Shadaira Albert

Report and manage patients behavior.

• Educated patients on coping strategies and wellness practices.
• Provided crisis intervention and de-escalation techniques to help manage patient behavior.
• Provided excellent service to patients through personable communication.
• Tracked client movement on and off unit by documenting times and destinations.
• Documented patient interactions in compliance with HIPAA requirements.
• Encouraged positive behaviors through rewards systems when appropriate.

• Comply with company rules and policies.
• Maintained organized records of processed claims and supporting documents.
• Generated payment schedules according to policy terms and conditions.
• Researched and responded to inquiries regarding coverage and eligibility for benefits.
• Provided excellent customer service by responding promptly to inquiries and resolving issues quickly.
• Prepared reports related to the processing of insurance claims for management review.
• Entered data into computer systems accurately and efficiently to update records.

• Educated clients on available resources and support services for disabilities.
• Performed quality assurance audits on completed files prior to submission for review and approval.
• Advised claimants about their rights and responsibilities under applicable laws and regulations.
• Identified trends in denials that may indicate incorrect application of policies or procedures.
• Reviewed medical records and other pertinent documents to evaluate the severity of a disability.