Simone Nunes
Clinical Engagement Coordinator at Neighborhood Health Plan of Rhode Island- Claim this Profile
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Bio
Experience
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Neighborhood Health Plan of Rhode Island
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Insurance
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300 - 400 Employee
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Clinical Engagement Coordinator
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Aug 2021 - Present
Smithfield, Rhode Island, United States
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Signature HealthCARE
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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 Office Coordinator
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Dec 2019 - Jul 2021
Brockton, Massachusetts, United States • Accommodate patient appointments, and maintain, updates and tracks provider schedule. • Notify pre-registration of all new patients via e-mail, voice-mail or direct phone contact to the department. • Enter correct insurance information and codes properly. • Coordinate provider’s office schedule to accommodate external obligations. • Assist with efficient patient flow and communicate physician/provider delays to patients. • Reviews Televox report at beginning of day, canceling… Show more • Accommodate patient appointments, and maintain, updates and tracks provider schedule. • Notify pre-registration of all new patients via e-mail, voice-mail or direct phone contact to the department. • Enter correct insurance information and codes properly. • Coordinate provider’s office schedule to accommodate external obligations. • Assist with efficient patient flow and communicate physician/provider delays to patients. • Reviews Televox report at beginning of day, canceling appointments as listed and opening slots for same day appointments. • Notify Practice Manager of equipment and system failures immediately. • Provides HIPAA forms for each patient to complete. Enters patient’s information from HIPAA questionnaire into HIPAA fields in computer. • Balance, verify, and reconciles both CRT batch and manual payments.
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Radiology Patient Access Coordinator
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Nov 2018 - Dec 2019
Brockton, Massachusetts, United States • Answered phone calls and take accurate, complete, and thorough messages. • Processed Prescription refills requests to Physician. • Scheduled/canceled appointments for patients. • Obtained complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments. • Verified patients' insurance eligibility and collected patient responsibility payments. • Collected patient co-pays and… Show more • Answered phone calls and take accurate, complete, and thorough messages. • Processed Prescription refills requests to Physician. • Scheduled/canceled appointments for patients. • Obtained complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments. • Verified patients' insurance eligibility and collected patient responsibility payments. • Collected patient co-pays and deductibles. • Balanced manual and CRT batches at the end of each session
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Brockton Neighborhood Health Center
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United States
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Medical Practices
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100 - 200 Employee
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Intake Specialist
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Jan 2017 - Nov 2018
Brockton, Massachusetts, United States • Verified patient insurance coverage to ensure necessary procedures are covered by an individual’s provider. • Handled incoming calls and imparted explanations of benefits. • Enter patient benefit information accurately and ensure existing information is correct. • Work with insurance companies to verify insurance coverage. • Processed insurance paperwork in a timely manner. • Entered notes on upcoming appointments. • Obtained all paperwork needed for placing in charts for… Show more • Verified patient insurance coverage to ensure necessary procedures are covered by an individual’s provider. • Handled incoming calls and imparted explanations of benefits. • Enter patient benefit information accurately and ensure existing information is correct. • Work with insurance companies to verify insurance coverage. • Processed insurance paperwork in a timely manner. • Entered notes on upcoming appointments. • Obtained all paperwork needed for placing in charts for daily office visits. • Work with Call Center Representatives communicating changes in patients’ insurance.
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Clinical Secretary
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Nov 2016 - Jan 2017
Brockton, Massachusetts, United States • Answered phones and provide answers to questions. • Processed phone calls and taking accurate, complete, and thorough messages. • Communicates effectively with patients, peers, and employees at all levels. • Scheduled referral appointments for the patients at the referral specialties/facilities. • Provided patient referral information to the referred facility in accordance with insurance plan. • Liaison between BNHC, referral facility/specialty and the patient. • Accepted… Show more • Answered phones and provide answers to questions. • Processed phone calls and taking accurate, complete, and thorough messages. • Communicates effectively with patients, peers, and employees at all levels. • Scheduled referral appointments for the patients at the referral specialties/facilities. • Provided patient referral information to the referred facility in accordance with insurance plan. • Liaison between BNHC, referral facility/specialty and the patient. • Accepted payments from patients and providing them with receipts • Assisted providers with interpreting • Ensured proper use of all office equipment (fax, copier, PC, email, practice management software, nextgen, printers, phones, voicemail, etc.
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Road To Responsibility, Inc.
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Residential Manager
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Mar 2012 - Mar 2016
Weymouth, Massachusetts, United States • Oversaw the operation and maintenance of one community residence in the town of Weymouth. • Led and managed group home staff of 15 behavioral coaches including schedules, time sheets, training, and clinical development for behavioral interventions. • Provided direct support, fostered and enhanced the fulfillment of the consumer’s human Rights, individual control and community membership. • Monitored residential and consumer funds, implement consumer individual service plans (ISP),… Show more • Oversaw the operation and maintenance of one community residence in the town of Weymouth. • Led and managed group home staff of 15 behavioral coaches including schedules, time sheets, training, and clinical development for behavioral interventions. • Provided direct support, fostered and enhanced the fulfillment of the consumer’s human Rights, individual control and community membership. • Monitored residential and consumer funds, implement consumer individual service plans (ISP), oversee consumer health coordination with nursing supports, and ensure compliance with Department regulations, policies and procedures. • Effectively interviewed, hired and trained new staff, created schedules and supervised personnel. • Familiarity with Excel/ Payroll and HICIS
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Residential Counselor
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Dec 2011 - Mar 2012
Weymouth, Massachusetts, United States • Preserved the Human Rights and the dignity of the people we serve. • Provided assistance for assigned residents with mental and behavioral challenges. • Sustained excellent compliance with all established procedures, policies, and regulations. • Proactively contribute to other operational efforts through additional duties handling. • Develop and implement strategies to reach ISP goals. • Written documentation, reports, attends meetings. • Dispensed medication-maintained MAP… Show more • Preserved the Human Rights and the dignity of the people we serve. • Provided assistance for assigned residents with mental and behavioral challenges. • Sustained excellent compliance with all established procedures, policies, and regulations. • Proactively contribute to other operational efforts through additional duties handling. • Develop and implement strategies to reach ISP goals. • Written documentation, reports, attends meetings. • Dispensed medication-maintained MAP certification. • Monitored vitals, therapy activities, medical appointments, hospital coverage.
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Education
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University of Massachusetts Medical School
Certification, Medical Interpreter -
Lincoln Technical Institute-Denver
Certification, Medical/Clinical Assistant -
Brockton High School
High School Diploma, General Studies