Rickeya Giles-Cottrell
Verona
Summary
Experienced Liaison professional with strong interpersonal and organizational skills. Organized and dedicated with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
11
11
years of professional experience
Work History
Patient Experienced Specialist|Assistant to the Director
University of Pittsburgh
05.2021 - 04.2024
- Assistant Administrator to the Director of Center for Patients with Special Needs
- Offer care to patients with Special needs
- Provide Administrative support for the Physicians, Faculty and Students of the Clinic
- Verify Medicaid, Medicare Eligibility, and point of contact for the Department of Human Service
- A Liaison for various departments; Anesthesia and Center for Patients with Special needs Clinic
- Verify patient insurance coverage, coordinate pre-authorizations, and assist in processing insurance claims
- Manage patient appointments, ensuring efficient scheduling and allocation of resources for patients with special needs
- Communicate with patients to confirm appointments, provide reminders, and address any questions or concerns
- Maintain accurate and up-to-date patient records, including medical history, treatment plans, and progress notes
- Manage electronic health records (EHR) and ensure data confidentiality in accordance with HIPAA regulations
- Patient Experienced Specialist (PES) is the initial point of contact for patients seeking care in the Special Needs Clinic
- Responsible for receiving prospective patient calls on the school's primary phone line
- Obtaining necessary information from patients to schedule initial screening appointments
- The PAS also collects, posts and balances individual patient payments and prepares daily bank deposits and reports
- Supports mail communications from the school clinics, including generating new patient information letters, managing the central printer for patient mailings, and researching and reprocessing returned patient mail.
- Followed all company policies and procedures to deliver quality work.
- Developed strong client relationships through consistent communication and attentive service.
Residential Liaison|Compliance Manager| Full Time
Not Forgotten Home and Community Services
10.2017 - 04.2021
- Serve as a Liaison between the Human Resource and Residential Department
- Build relationships with key decision makers within the functional business units to ensure the alignment and support of business needs, objectives, goals, and operating priorities with Human Resource policies, procedures, and initiatives
- Conduct staff file audits to ensure compliance per state regulations
- Lead state Licensing audits, ensuring compliance with he 6100 Regulations
- Provide Direct Support to Individuals diagnosed with Special Needs Autism/IDD and Moderate to high Behaviors
- Implement and support Corporate Human Resource initiatives and programs by working closely with all Human Resource functional groups, such as Staffing, Compensation, Benefits, and Organization Effectiveness
- Identify employee relations concerns and work with the organization to resolve issues and foster a positive employee/employer relationship by offering alternative solutions
- Conduct or supervise investigations and make resolution recommendations to include ethics complaints, Dispute Resolution Policy complaints, unemployment compensation claims, disciplinary issues, performance management issues, EEOC complaints, and other compliance related issues
- Administer ongoing salary actions including promotions, transfers, hires, and terminations to ensure
- Ensure that all levels of employee are given timely information covering changes in policies and other rules/procedures and ensure fair and consistent handling of issues and complaints
- Conduct group presentations as necessary
- Recruit, interview and conduct new hire orientation
- Oversee Residential Staff, Program Specialist and Nurse Coordinator
- Conduct monthly administrative meetings
- Submit monthly written reports to the appropriate individuals outlining operational status, progress, and concerns to Executive Director.
- Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
- Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
Enrollment Coordinator
Gateway Health
01.2013 - 10.2017
- Support the technical and operational role of reviewing electronic enrollment, and data entering member information into data retrieval CRM system
- Communicate effectively with various levels of the organization
- Identify and articulate problems to appropriate areas
- Interface both verbally and written communication with external customers including Subsidiaries, Plan Partners, Clients, Vendors as well as with Membership, and Sales
- Participate in the analysis of electronic data processes, business processes and applicable interfaces to support electronic membership enrollment while taking into consideration impacts to the business environment.
Education
High School Diploma -
Perry Traditional Academy
01.2006
Skills
- Strong Interpersonal Skills
- Non Profit Administration Management
- Excellent computer knowledge
- Quality typing accuracy
- Management experience
- Compliance and State Audits
- Customer Service
- Human Resource Responsibilities
- Ability to administer private, nonprofit service organizations, including an understanding of the legal responsibilities and constraints of such organizations
- Proficient in word, excel, employee benefit portal, web-based apps and data analysis tools
- Preparing and developing training materials and user Guides
- Customer Relations
Clearances Training
- CPR Certified Trainer, 2020-Current
- DHS Certified Medication Administration Trainer, 2023-Current
Timeline
Patient Experienced Specialist|Assistant to the Director
University of Pittsburgh
05.2021 - 04.2024
Residential Liaison|Compliance Manager| Full Time
Not Forgotten Home and Community Services
10.2017 - 04.2021
Enrollment Coordinator
Gateway Health
01.2013 - 10.2017
High School Diploma -
Perry Traditional Academy
Similar Profiles
Graeson NordbyGraeson Nordby
EMT Instructor at University of PittsburghEMT Instructor at University of Pittsburgh
Hannah CrouseyHannah Crousey
Teacher's Assistant at University of PittsburghTeacher's Assistant at University of Pittsburgh
Roula KyrosRoula Kyros
RN Staff Nurse at University of PittsburghRN Staff Nurse at University of Pittsburgh