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Tomeka Carter is a seasoned professional with extensive experience in healthcare administration and patient services. She has held various roles, including Client & Staffing Service Specialist at Positive Behavior Supports Corp., where she has been employed since January 2022. Prior to her current role, Tomeka worked at Horizon Home Care and Hospice, where she served as Utilization Coordinator from May 2017 to June 2023. She also held positions at Milwaukee Health Services, Inc., including Patient Access and Referral Coordinator and Behavioral Health Coordinator. Tomeka holds an Associate’s Degree in Human and Social Service from Bryant & Stratton College - Milwaukee, which she completed in 2016. She is based in Conyers, Georgia, and is proficient in multiple languages.

Experience

    • Client & Staffing Service Specialist
      • Jan 2022 - Present

    • Utilization Coordinator
      • May 2017 - Jun 2023
      • Milwaukee, WI

      Authorizations and Audits

    • Hospitals and Health Care
    • 100 - 200 Employee
    • Patient Access and Referral Coordinator
      • Feb 2017 - May 2017

      Monitors internal and external referrals Assists patient with navigating through various services available within the organization Performs outreach to assist patient in completing the referred service Conduct outreach for patients lost to care using organizational reports, and reports provided by various payers and ACO organizations Keep patients informed of progress of scheduled appointments and document all patient contact in the EHR Monitor patients’ adherence to their medical appointments

    • Patient Access and Referral Coordinator
      • Feb 2017 - May 2017

    • Behavioral Health Coordinator
      • Aug 2015 - Feb 2017

      Manage the schedule of five providers to ensure they are equipped with a full case load; mitigating any schedule conflicts for the day Supervise a staff of 5 clinical and non-clinical employees to enforce HIPPA policies, ensure insurance is properly verified, and maintain efficient flow of Medical Assistants Process new referrals by following up with patients to obtain potential services needed and scheduling them appropriately utilizing Skype and Microsoft Outlook Manage Crisis Line by quickly responding to phones calls, utilizing crisis intervention techniques with the goal of stabilizing patient and scheduling them for appointments Provide general office support, including filing, copying, data entry, and creating other correspondence

    • Customer Service Representatice II
      • Mar 2013 - Aug 2015

      Greeted incoming patients and visitors in the Behavioral Health Department Answered phones, routing to the appropriate personnel when needed; arranged new intake appointments Managed patient flow by efficiently performing patient pre-registration activities, scheduling appointments, and processing co-pay collections

Education

  • 2016 - 2017
    Bryant & Stratton College - Milwaukee
    Associate’s Degree, Human and Social Service

Suggested Services

This profile is unclaimed. These are suggested service rates with 0% commision upon successful connection

Industry Focus. “Health, Wellness and Fitness”

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