Presentation to employer

Sharon D. Peoples

2606 Carlton Court • Albany, GA 31701 • (229) 886-3807 [email protected]

Multitalented, organized, and motivated professional who seeks a career in a management or supervisory capacity; offering over 15 years of leadership skills, complimented by utilizing the following areas of expertise:

Professional Experience

Manager of Field Services 2011 – Present

Change Healthcare Albany, Georgia 31701

· Provides short-term and long-term funding solutions which include Medicaid for patients.

· Documents and updates PACE based on daily contact of select members of assigned applicant groups and application evidence requirements, i.e. work activity, medical condition, third party, beneficiary, demographic data, financial, life and health insurance information, employment and salary verification, medical history and documentation where evidence is required.

· Investigates and resolves customer’s issues and complaints regarding operational guidelines, standards and policies.

· Oversees and supervises the day-to-day business of multiple hospitals, trains and supervises 9 employees.

· Ensures timely and accurate reviewing of daily paperwork, referrals including service agreements, while guaranteeing patients healthcare needs are met regarding the healthcare services provided.

· Conducts interviews with the service users and their families to assess and review their situation.

· Reviews inbox for daily work queues, identifies missing evidence and follows through to completion.

· Answers incoming calls from state and federal agencies, hospital clients, and Health Care Representatives and Assist callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support application process.

· Effectively educates and answers inquiries from patients and family representatives regarding application process.

· Brief audit teams; generate significant comments and action items; review and draft minutes; monitors corrective actions and closure of action items.

Health Care Representative 2003 – 2011

Change Healthcare Albany, Georgia 31701

· Analyzed and assessed each individual and calculated future requirements through the development of learned knowledge and training seminars. Implemented and identified opportunities to improve cost efficiency and productivity. Assisted clients with scheduling appointments and reminding of appointments, as needed. Maintained ongoing communication with other internal Resolve Application functions to obtain information and/or provide updates regarding claim status.

· Identified and took appropriate actions to complete and submit required financial, medical and personal information forms to support the client application process. Reviewed software system for document mailings prior to applications, medical records, etc. Diligently followed-up with institutions/businesses resolving issues ultimately affecting application approval. Identified appropriate escalation points and works with Escalation Team Leader to resolve issues. Reviewed outgoing client material for accuracy prior to submittal. Complied with ethics, privacy and compliance policies and procedures

Program Manager/SS Tech, Sr 2001 – 2003

Georgia Pines MH/MR/SA Thomasville, Georgia 31792

· Maintained accounting and financial records, perform recordkeeping, stock control and inventory control. Counseled clients on problems, such as unsatisfactory relationships between marriage partners and between parents and children. Helped clients to use agency's services, such as homemaker, day care and other community resources.

· Ascertained client eligibility for financial assistance, determined amount of grant and assumed responsibility for services rendered. Assisted travelers, runaways, migrants, transients, refugees, repatriated Americans and problem families drifting from community to community, encountering difficulty in traveling or needing help toward stabilization.

· Effectively educated and answered inquiries from patients and family representatives regarding application process.

Outreach Coordinator/ Social Service Tech 1997 – 2001

Georgia Pines MH/MR/SA; Thomasville, Georgia 31792

· Answered incoming calls from clients and Health Care Representatives. Served as liaison between the area and the community health care facilities. Provided continuity for the outreach and transport efforts in the region by recruiting and engaging targeted audience.

· Conducted interviews with our service users and their families to assess and review their situation. Contacted influencers and potential referral sources. Coordinated with various agencies in successful organization of the projects. Conduced informational visits and influence community partners to spread the chapter’s mission in underserved communities.

· Coordinated logistics planning for local programs and events; collaborate with chapter staff to promote programs. Arranged information and counseling support to service users and their families. Coordinated participation in community awareness events (health fairs, public appearances) and networking opportunities (community councils, chambers of commerce)

SKILLS, CERTIFICATIONS, & OTHER ATTRIBUTES

· Basic Counseling Skills

· Support and Encouragement Award

· Train the Trainer Workshop

· Substance Abuse Certification

Education

· BS in Allied Healthcare in Health Science

· Minor in Business Administration

Albany State University 1996

References Available Upon Request