Sheree Sims Email & Phone Number

Columbus, Ohio, United States

Columbus, Ohio, United States

"Actively advocate for members' optimal health as a primary point of contact for health plan members. Address inquiries regarding benefits, assist with locating in-network providers, provide guidance on plan selection during enrollment, and conduct thorough research to resolve issues related to claims and billing. Collaborate both internally and externally with providers and billing companies to effectively address service issues and resolve escalations. As an experienced Health Concierge, I support newly hired team members by answering questions, sharing best practices, and offering tips to help them adjust smoothly to their roles."

Cleveland/Akron, Ohio Area

Support high school teens and young adults from diverse backgrounds in Cleveland, Ohio, through a summer employment program. Provide mentoring, professional development, and job skills coaching to guide participants toward meaningful career pathways. Maintain and update program databases with participant information and data for ongoing analysis. Offer mentorship and support to students as needed, ensuring they stay engaged and productive. Organize and maintain comprehensive documentation, including case notes, weekly timesheets, and evaluation data. Conduct weekly site visits to participants and facilitate career-focused discussions to enhance job readiness. Act as a liaison among site supervisors, participants, and administration to ensure program objectives and compliance are consistently met. Cultivate positive, supportive relationships with youth throughout the program.

Cleveland/Akron, Ohio Area

Conduct Assessments: Perform in-depth mental health assessments to understand clients' psychological, emotional, and social needs. Develop Treatment Plans: Collaborate with clients to create individualized treatment plans that address specific mental health needs and goals. Update and adjust plans as needed based on progress and feedback.Crisis Intervention: Respond to clients experiencing mental health crises, providing de-escalation, immediate support, and coordination for emergency services if needed. Develop and implement safety plans to reduce risk.Case Management: Coordinate with external agencies, healthcare providers, and support systems to ensure clients receive necessary resources, referrals, and continuity of care.Maintain Documentation: Accurately document assessments, treatment plans, progress notes, and other relevant client information in a timely manner, adhering to confidentiality and regulatory requirements.Collaborate with Interdisciplinary Teams: Work closely with Psychiatric treatment team ensure comprehensive and cohesive care for clients.Educate and Support: Provide psychoeducation to clients and their families, offering guidance on managing mental health symptoms and understanding treatment options.Advocate for Clients: Represent and advocate for clients' mental health needs within the healthcare and social service systems.

Cleveland,Ohio

Supervision, aide and individualized personal care for special education students through preventative, proactive, dignified classroom management techniques that reflect expectations of scholar behavior and are aligned with school behavior rules and academic goals.Reinforces daily lesson plan and class schedule, implemented academic tasks.Fostering effective social skills and implementation of behavior management programs.Through parent engagement and communication, I contribute to providing pertinent information to administration and special education team regarding student performance, absence notifications and personal needs. Supervised and aided students in special activities during field trips and during breakfast, lunch and dismissal. Observes students’ progress and specific skills and behaviors exhibited as outlined on each Individualized Education Plan.

Assist/monitor/teach individuals with Developmental and Intellectual Disabilities. Preparation of daytime activities; encourage good personal hygiene, and behavior appropriate in their home or apartment.Teach community integration; assist individuals in joining community organizations of their choice.Teach problem solving skills/resolving conflicts.Provide leisure/recreational activities of individual(s) choice, increase individual’s self initiative in leisure activities.Teach/monitor individuals self management skills (in health and behavior management).Provide opportunities for individuals to have choices, make decisions in daily living and their future goals (i.e. assist individual in day to day decisions).Assist in creating natural supports for individuals.Assist individuals in building their self esteem.Encourage empowerment,Skill Building and Positive Support.Follow individual treatment plans consistently.Conduct and document monthly fire drills according to DMR procedures.

Business Operations Center

Restructured the monthly billing and reconciliation process for Cleveland Clinic Children’s Rehab Specialized Family Care Program and the Cleveland Clinic Center for Autism Outreach and School Program.Educated parties, clients and vendors on overall billing process, financial/self-pay policy; performed daily cash applications, submitted payment deposits; provided financial counseling for patients, according to CCHS policy, documented all collection notes on patient accounts; collected financial documents and contracts, assisted patients with obtaining a third-party resource for payment assistance.Performed registration, insurance verification, collecting and verifying patient demographics with the goal of 100% accuracy. This included obtaining and securing purchase orders and payment authorizations.Monitored overdue accounts, using computers and a variety of automated systems. Performed various administrative functions for assigned accounts, such as recording address changes, updating billing information.Coordinated and generated monthly financial reporting and distribution to finance department. Upheld up to date billing and reconciliation process of improvement with Chief Financial Officer, Finance Director and Business Manager.

Cleveland, Ohio

Generated, reviewed and submitted completed medical billing claims to health insurance organizations for payment of services rendered. Examined the Explanation of Benefits from Insurance Companies to follow up and act on filing appeals within designated time to resolve those issues swiftly to receive payment. Counseled customers of necessary actions and strategies for debt repayment and establish repayment schedules. Performed monthly account auditing and weekly monitored past due accounts, using computers and a variety of automated systems. Notified customers of delinquent accounts by mail, telephone, or email or resubmitted claims.Dutiful with various administrative functions for assigned accounts, such as recording address changes and purging the records of inactive accounts.

Bachelor Of Arts (B.A.), Psychology

Activities and Societies: Sigma Gamma Rho Sorority Inc. Bachelor of Arts, Psychology

Social Sciences

Urban Studies, Urban Psychology, Human Resource Managment.

Diploma, Medical Billing And Coding

Medical Billing and Coding