Wendy Matthews
Gallatin
Summary
Experienced coordinator with a strong focus on team collaboration and achieving results. Demonstrated expertise in project management, effective communication, and problem-solving. Recognized for adaptability to changing needs and consistent delivery of desired outcomes. Ready to make a significant impact in a dynamic environment.
Overview
13
13
years of professional experience
Work History
Provider Utilization Coordinator Spec Lvl 3
QTC
05.2021 - Current
- Communicated with IPA providers and operations regularly
- Communicated issues/concerns regarding IPA provider's schedules to VAO leadership teams in a timely manner
- Discussed IPA utilization issues/concerns with the Regional Utilization Manager (RUM) and the Provider Relations Advocate (PRA)
- Utilized multiple resources to obtain IPA provider schedules and enter them into APAS in a timely manner
- Adjusted provider’s schedules by updating time duration, adding and removing appointment dates, and requested/verified appointments are rescheduled when needed
- Monitored the utilization of IPA providers by preventing gaps in the provider’s schedules and requested pending claimant list to have them back filled in coordination with operations scheduling staff
- Utilized electronic tools and workflows in order to manage resources such as: APAS, PRM, eProcess and other tools as necessary
- Prioritized operations and provider’s requests when and if necessary
- Coordinated start dates of new IPA Providers with the Provider Liaison (PL) while assisting Provider with any scheduling questions and concerns
- Coordinated with MCO to schedule events in areas that needed additional assistance to maintain T1B
- Assisted Provider Recruiter (PR) with Provider evaluation regarding fee increases
- Assisted Case Specialist (CS) and QA Specialist with scheduling issues
- Managed SAS requests and coordinated with PR team to get appointments scheduled
- Delegated SAS tasks to Case Specialist (CS) and Escalation team to schedule appointments populating in APAS
- Tracked SAS and delivered weekly PUC report to leadership to help maintain SAS quality and to provide training opportunities when necessary
- Assisted Provider Help in obtaining Providers updated insurance, state license, and required forms when needed
- Participated in team meetings to discuss the new workflows and addressed going concerns
Medical Case Specialist
QTC
03.2021 - 05.2021
- Prep cases, including Remand cases, to ensure claimants are receiving proper tests and evaluations
- Schedule appointments for claimants with the proper providers and diagnostic testing
- Reviewing medical records to ensure claimants diagnostic results are within date
- Receiving calls from claimants and providers while providing detailed information they are requesting
- Managing a claimant list to ensure all needs are met within time manner
Temp: QTC Case Specialist
Insight Global
10.2020 - 03.2021
- Prep cases, including Remand cases, to ensure claimants are receiving proper tests and evaluations
- Schedule appointments for claimants with the proper providers and diagnostic testing
- Reviewing medical records to ensure claimants diagnostic results are within date
- Receiving calls from claimants and providers while providing detailed information they are requesting
- Managing a claimant list to ensure all needs are met within time manner
Delivery Driver
Pizza Hut
08.2020 - 11.2020
- Deposited stores income in to bank
- Prepped food and ingredients
- Answered phone and took orders from costumers
- Processed payments over the phone
- Delivered pizza to costumers in a timely manner
- Maintained vehicle maintenance
Office Assistant (Acting Operations Manager)
Springs Medical Lab
09.2019 - 07.2020
- Delegated incoming and outgoing lab orders
- Delegated daily routes for phlebotomist to meet client demand
- Provided detailed answers to client's questions or concerns in a timely manner
- Monitored daily reports to ensure results were delivered to the right client
- Maintained clear communication between office staff and off-site employees to ensure timeliness, quality, and customer service was top priority
- Corrected inaccurate documentation to prevent delay in service to client's patient care
- Maintain inventory and supplies
- Prepared lab samples and determined where samples needed to be processed
- Managed and delegated STAT labs
- Interviewed potential new hires
- Assisted with onboarding of new hires
- Trained new employees by providing detailed introductions on office procedures and policy
- Assisted with employee evaluations measuring metrics of re-sticks and assigned more training if necessary
- Participated in leadership meetings to discuss the new workflows and addressed going concerns
Stocker
Walmart
09.2017 - 08.2018
- Loaded and unloaded a cardboard baler
- Helped customers find items they needed and provided options for costumers to chose from
- Restocked shelves ensuring costumers would find what they needed
Lead Sales Associate (Shift Supervisor)
Dollar General
07.2016 - 06.2017
- Helped customers find items they needed and provided options for costumers to chose from
- Verified all registers were balanced
- Restocked shelves ensuring costumers would find what they needed
- Verified deliveries from venders were completed and accurate
- Recovered store making sure store was presentable to costumers
- Deposited stores income in to bank
- Opened and closed store on time
- Delegated daily tasks to the Sales Associate
- Prepared the daily deposit and verified amount were accurate
- Managed seasonal displays and ensured they were built and stocked on time
- Maintain inventory and supplies
Medical Assistant
Allergy, Asthma and Sinus Center
08.2014 - 12.2014
- Calculated proper doses for allergy injections for patients that were pass due to ensure doses administered were correct for the safety of the patent and set them on the path for immunity
- Monitored and documented the status of patients after an injection to assure no reaction occurred and provided proper care if reaction appeared
- Performed and analyzed allergy tests that provided the building blocked to make unique serums for patients with allergic reactions
Floating Medical / Lab Assistant
Children's Clinic East
01.2013 - 08.2014
- Experienced in taking triage calls and recording detailed messages or requests for the providers and responding to caller promptly
- Provided assistant with suture administration and removal
- Collected and processed various samples including throat swabs, nose swabs, blood, urine, and stool in a timely manner
- Monitored and cataloged data of laboratory equipment including temperatures of storage containers and all daily calibration checks to ensure safety standards were met
Front Office Specialist/Floating Medical Assistant
Sterling Primary Care (HCA)
03.2012 - 12.2012
- Assisted front office staff with administrative duties when short staffed
- Maintained medical records by migrating paper charts to EMR
- Scheduled diagnostic imaging, procedures, and referral appointments in timely manner
- Assisted providers with medical procedures such as biopsies and pap smears
Education
BS - Business Administration
Colorado Technical University
09.2022
Diploma - Medical Assistant
Kaplan Career Institute
05.2011
Skills
- Multitasking and organization
- Customer service
- Data entry
- Decision-making
- Work Planning and Prioritization
- Recordkeeping
- Staff management
- Administrative leadership
- Point of contact
- Problem-solving
- Time management
- Attention to detail
Timeline
Provider Utilization Coordinator Spec Lvl 3
QTC
05.2021 - Current
Medical Case Specialist
QTC
03.2021 - 05.2021
Temp: QTC Case Specialist
Insight Global
10.2020 - 03.2021
Delivery Driver
Pizza Hut
08.2020 - 11.2020
Office Assistant (Acting Operations Manager)
Springs Medical Lab
09.2019 - 07.2020
Stocker
Walmart
09.2017 - 08.2018
Lead Sales Associate (Shift Supervisor)
Dollar General
07.2016 - 06.2017
Medical Assistant
Allergy, Asthma and Sinus Center
08.2014 - 12.2014
Floating Medical / Lab Assistant
Children's Clinic East
01.2013 - 08.2014
Front Office Specialist/Floating Medical Assistant
Sterling Primary Care (HCA)
03.2012 - 12.2012
Diploma - Medical Assistant
Kaplan Career Institute
BS - Business Administration
Colorado Technical University
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