medical/ surgical weight loss, patient education* Daily confirmation of appointments / appointment reminders* Screen calls for emergencies and route to appropriate office* Basic internet and email utilization* Receive incoming correspondence in regard to guideline updates and changes* Ability to organize and complete work in a timely manner* Ability to comprehend medical terminology* Ability to read, write and effectively communicate

Sandston

*Research, collect & examine data*Office assessment, staff interviewing*Identification of opportunity areas, chart auditing*Unique Training Manual creation*Accurately capture all CPT, ICD-10CM, HCPCS codes *Adhere to payer and federal guidelines, A/R clean up*Alert office Manager of documentation trends, identify ways to increase bottom line*Provide feedback to providers on documentation needs/ requirements*Assistance with and maintain compliance standards*Review and respond to inquiries related to denials or partial payment, A/R follow up

Richmond, Virginia Area

• Organize coding/labs for practical and technical instruction, including demonstration of coding steps utilizing ICD-9/10cm, CPT/HCPCS manuals, guideline implementation and clarification driven lectures◦ Taught course loads appropriate to students’ field or discipline. (Career Development, Allied Healthcare)◦ Planned and delivered instructions verbally, written and with multimedia, maximize student comprehension.◦ Built instructor-student and student-student relationships. Identified at-risk students; provided them extra support.◦ Tutoring, and attention provided to assist students to excel in the program. Notified Academic Dean with all concerns for student success.◦ Participate in outside professional development to ensure elevated level of quality and expertise in field of instruction. Developed appropriate outreach activities to promote the image and reputation of the program.◦ Remain current in subject matter related fields through professional development, involvement in professional organizations, and attending workshops, conferences, webinars and professional meetings.◦ Student advisement regarding attendance, academic progress and productive decision-making skills. Documented accordingly.

Richmond Virginia

• Vital signs, height, weight, body composition, obtaining medical history• Cholesterol, glucose and hemoglobin testing, spirometry, preparation of specimens• Performed diagnostic testing, reviewed results, referred to physician• Discussed advanced directives, education/ counseling about preventive services• Electronic documentation, compliant to HIPAA and OSHA regulations

Richmond Virginia

• Concurrent reviews, prior authorizations, claims submission, entry of CPT & ICD-9cm codes• Investigation of insurance eligibility requirements, coding and payer guidelines, denial resolution, chart auditing, risk adjustment for Medicare & Medicaid claims, submit bills to clients, answered billing questions• Mobilized resources and mental health assessments, medical history assessments, charge posting • Creation of individualized services plans, compiling account statements, calculate balances• Electronic submission of special reports to assist with appeals and timely reimbursemento Managed a caseload of clients with intellectual disabilities, assisted clients with engaging in appropriate care, understanding their diagnosis and corresponding medication regimen.o Provided reasonable efforts to protect individuals from exploitation, harm and abuse. Contacted community resources in time of crisis, administered first aid as needed. o Gathered necessary information and completed incident reports, Assisted client with personal home management, money management, diet planning, physical fitness, social and leisure activities.o Completed daily, weekly and monthly reports and assessments of clients, concurrent reviews submitted to Medicaid for continuation of care. Creation and implementation of Individual Service Plans, goals and objectives, attended one on one meetings with Licensed Clinical Social Worker weekly.o Networked with community health care providers to coordinate care and provided appropriate referrals.o Utilized strategies and techniques from MANDT training as needed. Served as a positive role model and advocate for all individuals receiving services.o Skill building, utilized resource referral database to provide information and referral assistance.o Adhere to policies & procedures for each service offered. Demonstrated the ability to communicate positively with team members, clients, family and community connections.

Richmond Va

o Supported and participated in developing goals and objectives for the efficient training and behavior modification of consumers.o Offered consumers real choices in selecting what to eat, wear, watch on TV, or how to spend time. Completed grocery shopping within prescribed budget and dietary restrictions.o Monitored client activities ensuring program rules were abided, to aid in a safe and healthy environment. Reported any occurrence of human rights violation to supervisor or program director.o Assisted individuals in meeting their objectives and goals as outlined in their Individualized Service Plan.o Met productivity standards of the Adult Day Program Services and Residential homes. Guaranteed a safe, nurturing and caring environment.o Development and review of assessments for assigned individuals. Ongoing contact with family and other consumer representatives, development of community resources to address individual needs.o Reviewed completed Individual Service Plans for accuracy. Interacted with each consumer with dignity and respect. o Attended as needed, individual team staff meetings, Medicaid waiver documentation improvement workshops.o Assisted with development and implemented annual reports, quarterly reviews, six-month reviews and monthly summaries for assigned individuals. o Carefully completed and followed-up on all incident reports in a timely fashion.o Assist individuals to and from the van each day. Transported individuals to community events, social activities and medical appointments.o Aided and supervised individuals with personal care during group and individualized activities.o Attended all continuing education workshops, with appropriate training and supervision, administered medication to individuals as assigned and in compliance with management, medical and nursing policies and procedures.o Served as a positive role model and advocate for individuals receiving services

• Phlebotomy, capillary sticks, CPT, ICD-9 cm and lab test order entry, collected, packaged and sent out specimens ABN form clarification and completion, electronic documentation of chief complains and Vital Signs• Insurance eligibility review and verification, billing, prior authorizations, referrals, denial resolution• Assisted with examinations, glucose and STD checks, patient education on procedures and medication administration explaining outpatient procedures and preparation, arranging for hospital admissions, removing sutures, changing dressings, performing electrocardiograms• Routinely communicated with insurance providers regarding medication denials, assisted patients with completing sliding fee prescription applications