Bethany Finlay
Elizabethtown
Summary
Dynamic Wellness Coordinator at United Healthcare Group with expertise in data analysis and patient record management. Proven ability to streamline authorization processes and enhance communication between providers and management. Skilled in ICD-10 documentation and compassionate patient assistance, fostering a collaborative environment that prioritizes quality care.
History of working well in fast-paced health-related settings to provide diverse and useful services targeted on specific needs. Proficient in tracking, analyzing, and reporting on progress, as well as implementing enhancements to drive growth.
Overview
11
11
years of professional experience
Work History
Wellness Coordinator
United Healthcare Group
05.2024 - Current
- Collect clinical information from outside providers seeking to obtain inpatient mental health, substance use detox, substance use rehab and outpatient residential authorizations.
- Build the authorization in ICUE operating system and assign to Case Manager accordingly.
- Serve as a liaison between providers and management, addressing concerns related to a members authorization for treatment.
- Serve as a trainer for new hires and individuals learning the authorization process.
- Work in multiple system platforms such as ICUE, Omni phone system, and Doc360.
- Collaborate with Case Managers in regards to the authorization and additional clinical needed.
- Collect daily call data from Enterprise Reporting and Analytics.
- Verify if CPT codes require authorization through EPAL Landing Page.
- Assign cases to Care Advocates via Case Assignment Tool.
Associate Clinical Administrative Coordinator
United Healthcare Group
09.2022 - 05.2024
- Managed administrative intake of members.
- Worked with hospitals, clinics and outpatient facilities. Assisted the clinical team to help manage the authorization requests from members and providers.
- Responded to member inquiries via phone and email, providing accurate information and resources while maintaining a professional demeanor.
- Utilized electronic health records software proficiently, enabling quick access to vital patient information when required.
- Assisted clinical staff with setting up documents and triaging cases for clinical coverage review
- Handled resolution inquiries from member and/or providers.
Referral Coordinator
University of Louisville Physicians Pediatrics
11.2014 - 11.2020
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Scheduled appointments with specialists on behalf of clients.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
- Worked with multiple operating systems such as EPIC, Allscripts and Centricity.
- Assisted with children in the clinical setting
Education
Associate of Arts - General Studies
Elizabethtown Community And Technical College
Elizabethtown, KY11-2014
Skills
- Data analysis skills
- Experience with ICD-10 documentation
- Proficient in multiple EMR systems
- Knowledge of clinical terminology
- Health insurance verification expertise
- Patient record management
- Medical Scheduling
- HIPAA
- Skilled in MS Office tools
- Prioritization of tasks
- Appointment coordination
- Medicaid knowledge
- CPT code proficiency
- Specialized knowledge in pediatrics
- Compassionate patient assistance
- Clinical pharmacology experience
- Customer service expertise
- Clinical record management
- Calendar Management
- Program leadership
- Employee training
Timeline
Wellness Coordinator
United Healthcare Group
05.2024 - Current
Associate Clinical Administrative Coordinator
United Healthcare Group
09.2022 - 05.2024
Referral Coordinator
University of Louisville Physicians Pediatrics
11.2014 - 11.2020
Associate of Arts - General Studies
Elizabethtown Community And Technical College
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