Roxy T. Crawford
New Kent
Summary
Healthcare administrator professional with a strong background in written and verbal communication, claims, payments, data management, and medical coding. Skilled in authentic leadership within collaborative settings, excelling in both independent, remote, and team-focused roles. Expertise lies in fast-paced environments, consistently delivering success for teams and customers. Possesses efficient abilities in verifying and coordinating health benefits, insurance, and clinical services. Responsible for monitoring budgets and personnel scheduling while ensuring adherence to claims responses and processing procedures. Prioritizes HIPAA confidentiality when maintaining patient records and reporting to various governmental, public, and private institutions. Currently pursuing QMHP-Trainee certification to enhance qualifications.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Human Resources
Vision Beyond Behaviors
06.2022 - Current
- Responsible for the documentation of Leave in all HR systems
- Responsible for and maintains all claims documentation
- Prioritizes work from all client case managers and fulfills requests
- Communicates with staff on leave about policy and pay issues
- Provides additional information and guidance to staff with questions concerning their leave management options
- Performs a variety of regularly scheduled and ad-hoc audits of leave management data to maintain compliance with established standards
- Guides the successful completion of major client manners and functions in a project leadership role
- Supports human resources initiatives - benefits and evaluations
CSAC-Supervisee
Crossroads Treatment Centers of Petersburg
08.2020 - 06.2022
- Completing assessments, ITP's, progress notes and other necessary paperwork associated with managing a caseload with a minimum of 50 patients
- Verification of Healthcare benefits
- Assisting patients with defining and achieving realistic goals
- Conducting monthly urinalysis screenings
- Ensures patient confidentiality and Healthcare insurance
- Providing supportive counseling in conjunction with Medical and Nursing Services
- Proficient in Microsoft Office and Microsoft Teams
Cart2Curb
Instacart
03.2019 - 10.2021
- Provide excellent experiences for customers
- Provide assistance for point of sale and information inquiries
Client Service Representative
Ciox Health
04.2017 - 06.2020
- Maintain claim reports and communicates effectively with customers and government agencies
- Authorize and validate all requests for HIPAA information
- Prepare and review claim documentation regarding healthcare insurance and procedures
- Provide leadership in ensuring compliance with state laws and regulations
- Processed subpoenas (grand jury, worker's compensation, civil, federal), legal requests, insurance claims, patient requests for the four main Bon Secours hospital facilities: St Mary's Hospital, Memorial Regional Medical Center, Richmond Community Hospital, St Francis Medical Center
- Released itemize billing statements and claims
Education
Certificate - Qualified Mental Health Professional Adult/Child
Virginia Department of Health
08.2020
Master of Healthcare Administration - Health Administration
Stratford University
Glen Allen, VA07.2018
Certificate - Medical Surgery Floor – Surgical and Counseling unit
Sentara College of Health Science
Chesapeake, VA04.2015
Bachelor of Science - Psychology – Working with individuals with mental, physical & psychological disabilities
Virginia State University
Petersburg, VA12.2012
Associate - Science – Life Science
Richard Bland College of William & Mary
Petersburg, VA05.2011
Skills
- Problem Resolution
- Oral and written communication skills
- Authenticity
- Multiple healthcare software programs
- Customer Service
- People Skills
- Planning & Organizing
- Data Management
- Critical Thinking
- Relationship Building
- Organizational Skills
Certification
Certificate: Qualified Mental Health Professional Adult/Child –
Virginia Department of Health Aug 2020
Certificate Medical Surgery Floor – Surgical and Counseling unit
Sentara College of Health Science Apr 2015
Chesapeake, VA
Timeline
Human Resources
Vision Beyond Behaviors
06.2022 - Current
CSAC-Supervisee
Crossroads Treatment Centers of Petersburg
08.2020 - 06.2022
Cart2Curb
Instacart
03.2019 - 10.2021
Client Service Representative
Ciox Health
04.2017 - 06.2020
Master of Healthcare Administration - Health Administration
Stratford University
Certificate - Medical Surgery Floor – Surgical and Counseling unit
Sentara College of Health Science
Bachelor of Science - Psychology – Working with individuals with mental, physical & psychological disabilities
Virginia State University
Associate - Science – Life Science
Richard Bland College of William & Mary
Certificate - Qualified Mental Health Professional Adult/Child
Virginia Department of Health
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