Miami, Florida 33131 (305) 726-1640 kcparker@magellanhealth.com OVERVIEW: Graduate, B.A. in Communications and Healthcare Administration with over 10 year s of experience in the Healthcare Field SKILLS AND TRAINING: * Solid Background in Healthcare Communications * Knowledge of Insurance Regulations and Contracts * Well versed in Conflict Resolution and Interpersonal-Intercultural Communicati ons Solid background in Medical Compliance * PHI and HIPPA Compliance Training * JAHCO Compliance Training * URAC Compliance Training EMPLOYMENT HISTORY: Icore (Division of Magellan Behavioral Health), Plantation, Florida Patient Care Coordinator, Special Projects May 2009- Current * Launched special program for patient retention and new business * Worked as liaison to insurance company to build good relations with patients a nd vendors * Compiled/wrote manual for new hire training and to be used as a guidebook * Rewrote all scripts used for communication between employees and patients with compliance standards * Trained and worked with new employees and retrained employees referred by mana gement * Evaluated customer service staff while advising and working to improve job per formance * Worked with leadership to implement accreditation (URAC) requirements into nor mal routines * Worked with management, leaders and co-workers to improve and develop new poli cies and procedures Northwest Medical Center, Springdale, Arkansas Patient Access Associate, October 2005 - February 2008 * Worked with administration to implement new policies and procedures * Ensured compliance with state and contractual requirements * Worked with patients to obtain Medicaid benefits, Charity, and secure financia l responsibilities * Maintained HIPPA compliance and all JAHCO standards * Worked on appeals, insurance verification, and patient insurance benefits * Worked on contractual agreements between insurance companies and healthcare fa cilities Washington Regional Medical Center, Fayetteville, Arkansas Patient Representative, June 2003 - October 2005. * Piloted new programs to promote patient retention * Participated with Project Mangers to implement new policies and procedures * Ensured Emergency Room and Inpatient registration compliance: HIPPA, JAHCO, EM TALA Clinical Coordinator, Neurological Disorder Center, July 2002 - June 2003 * Managed third party vender relationships - scheduling, training, and education (CEU's) * Supervised the workflow of the clinic and staff Sparks Regional Medical Center, Fort Smith, Arkansas Registration Associate, Admissions, August 2000 - July 2002 * Registered patients to the Emergency Room * Advised patients of Compliance and Privacy Rights EDUCATION: University of Arkansas, Fayetteville, Arkansas. * Bachelor of Arts in Communications and Healthcare Administration, 2008. Gradua te with Honors