JaQuetta Stewart
Greensboro
Summary
Dedicated Intake Specialist skilled in claim eligibility analysis and records management. Excellent communication and interpersonal skills. Familiar with industry standards and requirements. Managing duties to facilitate smooth workflow and operational efficiency. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
14
14
years of professional experience
Work History
Intake Coordinator
Bright HealthPlan Solutions
03.2022 - Current
- Streamlined the intake process by implementing efficient data collection and organization methods.
- Coordinated interdisciplinary communication for smoother transitions between care providers.
- Ensured regulatory compliance by maintaining up-to-date records and documentation.
- Improved efficiency within the department by prioritizing tasks and managing time effectively.
- Collaborated with healthcare professionals to ensure patients received appropriate services and resources.
- Provided excellent customer service to healthcare providers during the intake process.
- Resolved issues related to insurance authorizations or medical necessity quickly, minimizing delays in service provision.
- Implemented best practices in record-keeping as per organizational standards, ensuring accuracy across all documents.
- Managed high-volume caseloads efficiently while maintaining strong attention to detail throughout each case''s progression.
- Expedited critical cases through close coordination with clinical teams, reducing wait times for essential services.
Medical Claims Representative
United Healthcare Group
07.2019 - 03.2022
- Improved patient satisfaction by efficiently processing medical claims and addressing inquiries.
- Reduced claim processing time by implementing streamlined workflows and maintaining thorough documentation.
- Enhanced accuracy of processed claims with meticulous attention to detail and knowledge of coding systems.
- Collaborated with healthcare providers for timely resolution of discrepancies, ensuring accurate reimbursement.
- Secured proper payment for services rendered by thoroughly reviewing insurance coverages and applying appropriate codes.
- Managed high-volume claim submissions, consistently meeting deadlines and maintaining a high level of accuracy.
- Increased efficiency in claim submission process by staying up-to-date on changing regulations and industry best practices.
- Handled complex claim issues, effectively communicating with patients, providers, and insurance companies to ensure resolution.
- Maintained compliance with federal regulations by keeping current on changes in the healthcare industry affecting medical billing practices.
- Prevented fraudulent claims by performing rigorous investigations into suspicious cases, safeguarding company resources.
- Provided excellent customer service to both patients and healthcare providers during the entire claims process.
- Demonstrated adaptability by handling various types of medical claims across multiple specialties while maintaining accuracy.
- Supported organizational growth through active engagement in professional development opportunities, consistently seeking ways to enhance skills and industry knowledge.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon established claims processing criteria.
- Reviewed provider coding information to report services and verify correctness.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Posted payments to accounts and maintained records.
Phlebotomist
Wake Forest Baptist Health
04.2019 - 05.2020
- Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
- Completed proper sanitation and cleaning of equipment and work areas between patients.
- Centrifuged blood samples as outlined in clinical protocols.
- Established and maintained positive working relationships with patients, staff and clinical personnel to build trust and camaraderie.
- Used personal protective equipment correctly to protect coworkers and patients.
- Tracked collected specimens by initialing, dating, and noting times of collection.
- Addressed questions and concerns to educate patients on collection process and procedures.
- Stocked phlebotomy cart or carrier with appropriate supplies.
- Assembled tourniquets, needles, and blood collection devices to prepare work trays.
- Packaged and shipped specimens to central lab daily.
- Reviewed patient records for accuracy and completeness.
- Organized daily work based on collection priority.
- Participated in continuing education programs to stay up to date on new technologies and procedures.
- Conducted venipuncture and other CT procedures.
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
- Verified patients' identification for proper sample collection.
- Collected blood samples in accordance with laboratory protocols and regulations.
- Adhered to HIPAA standards and maintained patient confidentiality in all interactions.
- Protected patients by following infection control, sharps disposal, and biohazardous waste disposal procedures.
- Performed venipunctures, finger sticks and heel sticks for both adult and pediatric patients.
- Followed established safety protocols and standards to minimize risk of infection and injury.
- Verified proper storage and transportation of specimens to laboratories.
- Participated in quality assurance and competency assessment initiatives.
- Developed and implemented strategies to improve phlebotomy processes.
Certified Nursing Assistant
Kindred Hospital
10.2016 - 10.2018
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
- Built rapport with patients and families, providing emotional support during difficult times.
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
- Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
- Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
- Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
- Promoted independence in patients through walking exercises or assisting them with mobility devices like walkers or wheelchairs.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
- Served as an advocate for each patient's needs during shift handoffs or interdisciplinary conferences with other healthcare professionals.
- Assisted nurses with wound care procedures ensuring proper healing processes took place.
- Adhered strictly to infection control policies while performing tasks such as administering medications or changing dressings.
- Streamlined communication between nursing staff, patients, and families to ensure comprehensive understanding of care plans.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Followed directions of licensed nurses to administer medications and treatments.
- Obtained blood samples for medical testing and transfusion through venipuncture or capillary puncture.
- Intensive Care Unit ; maintaining the stability of trach/ventilator patient's
- Gathering Data to help with the assessment for EKG, CBG's skin assessments upon patient's arrival efficiency with typing up documents/computing data correctly into patients charts
Certified Nursing Assistant
HCR ManorCare Monroeville
09.2010 - 08.2016
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
- Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
- Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
- Served as an advocate for each patient's needs during shift handoffs or interdisciplinary conferences with other healthcare professionals.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Cared for clients with diagnoses such as respiratory failure, diabetes, Parkinson's disease and muscular dystrophy.
- Participated in fun group activities with patients to boost mood, improve overall memory, and provide light entertainment.
- Oversaw and maintained patients' rooms, group living areas, and nurse stations.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Responded to patient requests for supplies and personal comfort items such as extra blankets.
Certified Nursing Assistant
Triad Healthcare
05.2010 - 08.2010
- Improved patient care quality by monitoring and recording vital signs, fluid intake, and output.
- Assisted patients with daily living activities for enhanced comfort and wellbeing.
- Maintained a clean, safe environment by sanitizing surfaces, changing linens, and disposing of waste properly.
- Collaborated with nursing staff to create individualized care plans tailored to each patient''s needs.
- Provided high-quality personal care services such as bathing, grooming, dressing, and feeding to ensure patient dignity.
- Reduced fall incidents by implementing safety measures like bed alarms and proper positioning techniques.
- Enhanced team efficiency by promptly responding to call lights and reporting changes in patient condition to nurses.
- Conducted regular rounds to monitor patients'' physical and mental status throughout shifts.
- Prevented pressure ulcers development through frequent turning, repositioning of patients, and diligent skin assessments.
- Performed accurate documentation of patient information according to established protocols for record-keeping purposes.
- Served as an advocate for each patient's needs during shift handoffs or interdisciplinary conferences with other healthcare professionals.
- Adhered strictly to infection control policies while performing tasks such as administering medications or changing dressings.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels.
- Participated in fun group activities with patients to boost mood, improve overall memory, and provide light entertainment.
- Offered immediate assistance in emergency and routine paging situations to evaluate needs and deliver care.
- Supported ambulation and physical therapy needs by conducting planned exercise routines.
- Evaluated patients to identify and address wounds, behavioral concerns, and medically relevant symptoms.
Education
High School Diploma -
Forest Hills High School
Forest Hills, NY06.2003
Skills
- Records Management
- Case Management
- Records Maintenance
- Progress Reporting
- Charting and Clinical Documentation
- Call Transfers
- Patient Scheduling
- Conflict Mediation
- Compassionate Communication
- Office Supplies and Inventory
- Data Entry
- Multi-Line Phone Systems
- Critical Thinking Skills
- Operational Requirements
- Collecting Intake Information
- Computerized Maintenance Management Systems
- Accounts Payable and Accounts Receivable
- Eligibility Reviews
- Microsoft Office
- Claim Processing
- CPT Coding
- Medical Recordkeeping
- Safety and Risk Assessments
- Patient Admission
- BLS Certified
- Medical Records Review
Timeline
Intake Coordinator
Bright HealthPlan Solutions
03.2022 - Current
Medical Claims Representative
United Healthcare Group
07.2019 - 03.2022
Phlebotomist
Wake Forest Baptist Health
04.2019 - 05.2020
Certified Nursing Assistant
Kindred Hospital
10.2016 - 10.2018
Certified Nursing Assistant
HCR ManorCare Monroeville
09.2010 - 08.2016
Certified Nursing Assistant
Triad Healthcare
05.2010 - 08.2010
High School Diploma -
Forest Hills High School
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