Healthcare professional with expertise in coordinating and managing patient care. Skilled in patient advocacy, healthcare and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with robust communication and organizational skills. Reliable and focused on high-quality care outcomes. Proven track record of supporting patient needs and improving care processes through teamwork and problem-solving.
Overview
11
11
years of professional experience
Work History
Case Manager
Trident Global Assistance
05.2022 - Current
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Conducted thorough assessments of the insureds situations, identifying issues, goals, and necessary interventions.
Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
Educated clients on their policies, benefits, and services, empowering them to make informed decisions about their care needs
Improved insureds' satisfaction by efficiently addressing concerns or grievances in a timely manner.
Fostered open lines of communication with the insureds families and support networks, involving them in the case management process as appropriate.
Streamlined case documentation procedures, reducing processing time and increasing efficiency.
Managed crisis situations with empathy and professionalism, ensuring insured safety and continuity of care.
Senior Billing Co-ordinator/Claims Examiner
Ardent Assistance
07.2019 - 04.2022
Data entry, billing and reporting to 8 clients covering 42 countries worldwide, entering and reviewing all inbound invoices and sending for review and payment
Adhering to deadlines set by the clients
Assisting in training on systems as well as data entry, adjudicating claims and providing information to clients
Processing payments in a timely manner in accordance with client agreements
Working with partner companies to obtain the best discounts for our claims
Participated in ongoing professional development opportunities to stay current on industry changes and maintain expertise in the field.
Contributed positively to organizational reputation by consistently demonstrating professionalism, integrity, and expertise in the role of Claims Examiner and Billing Coordinator
Collaborated with team members to develop best practices for reviewing applications and maintaining accuracy.
Office Manager
Aleafia Health
01.2017 - 01.2019
Managed a team of 6 for various positions as well as scheduling for multiple physicians and staff, provided a schedule and staffing for 4 clinics across the GTA
Maintained patient files, and provided medical billing to for all doctors in Ontario, as well as BC which included a total of 24 physicians
Educating staff on new products for our patients, and the uses of each product for the betterment of their health
Providing training for staff on new policies and procedures
Maintaining and reviewing patient files, as well as adhering to all HIPPA and PHIPPA rules and regulations
Opening and closing of offices, ordering supplies for 4 clinics
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing patient inquiries or concerns via phone calls or email correspondence.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
Supported department heads in accomplishing their goals through diligent administrative assistance such as report generation and data entry.
Oversaw facility maintenance requests, coordinating with building management to address repairs or improvements efficiently.
Contributed to workplace safety by ensuring compliance with established emergency protocols and conducting regular equipment inspections.
Optimized office space utilization, leading to more efficient and productive work environment.
Increased customer satisfaction by developing effective patient feedback system that led to service improvements.
Assistant Manager
Enhanced Care Clinic
01.2014 - 01.2017
Managed a team of 8 for various positions as well as scheduling for multiple physicians, maintained patient files, and provided medical billing to for all doctors in Ontario
Assisted in the on-boarding processes of physicians and new staff
Assisted in creating policies and procedures while rapidly expanding across the GTA
Supervised day-to-day operations to meet performance, quality and service expectations.
Maintained a clean, safe, and organized clinical environment to enhance the patient experience.
Developed strong working relationships with staff, fostering a positive work environment.
Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
Oversaw daily cash reconciliations, ensuring accurate financial reporting and minimizing discrepancies.
Improved patient satisfaction by addressing and resolving complaints promptly.
Mentored junior staff members in their professional development by offering guidance/support in their assigned roles.
Assisted in recruiting, interviewing, hiring, and onboarding of new employees to maintain adequate staffing levels.
Collaborated with the management team to develop strategic plans for business growth and improvement.
Enforced company policies consistently while handling disciplinary actions when necessary with fairness and respect.
Scheduled staff shifts to ensure proper coverage without exceeding labor budgets.
Boosted employee morale by recognizing outstanding performance and celebrating team accomplishments.
Education
MEDICAL ADMINISTRATION -
EVEREST COLLEGE
06.2014
Skills
Proficient In Computer Applications and EMR
Problem-solving
Empathy and sensitivity
Team motivation
Case management
Claims handling
Clear oral/written communication
Staff training and development
Administrative support
Organization and multitasking
Documentation and reporting
Confidential records management
Administrative oversight
Employee training
Patient support
Data entry
Languages
English
Full Professional
Timeline
Case Manager
Trident Global Assistance
05.2022 - Current
Senior Billing Co-ordinator/Claims Examiner
Ardent Assistance
07.2019 - 04.2022
Office Manager
Aleafia Health
01.2017 - 01.2019
Assistant Manager
Enhanced Care Clinic
01.2014 - 01.2017
MEDICAL ADMINISTRATION -
EVEREST COLLEGE
Similar Profiles
Mame Diarra DemeMame Diarra Deme
Bilingual Assistance Coordinator Lead at Trident Global AssistanceBilingual Assistance Coordinator Lead at Trident Global Assistance
Specialty Insurance Program Structuring and Insurance Placement at Trident Global Strategies LLCSpecialty Insurance Program Structuring and Insurance Placement at Trident Global Strategies LLC