Golightly Kimberly
Medical Case Specialist at QTC- Claim this Profile
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Bio
Experience
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QTC
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Hospitals and Health Care
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100 - 200 Employee
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Medical Case Specialist
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Mar 2013 - Present
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QTC Management, Inc
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United States
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Hospitals and Health Care
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700 & Above Employee
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Medical Case Specialist
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Mar 2013 - Present
Responsible for satisfactory completion of training program for Case Specialist Trainee & Case Specialist •Answer phones from automated call distribution system •Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by identified by the Veteran’s Administration •Verify appropriate CPT and CLIN codes are assigned to each case •Communicate directly with claimants and providers •Obtain medical history for specific conditions •Determine appropriate examinations, tests and specialists required for each case •Schedule appointments for examinees including follow-up and rescheduled appointments •Ensure all examinees and providers receive necessary documentation •Confirm consultative reports and diagnostic test results are received in a timely manner •Meet or exceed contract timeliness guidelines in both the scheduling and case management systems •Mentoring Case Specialist Trainees and Quality Assurance •Other projects and duties as assigned •Social Events planner •***QTC ON THE SPOT AWARD FOR DEDICATION AND OUTSTANDING CUSTOMER SERVICE Show less
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Family Caregiver
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Individual and Family Services
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1 - 100 Employee
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Medical Assistant/caregiver
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Jun 2012 - Jan 2013
Administered medications for patient •Managed day to day routine for patient •Transported patient to and from appointments •Assisted with personal hygiene •Kept records of everyday activities and health information for patient •Managed finances for patient Administered medications for patient •Managed day to day routine for patient •Transported patient to and from appointments •Assisted with personal hygiene •Kept records of everyday activities and health information for patient •Managed finances for patient
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Medical Secretary/Medical Assistant
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May 2008 - Jun 2012
In charge of transitioning three entire clinics into our clinics •Scheduling patient appointments •Created and maintained a data base on patients records •Created records retention policy and procedures •Worked in several different clinics and maintained the clinic board for the providers •Retrieved patient information and logged into Medi-tech and while creating new charts •CPT coding and billing •Printing and editing Doctors dictation •Title 19, CCP forms and other DME paperwork •Performed Vital signs, Immunizations, pulse oximetry, collects and labels specimens •Trained all new hires •Managed and edited Doctors work schedules • Compile, verify and record patient records and medical history Show less
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South Texas Center for Pediatric Care
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United States
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Medical Practices
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Externship-Medical Assistant
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Oct 2008 - Nov 2008
Pulled and filled patient medical charts •Obtained and recorded patient information •Greeted and escorted patients to exam rooms •Triage, vital signs and charted patient history Pulled and filled patient medical charts •Obtained and recorded patient information •Greeted and escorted patients to exam rooms •Triage, vital signs and charted patient history
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Point College
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India
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Higher Education
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1 - 100 Employee
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Extern Coordinator
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Mar 2007 - Apr 2008
Maintained data base information on all extern students •Contacted and visited prospective employers to solicit new sites •Collected weekly extern timesheets and added hours of activity to weekly reports •Maintained information on self-assessment, career planning, and occupations •Data entered job specific information into the Placement Database •Obtained certifications and letters of recommendations for new program (LVN) •Oversaw and managed 30 to 40 students work schedules and externships Show less
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Education
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Career Point College
Diploma, Medical/Health Management and Clinical Assistant/Specialist -
Campbell High School
GED -
Career Point College
Cerified Medical Asst, Medical/Clinical Assistant