SlideShare a Scribd company logo
Phalonda Gaines
8802 W Chase Drive Douglasville, Ga. 30134
678-670-8603 phalonda1@yahoo.com
SUMMARY OF QUALIFICATIONS
Intense knowledge of Epic, Epremis, Point Click Care Software
GAMMIS, Cahaba/VisionShare
Georgia Notary
Dependable customer service representative with 2+ years of experience in long term care business experience
WORK EXPERIENCE-GRADY HEALTH SYSTEM
8/2015-Current Grady Health System(Crestview)-Admissions Coordinator
• Increase the amount of insure patients admitted versus indigent patient by marketing facility
• Responsible for the day to day operations of the Admissions department
• Ensures that all potential residents admit with level 1 or 2 and prior authorizations for accurate, clean
billing
• Exceptional ability to analyze solutions and identify problems
• Explains rates, charges,services and payment of bills, visiting hours and disposition of clothing and
valuables
• Completes admission agreement on all admissions; ensures resident and family understand rights and
responsibilities, and gathers all billing information necessary
• Maintains business files, using business file checklist for accuracy and audits
• Excellent communication skills in both oral and written forms
• Ensures execution of contracts by appropriately authorized persons; ensures copies ofguardianship, P.O.A.,
etc. are maintained
• Explains sensitive issues to residents/families, such as Living Wills, Health Care Surrogacy, funeral
arrangements, etc.
• Ensure all necessary documentation is received on admission or readmissions from physician, hospital, etc.
• Make future reservations and coordinates the admission procedure with all departments
• Assist in marketing the facility
9/2010 to 8/2015 Grady Health System (Crestview)-Unit Clerk
• Maintain clerical and otheradministrative tasks for a long term care facility
• Assemble patient records and file for consistent,easy access
• Organize and verify medical billing charts
• Proactively look for discrepancies from any discipline and solve them
• Create labels, order supplies needed for unit
• Answer multi line phone system,greet patients and visitors
• Assist patients as needed and various duties as assigned by charge nurse and unit manager
• Provide support to other departments in case of vacations
Business Office Associate-Medicaid Eligibility Specialist
• In-depth knowledge of Medicaid nursing home application guidelines
• Claims denial resolution and billing process
• Interview clients and collect information needed to complete Medicaid application and/orrenewal
• UB claim processing and submission; Denial troubleshooting
• Coordinate with client collections and services department to facilitate all billing functions
• Crossoverclaims submission
EDUCATION
2001-Certificate of Computer Applications (Microsoft Office Suite) West Central Technical College
2010 - Patient Care Assistant Certificate - West Central Technical College - Received 2 Academic Achievement
Awards
Completed series of healthcare classes:Medical Terminology, Diet and Nutrition Therapy, Anatomy and
Physiology
2013 - Associate of Arts - Health Administration - University of Phoenix
Currently attending Strayer University BBA Program in Health Service Administration( Graduate 2016)

More Related Content

What's hot

Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015
Zane Fleming
 
Michael Resume
Michael ResumeMichael Resume
Michael Resume
Michael Touma
 
Tiffany Moore Resume 1 (1)
Tiffany Moore Resume 1 (1)Tiffany Moore Resume 1 (1)
Tiffany Moore Resume 1 (1)
Tiffany Moore
 
Chelsea Hayes Resume3
Chelsea Hayes Resume3Chelsea Hayes Resume3
Chelsea Hayes Resume3
Chelsea Hayes
 
MY CV 2016
MY CV 2016MY CV 2016
Evelyn_Torio_Resume
Evelyn_Torio_ResumeEvelyn_Torio_Resume
Evelyn_Torio_Resume
Evelyn Torio
 
Kathryn Resume 2014
Kathryn Resume 2014Kathryn Resume 2014
Kathryn Resume 2014
Kathryn Murchison
 
D. Plunkett
D. PlunkettD. Plunkett
D. Plunkett
Dora Plunkett
 
Sandra_Hughes Resume
Sandra_Hughes ResumeSandra_Hughes Resume
Sandra_Hughes Resume
Sandra Hughes
 
Carmen Coleman Resume
Carmen Coleman ResumeCarmen Coleman Resume
Carmen Coleman Resume
Carmen Coleman
 
Sabina Hamzabegovic (2)
Sabina Hamzabegovic (2)Sabina Hamzabegovic (2)
Sabina Hamzabegovic (2)
Sabina Hamzabegovic
 
K Kelley Resume-A
K Kelley Resume-AK Kelley Resume-A
K Kelley Resume-A
Kristine Kelley
 
Sandy's R
Sandy's RSandy's R
Sandy's R
Sandy Geyer
 
RESUME 2016
RESUME 2016RESUME 2016
RESUME 2016
Denise Graham
 
Ellen Banning's Resume
Ellen Banning's ResumeEllen Banning's Resume
Ellen Banning's Resume
ellen banning
 
Patricia Bieneman Resume 1-2017
Patricia Bieneman Resume 1-2017Patricia Bieneman Resume 1-2017
Patricia Bieneman Resume 1-2017
Patty Bieneman
 
Brianna Mc Resume 2016
Brianna Mc Resume 2016Brianna Mc Resume 2016
Brianna Mc Resume 2016
Brianna McGrath
 
Lisa Baskett Resume
Lisa Baskett ResumeLisa Baskett Resume
Lisa Baskett Resume
Michelle Baskett
 
Current Salary
Current SalaryCurrent Salary
Current Salary
Jennifer Walker
 
vBrian_Mendoza_CV
vBrian_Mendoza_CVvBrian_Mendoza_CV
vBrian_Mendoza_CV
Brian Mendoza
 

What's hot (20)

Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015Zane Fleming Resume 6-2015
Zane Fleming Resume 6-2015
 
Michael Resume
Michael ResumeMichael Resume
Michael Resume
 
Tiffany Moore Resume 1 (1)
Tiffany Moore Resume 1 (1)Tiffany Moore Resume 1 (1)
Tiffany Moore Resume 1 (1)
 
Chelsea Hayes Resume3
Chelsea Hayes Resume3Chelsea Hayes Resume3
Chelsea Hayes Resume3
 
MY CV 2016
MY CV 2016MY CV 2016
MY CV 2016
 
Evelyn_Torio_Resume
Evelyn_Torio_ResumeEvelyn_Torio_Resume
Evelyn_Torio_Resume
 
Kathryn Resume 2014
Kathryn Resume 2014Kathryn Resume 2014
Kathryn Resume 2014
 
D. Plunkett
D. PlunkettD. Plunkett
D. Plunkett
 
Sandra_Hughes Resume
Sandra_Hughes ResumeSandra_Hughes Resume
Sandra_Hughes Resume
 
Carmen Coleman Resume
Carmen Coleman ResumeCarmen Coleman Resume
Carmen Coleman Resume
 
Sabina Hamzabegovic (2)
Sabina Hamzabegovic (2)Sabina Hamzabegovic (2)
Sabina Hamzabegovic (2)
 
K Kelley Resume-A
K Kelley Resume-AK Kelley Resume-A
K Kelley Resume-A
 
Sandy's R
Sandy's RSandy's R
Sandy's R
 
RESUME 2016
RESUME 2016RESUME 2016
RESUME 2016
 
Ellen Banning's Resume
Ellen Banning's ResumeEllen Banning's Resume
Ellen Banning's Resume
 
Patricia Bieneman Resume 1-2017
Patricia Bieneman Resume 1-2017Patricia Bieneman Resume 1-2017
Patricia Bieneman Resume 1-2017
 
Brianna Mc Resume 2016
Brianna Mc Resume 2016Brianna Mc Resume 2016
Brianna Mc Resume 2016
 
Lisa Baskett Resume
Lisa Baskett ResumeLisa Baskett Resume
Lisa Baskett Resume
 
Current Salary
Current SalaryCurrent Salary
Current Salary
 
vBrian_Mendoza_CV
vBrian_Mendoza_CVvBrian_Mendoza_CV
vBrian_Mendoza_CV
 

Similar to Resume_2015

Resume William Croughn 2014
Resume William Croughn 2014Resume William Croughn 2014
Resume William Croughn 2014
Will Croughn
 
Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resume
monica wright
 
Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2
Mary Linyard
 
ANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIEDANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIED
Angela Pope
 
MariadelCarmenTorres Resume
MariadelCarmenTorres ResumeMariadelCarmenTorres Resume
MariadelCarmenTorres Resume
Carmen Torres
 
tangelawresume
tangelawresumetangelawresume
tangelawresume
Tangela Woodberry
 
E. Payne's Resume - 1
E. Payne's Resume - 1E. Payne's Resume - 1
E. Payne's Resume - 1
Ettolya Payne
 
Natasha Gulati Resume
Natasha Gulati ResumeNatasha Gulati Resume
Natasha Gulati Resume
Natasha Gulati
 
Alysha+Lewis+resume
Alysha+Lewis+resumeAlysha+Lewis+resume
Alysha+Lewis+resume
Alysha Lewis
 
My resume 2016
My resume 2016My resume 2016
My resume 2016
Yvette Uthmann
 
Resume_Henzl_Patricia_7.31
Resume_Henzl_Patricia_7.31Resume_Henzl_Patricia_7.31
Resume_Henzl_Patricia_7.31
Trish Henzl
 
RESUME JOB DESCRIP
RESUME JOB DESCRIPRESUME JOB DESCRIP
RESUME JOB DESCRIP
Denise Jackson
 
Sarah K Schaefer
Sarah K SchaeferSarah K Schaefer
Sarah K Schaefer
Sarah Schaefer
 
resume Adminstrative Assistant
resume Adminstrative Assistantresume Adminstrative Assistant
resume Adminstrative Assistant
Ericka Green
 
Audrey Cooper Resume 2015
Audrey Cooper Resume 2015Audrey Cooper Resume 2015
Audrey Cooper Resume 2015
Audrey Cooper
 
Sheketa Paulk Resume 2016 (2)
Sheketa Paulk Resume 2016 (2)Sheketa Paulk Resume 2016 (2)
Sheketa Paulk Resume 2016 (2)
Sheketa Paulk
 
2015 Resume
2015 Resume2015 Resume
Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)
Si Sok
 
jackie resume update
jackie resume updatejackie resume update
jackie resume update
jackie webb
 
Francine Martin Resume June 2016
Francine Martin Resume June 2016Francine Martin Resume June 2016
Francine Martin Resume June 2016
Francine Martin
 

Similar to Resume_2015 (20)

Resume William Croughn 2014
Resume William Croughn 2014Resume William Croughn 2014
Resume William Croughn 2014
 
Monica Wrights Resume
Monica Wrights ResumeMonica Wrights Resume
Monica Wrights Resume
 
Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2Mary Linyard Resume 2016.docx2
Mary Linyard Resume 2016.docx2
 
ANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIEDANGELA POPE RESUME MODIFIED
ANGELA POPE RESUME MODIFIED
 
MariadelCarmenTorres Resume
MariadelCarmenTorres ResumeMariadelCarmenTorres Resume
MariadelCarmenTorres Resume
 
tangelawresume
tangelawresumetangelawresume
tangelawresume
 
E. Payne's Resume - 1
E. Payne's Resume - 1E. Payne's Resume - 1
E. Payne's Resume - 1
 
Natasha Gulati Resume
Natasha Gulati ResumeNatasha Gulati Resume
Natasha Gulati Resume
 
Alysha+Lewis+resume
Alysha+Lewis+resumeAlysha+Lewis+resume
Alysha+Lewis+resume
 
My resume 2016
My resume 2016My resume 2016
My resume 2016
 
Resume_Henzl_Patricia_7.31
Resume_Henzl_Patricia_7.31Resume_Henzl_Patricia_7.31
Resume_Henzl_Patricia_7.31
 
RESUME JOB DESCRIP
RESUME JOB DESCRIPRESUME JOB DESCRIP
RESUME JOB DESCRIP
 
Sarah K Schaefer
Sarah K SchaeferSarah K Schaefer
Sarah K Schaefer
 
resume Adminstrative Assistant
resume Adminstrative Assistantresume Adminstrative Assistant
resume Adminstrative Assistant
 
Audrey Cooper Resume 2015
Audrey Cooper Resume 2015Audrey Cooper Resume 2015
Audrey Cooper Resume 2015
 
Sheketa Paulk Resume 2016 (2)
Sheketa Paulk Resume 2016 (2)Sheketa Paulk Resume 2016 (2)
Sheketa Paulk Resume 2016 (2)
 
2015 Resume
2015 Resume2015 Resume
2015 Resume
 
Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)Jennifer Sok 2016 Resume.docx (2)
Jennifer Sok 2016 Resume.docx (2)
 
jackie resume update
jackie resume updatejackie resume update
jackie resume update
 
Francine Martin Resume June 2016
Francine Martin Resume June 2016Francine Martin Resume June 2016
Francine Martin Resume June 2016
 

Resume_2015

  • 1. Phalonda Gaines 8802 W Chase Drive Douglasville, Ga. 30134 678-670-8603 phalonda1@yahoo.com SUMMARY OF QUALIFICATIONS Intense knowledge of Epic, Epremis, Point Click Care Software GAMMIS, Cahaba/VisionShare Georgia Notary Dependable customer service representative with 2+ years of experience in long term care business experience WORK EXPERIENCE-GRADY HEALTH SYSTEM 8/2015-Current Grady Health System(Crestview)-Admissions Coordinator • Increase the amount of insure patients admitted versus indigent patient by marketing facility • Responsible for the day to day operations of the Admissions department • Ensures that all potential residents admit with level 1 or 2 and prior authorizations for accurate, clean billing • Exceptional ability to analyze solutions and identify problems • Explains rates, charges,services and payment of bills, visiting hours and disposition of clothing and valuables • Completes admission agreement on all admissions; ensures resident and family understand rights and responsibilities, and gathers all billing information necessary • Maintains business files, using business file checklist for accuracy and audits • Excellent communication skills in both oral and written forms • Ensures execution of contracts by appropriately authorized persons; ensures copies ofguardianship, P.O.A., etc. are maintained • Explains sensitive issues to residents/families, such as Living Wills, Health Care Surrogacy, funeral arrangements, etc. • Ensure all necessary documentation is received on admission or readmissions from physician, hospital, etc. • Make future reservations and coordinates the admission procedure with all departments • Assist in marketing the facility 9/2010 to 8/2015 Grady Health System (Crestview)-Unit Clerk
  • 2. • Maintain clerical and otheradministrative tasks for a long term care facility • Assemble patient records and file for consistent,easy access • Organize and verify medical billing charts • Proactively look for discrepancies from any discipline and solve them • Create labels, order supplies needed for unit • Answer multi line phone system,greet patients and visitors • Assist patients as needed and various duties as assigned by charge nurse and unit manager • Provide support to other departments in case of vacations Business Office Associate-Medicaid Eligibility Specialist • In-depth knowledge of Medicaid nursing home application guidelines • Claims denial resolution and billing process • Interview clients and collect information needed to complete Medicaid application and/orrenewal • UB claim processing and submission; Denial troubleshooting • Coordinate with client collections and services department to facilitate all billing functions • Crossoverclaims submission EDUCATION 2001-Certificate of Computer Applications (Microsoft Office Suite) West Central Technical College 2010 - Patient Care Assistant Certificate - West Central Technical College - Received 2 Academic Achievement Awards Completed series of healthcare classes:Medical Terminology, Diet and Nutrition Therapy, Anatomy and Physiology 2013 - Associate of Arts - Health Administration - University of Phoenix Currently attending Strayer University BBA Program in Health Service Administration( Graduate 2016)