Terra Sutton Email & Phone Number

Ridgeville, South Carolina, United States

correctional nurse

Summerville, South Carolina, United States

Charleston, South Carolina Area

Part of the HPACT (Homeless Patient Aligned Care Team) team initiative. Used CPRS, Vista and JLV to locate patients Information. Retrieve patient medical records for Physicians, and other medical personnel. Released information to persons or agencies according to regulations. Reviewed records for completeness, accuracy, and compliance with regulations. Assigned appropriate medical ICD 10 codes and procedure codes to diagnosis and services for 3 physicians in outpatient clinic. Able to work independently and prepare and administer prescribed medication and perform treatments as ordered by the HCP. Assist other staff in order to prioritize the overall veteran care needs and adjusts the plan of care as needed. Report and record significant changes and deteriorating condition in emergent situations in a timely manner. Teach and document health concepts to Veterans.

North Charleston, South Carolina, United States

• Duties included but not limited to administering medications, wound care, performing prescribed treatments, performing assessments upon admission, preparing and administer subcutaneous and intra-muscular injections, responding to the emotional and age related needs, reporting and documenting patient information, connecting resident to dialysis, in the evening, and monitoring and observing resident, & documenting residents information in electronic medical chart.

Columbia, South Carolina, United States

• Collaborate with primary care providers and other health care providers to ensure continuity, timeliness and appropriateness of care to inmate patients• Coordinates and/or administers medication, therapeutic agents, treatments, to inmate patients• Assists physicians with medical treatments• Administers prescribed medication• Applies surgical dressings & bandages• Provides emergency first aid care• Checks & records vital signs• Obtains specimens from inmate patients for diagnostic testing• Reports reactions to treatments and medications, as well as changes in the inmates’ emotional or physical condition• Provides inmate patient education and/or discharge planning• Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms• Promotes a therapeutic environment to ensure inmates are treated in a professional, ethical and tactful manner• Performs other position-related duties as assigned, depending on assignment setting

Richmond, Virginia, United States

• Communicated with providers, groups, and provider peers in order to maintain overall contractual compliance.• Credentialed physicians and allied providers during their timely credentialing process for accreditation requirements.• Acted as a liaison between providers, provider representatives and the central verification center. Conduct audit of managed care organizations that are under delegated contracts to check compliance of our credentialing standards.• Assures that credentialing verification procedures are completed in a timely manner according to Coventry Health Care credentials policy and procedures, and NCQA accreditation standard and other regulatory credentialing standards.• Assist with special projects under instruction of department managers• Obtain follow-up information as requested by Credentialing Committee or Peer Review Teams, gather data, build/run reports, and send out updates based upon that data.• Maintain Data: responsible for overall accuracy of credentialing database, assuring that the information is current, and that information is presented internally and externally in a timely and professional manner

Richmond, Virginia, United States

Validate and or confirm information related to the appointment and/or reappointment of a participating provider by utilizing the primary source.Conduct site visits and audit managed care organizations that are under delegated contracts to check compliance of our credentialing standards.Primary source verifies and maintains a hard copy of all networks individual and/or facility/ancillary providers’ information. Knowledge of credentialing standards of all state and federal regulatory entities including all medical and surgical provider types.Monitor DHP, DEA and Medical Board disciplinary actions, and follow up accordingly. Correspond with licensing board, NPDB, hospitals, certification agencies, training programs and medical groups to resolve any issues.Significant knowledge of Federal and State regulatory requirements and accreditation standards e.g., JCAHO, NCQA, URAC, NPDB, and other certifying agencies. Assist in the preparation of file reports and binders for monthly credentials committee, including pre-and — post Committee functions. Update SOP’s, and Departmental Policies and Procedures manuals.

Henrico, Virginia, United States

• Daily log cash receipts and deposits. Generate Residential fees, Waiver Copay, and SOS Copays monthly.• Generate Client Statements monthly. Send out Set off Debt collections letters quarterly for unpaid balances to clients.• Supervised over 10 employees different departments and locations. Run and analyze general ledger and A/R aging report monthly.• Distribute ledger reports to the business staff for corrections and updates on financials.• Log Payment Invoice Voucher 2x a week and report to the county.• Receive phone calls daily and research accounts and resolve client-billing issues.• Arrange payment plans and collect payments. Edit and post client unapplied monies and issue refunds when needed.• Provider enrollment and networking with various third-party insurances to place all Physicians and Allied health employees on the network panel.• Credentialing specialist for all Henrico County mental health locations. Update licenses into system after verifying from DHP.• Participates in audits performed by regulatory and accrediting agencies, including JCAHO, NCQA, CARF, Department of Health, managed care organizations, and others.

Bronx, New York, United States

• Post payments, rejections and adjustments from patient statements, managed care, commercial carriers and government payers• Perform all responsibilities in compliance with company policies and procedures; ensuring timely and completed documentation of activities performed• Timely follow-up on all accounts assigned, work accounts as established procedures until account is resolved, sent to legal, or disputed• Organize and prioritize work to make sure projects are completed in a timely and efficient manner• Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed• Help, coaching and training to staff members, including new hires• Provide enhanced training and assist staff with techniques to increase production, quality and collections

Bachelor Of Applied Science - Basc, Health Services Administration

Diploma, Lpn

Medical Coding, Medical Insurance Coding Specialist/Coder