East End Health & Rehab Center, formerly Highland Park Care Center

I offer compassionate cleaning of headstones in the N. Pittsburgh region using methods and supplies recommended by the National Memorial Association.

I am responsible for updating and maintaining office records in the computer system as well as the previous written files. I handle correspondence and phone calls, scheduling appointments, funerals, and services. I assist family members in locating their loved ones and ensuring that their spaces are well-maintained.

I worked closely with the Account Executives for CareOne home health and the facilities, physicians, and patients. I ensured that all information needed was collected and present to smooth the transition from hospital to home health care and facilitated needs for signatures, DME, and government required paperwork. I tracked patients to ensure they meet the Medicare guidelines for opening, visits, and discharges. I created and maintained spreadsheets for tracking incoming referrals, patients readmitted to acute facilities, and DME equipment orders and deliveries.

As Intake Specialist, I am responsible for actively seeking out and accepting new referrals for home health and hospice. I utilize Allscripts, NaviHealth and Ensocare as tools for locating and placing patients. Additionally, I handle incoming phone calls and faxes for new referrals from doctor's offices, the Veterans Affairs Department, and various medical institutions. I match each patient up with a team of experienced clinicians, including RN's, PT, OT, ST, and RT services, MSW, and HHA services. I review all referrals for necessary documentation and ensure that each patient is processed timely and with compassion in my dealings with them. I track the opening assignments of the varying disciplines and confirm that the start of care has been handled timely. In addition to those duties, I am responsible for opening and directing all incoming faxes to the correct department and employee, as well as tracking of various reports and maintaining multiple spreadsheets regarding the home health clients.

I was responsible for the organization and scheduling of the Case Management department, maintaining the calendar for the case managers, scheduling appointments with outside entities as well as other departments within the hospital, and maintaining a relationship with the various vendors working with our department. I answered and screened phone calls coming in to the department as well as followed up with vendors to ensure timely receipt and delivery of medical equipment, outside services, and outside appointments with other providers. I maintained multiple calendars across three systems, ensuring that the information flowed across all of them and that the data was correct for auditing and billing purposes.I submitted data to insurance companies for Utilization Review purposes, ensuring payment for our services and garnering authorizations.I worked closely with the Director of Therapy Services to create a medical equipment closet in conjunction with an outside vendor to ensure that our patients would not be delayed in their safe discharge back to their homes.I worked on compliance with our reporting for my department and others, helping ensure that we remained in governmental compliance.I created a database of resources for home health, outpatient therapy, lower level of care facilities, durable medical providers, and insurance contracts.

My main responsibilities were medical billing for a busy ophthalmology practice. I verified information and coverage and submitted the billing to the insurance companies, following up on payments and payment errors when necessary. Occasionally, I coded diagnoses and procedures, checking against the physicians' notes and reports.When needed, I worked the check-in and/or the check-out desks. I obtained insurance information, checked for authorizations, requested authorizations, contacted other medical practices for referrals, and scheduled patients with both our practice and referred practices.I drafted and typed letters for the doctors when needed, having composed letters to Senators, Congressmen, insurance companies, newspapers, and other physicians. I also did transcribing from chart notes and create templates for the doctors' use in patient care.I handled collection calls on balances owed by patients after the insurance portion was paid. If no resolution was had, I gathered and prepared required information for outside collections.

I was responsible for doing background checks and processing paperwork for new hires, including sending information to worker's comp and social security. I scheduled up to 12 nurses at up to five facilities and actively sought out more hours for the company to fill. I processed payroll, submitted payments to government agencies for insurance, taxes, and child support, and paid bills for the company while handling all company finances.

I was responsible for processing and paying incoming bills from vendors to the hospital. I filed and stored all paperwork. I entered data daily on the computer, and ran daily, weekly, and monthly reports. I verified all charges with hospital records, checking for and correcting any inconsistencies.All other duties as assigned.

I was responsible for verifying charges billed by departments. I prepared and sent bills to insurance companies, including Medicare, Medi-cal, worker's comp, and private insurance. I was responsible for billing any secondary insurances available, and billing and collecting from patients when needed, assisting patients with payment plans. I did data entry, recording charges, payments, deposits, and nursing notes on both the regular computer and a DDE machine. I also ran monthly reports and balanced my figures. I attended seminars to stay current on the Medicare laws and regulations. I trained new hires in various positions. While employed at this facility, I also served on the Quality Control Committee, attending meetings and helping improve conditions at the hospital for staff and clients alike.

Opened and processed incoming mail.I assisted clients with their bills and processed their payments. I recorded incoming payments and prepared bank deposits.I covered the PBX for their breaks, and was employed part-time by the PBX for approximately the first six months while working the front office, answering and routing incoming calls, paging overhead, and updating available records.I prepared and typed documents for the Office Manager.