Paulina Walker
@paulinawalker
Dedicated Patient Services Coordinator with expertise in healthcare management.
What I'm looking for
I am a dedicated Patient Services Coordinator with extensive experience in healthcare management and patient support. Currently, I work with Sentara Health Plans, where I assist in Medicare Utilization Management by managing preauthorizations and conducting clinical reviews. My role involves collaborating with nurses and ensuring that all documentation is accurate and up-to-date, which has honed my attention to detail and organizational skills.
Previously, I worked with the York-Poquoson Department of Social Services, where I provided vital support in Adult Protective Services. My responsibilities included case management, conducting home visits, and maintaining confidentiality while working alongside law enforcement. This experience has equipped me with strong interpersonal skills and the ability to handle sensitive situations with care.
With a background in human services and a commitment to improving patient outcomes, I am passionate about making a positive impact in the healthcare field. I am currently pursuing a bachelor's degree at Old Dominion University, which further enhances my knowledge and skills in this area.
Experience
Work history, roles, and key accomplishments
Patient Services Coordinator
Sentara Health Plans
Jan 2024 - Present (1 year 5 months)
Managed preauthorization processes for nurse review and assisted with authorization requests, ensuring timely and accurate clinical and nonclinical documentation. Cross-trained in both inpatient and outpatient authorizations, including various medical procedures, therapies, medications, and specialized services.
Patient Services Coordinator
Optima Health
Mar 2023 - Dec 2023 (9 months)
Created preauthorizations for Medicare and Medicaid, supporting nurses with their requests and managing clinical and nonclinical documentation. Conducted in-house audits for various outpatient services and managed third-party authorizations through multiple vendor platforms.
Human Services Assistant II
York-Poquoson Department of Social Services
May 2022 - Oct 2022 (5 months)
Managed adult protective services and adult services intake, including case management and home visits. Handled data input, managed invoices and purchase orders, and maintained confidentiality while collaborating with law enforcement.
Lifestyle Enrichment Director
Lifestyle Enrichment Director
Oct 2021 - May 2022 (7 months)
Planned and facilitated activities, produced newsletters, and managed special events. Oversaw department budgeting, conducted performance reviews, and supervised staff.
Therapist I/Therapy Assistant
Eastern State Hospital
Jan 2021 - Apr 2021 (3 months)
Planned and facilitated therapeutic groups, implemented treatment plans, and created special events for patients. Conducted one-on-one facilitation and maintained thorough documentation, participating in treatment team meetings.
Active Group Participation Initiative Team/Group Activity Provider
Eastern State Hospital
Jan 2020 - Jan 2021 (1 year)
Planned and facilitated active group participation initiatives, escorting patients and encouraging engagement. Documented participation statistics and implemented programming, acting as a liaison between nursing and rehab departments.
Direct Service Associate II
Eastern State Hospital
Mar 2019 - Jan 2020 (10 months)
Provided direct care to patients, actively documenting observations and enforcing treatment plans. Administered first aid and CPR, taught coping skills, and maintained a safe environment.
Office Associate II
Rockbridge Area Department of Social Services
Dec 2017 - May 2018 (5 months)
Operated a multi-line switchboard and served as the first point of contact for incoming paperwork across various departments. Researched information in VACmas, performed filing, scanning, emailing, and data entry tasks.
Education
Degrees, certifications, and relevant coursework
Old Dominion University
Bachelor of Science, Human Services
Currently pursuing a Bachelor's degree in Human Services with a minor in Special Education and Therapeutic Recreation. Expected to graduate in December 2026, having accumulated over 120 college credits.
Availability
Location
Authorized to work in
Job categories
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