Ongelique Spalding
@ongeliquespalding
Admissions and managed-care professional who improves authorization, documentation, and patient experiences across healthcare operations.
What I'm looking for
I bring nearly 14 years of managed care experience, specializing in nonclinical support for prior authorization requests. I’m dedicated and highly motivated to enhance customer satisfaction while contributing to the overall success of the organization through exemplary communication with healthcare providers and patients.
In my recent Lead Admissions Coordinator role, I convert appropriate inpatient referrals into admissions within established timeframes, complete the Intake Form, and ensure insurance verifications and clinical/financial acceptance are documented and communicated. I also coordinate transfers, maintain daily/monthly logs and reports, and support HIPAA-compliant records management, including EPIC coding and inpatient billing processes, while leveraging Microsoft Excel, Word, and Outlook to manage multiple systems with ease.
Experience
Work history, roles, and key accomplishments
Healthcare Administrator
CVS Caremark
Sep 2021 - Mar 2022 (6 months)
Monitored budgets and ensured compliance with state laws and regulations. Maintained patient records and coordinated with doctors and nurses to identify and resolve care needs, and supported client requests for plan changes through to completion.
Case Manager / Patient Advocate
Wellcare
Oct 2020 - Dec 2020 (2 months)
Managed client care by assessing treatment needs and creating individualized treatment plans. Oversaw staff performance to maintain quality of care, supported the client admission process through record review, and led orientations to ensure clients felt welcomed and supported.
Education
Degrees, certifications, and relevant coursework
Education Center Indiana
General Education Diploma, General Education
Earned a General Education Diploma (GED).
Indiana Tech
Healthcare Administration Certificate, Healthcare Administration
Activities and societies: Coursework also included medical terminology and management/leadership.
Completed a Healthcare Administration certificate program.
Indiana Tech
Medical Billing and Coding Certificate, Medical Billing and Coding
Completed a Medical Billing and Coding certificate program.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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