Simone Barnes
Shakopee,MN
Summary
High organized and proactive worker with excellent communication skills and a strong work ethic. Proven ability to work in team environment and collaborate effectively with peers.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Clinical Administrative Coordinator
UnitedHealthcare
11.2022 - Current
- Assist Supervisor in monitoring KPI's ny reviewing SQL Reports.
- Monitor shared email to provide timely direction and response to CSC, CSCII and other departments.
- Develop and uses diverse conflict resolution techniques.
- Contribute to large projects and individual initiatives
- Work with peers in other functions and other departments.
- Review Contracts in which pertained Medicaid department
Intake specialist representative
University of Minnesota
11.2021 - 01.2022
- Obtain referrals from specialists and schedule patients accordingly within their network
- Work through an email queue system, receiving doctor requests for patient procedure need, date, location, and level of urgency
- Switch to the referral queue to find the appropriate match referrals for the request
- Follow up with patient and conduct a health screening to determine which referral and location would best fit their needs per their insurance policy
- Process 70 combined inbound and outbound referral requests a day
- Resolve patient complaints with few calls sent to escalation
- Document detailed information into the patient chart
Patient care coordinator
CVS Health
10.2020 - 11.2021
- Process pharmaceutical orders for in home IV therapy infusions and tube feeding therapy services
- Receive national pharmacy orders and verify per patient insurance
- Calculate and disclose out of pocket price to patient on the phone, tie in collector to collect payment, and draft contract for their acknowledgement
- Send contract confirmation to shipping to have the item be sent either to the hospital or to their home, and track packages as needed
- Process about 35 orders a day as some took up to 2 weeks or more to complete based on hospital discharge date
- Familiar with multi state insurance laws to find appropriate solutions
Benefit verification specialist
CVS Health
01.2019 - 01.2021
- Contact insurance companies to verify patient benefits and coverage
- Call insurance in multi states to verify patient coverage, and cross-referenced medical codes to see what was approved
- Processed 55 verifications per day
- Calculate patient copays and enter into SalesForce and inform patient of amounts owed
- Once approved, would send to the patient care coordinator to draft and process the contract
Call center representative
Park Nicollet
05.2019 - 12.2020
- Schedule patient appointments from vaccine administration to minor surgical procedures
- Send notes and prescription refill requests to doctors
- Work through phone queue of 100+ inbound calls per day
Nursing Technician
Fairview Ridges Hospital
01.2017 - 01.2019
- Managing Administrative Task
- Coordinating patient admissions, transfers, and discharges, maintaining medical records, scheduling appointments, communicating with patients and staff and ordering supplies.
- Assist with direct patient care procedures and related tasks
- Obtain and document vital signs, collect lab specimens and draw blood under charge nurse supervision
- Assist patients with daily activities, personal hygiene, and feeding
- Maintain clean environment and restock supplies
Certified nursing assistant
Various Locations
01.2009 - 01.2017
- Aid patients and residents in daily activities
- Obtain and document vital signs and keep proper documentation
- Assist patients with daily personal care activities and physical therapy requirements
- Neatly maintain patient rooms, shared-living areas, and nursing stations
- Responded to patient alarms and needs-assessment requests to identify course of treatment
Customer service associate
Kohl's Department Store
08.2007 - 01.2009
Education
Associate's degree - Human Services
Rasmussen College
BACHELOR'S DEGREE - Business Management
University of Minnesota Crookston
Skills
- Microsoft Office
- Office Administration
- Outlook
- Google Suits
- Teams
- Project Management
- Meeting Coordination
- Event Coordination
- Salesforce
- EPIC
- Pharmaceutical Terminology
- Calendar management
- MMIS
- Certified Business Analysis Fundamentals
- Project Management foundation
- Data entry
- Customer support
Certification
- Certified Business Analysis Fundamentals
- Project Management Foundations
Timeline
Clinical Administrative Coordinator
UnitedHealthcare
11.2022 - Current
Intake specialist representative
University of Minnesota
11.2021 - 01.2022
Patient care coordinator
CVS Health
10.2020 - 11.2021
Call center representative
Park Nicollet
05.2019 - 12.2020
Benefit verification specialist
CVS Health
01.2019 - 01.2021
Nursing Technician
Fairview Ridges Hospital
01.2017 - 01.2019
Certified nursing assistant
Various Locations
01.2009 - 01.2017
Customer service associate
Kohl's Department Store
08.2007 - 01.2009
BACHELOR'S DEGREE - Business Management
University of Minnesota Crookston
Associate's degree - Human Services
Rasmussen College
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