Farimah Taji

Experience

• 

  Sparrow Hospital

  Jan 2010 - Oct 2014

  • Supervised, organized and coordinated variety of office, personnel and administrative functions and activities• Coordinated team of doctors, medical specialists and staff within the organization as well as in other health care centers• Coordinated and scheduled meetings and networking events• Organized and conducted orientation programs and training for new staff• Professionally handled all correspondence, complaints and queries• Oversaw office daily operation, maintained, arranged and purchased required supplies • Handled data management, record keeping and correspondence function at the front desk as needed• Verified insurance procedures, eligibilities and coordinated with billing department• Communicated with the patient's family members and helped them comply with admission and discharge formalities• Ensured patient information and privacy confidentiality were maintained according to profession protocols and HIPAA guidelines and regulations • Provided support to the reception staff members in maintaining patient's records, doctor's shift details and billing records• Ensured the prompt analytical submission of diagnosis and tests reports for patients• Monitored to ensure that all doctors, nurses and specialist's notes on the EMR, EPIC and STAR systems were accurate, complete and updated • Prepared required reports to submit to upper level management and directors Show less • Performed various specialized administrative functions for multiple health care departments• Assisted in the development of clinical reports and presentations• Organized filing systems for mail, letters, correspondence and clinical records• Screened phone calls, emails and direct visitors while answering routine questions• Made copies of correspondence, letters and files within the internal records system• Scheduled appointments and maintained calendar of events, meetings and conferences Show less

  • Health Unit Coordinator

    Jan 2013 - Oct 2014

  • Administrative Assistant

    Jan 2010 - Jan 2013
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  Tyson's Corner Advance Dental Center

  Jan 2015 - Dec 2015

  Marketting Project Manager

  • Created and organized websites, Search Engine Optimizations and social networks in order to market out the clinic• Coordinated work with professional advertising companies and clients• Developed new methods to seek customers and patients• Oversaw the increase in productivities and activities in company efforts• Assisted doctor for the preparation the set-up of a professional dental assistant school, including but not limited to the preparation work, gathering of information, and the applying for required licenses• Organized the office and utilized the staff to accomplish the goals of the practice.• Developed and enforced policy that works Show less

• 

  Conifer Health Solutions

  Jun 2015 - Aug 2017

  Medical eligibility consultant (Patient advocate)

  • Screening candidates for eligibility in various governmental and non-governmental programs. • Identifying all sources of potential payers including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL as well as International/ traveler insurances.• Receives collects and records information from patients in order to complete registration for hospital services.• Financial assistance eligibility determination including but not limited to health insurances, Medicaid and charity programs. • Processing and submitting patients Medicates/ charity application according to the Department of Human Services guidelines. • Following up with approved or denied cases individually.• Ensure the State/ Federal applicable law, regulations and policies are implemented properly to each individual case. • Recording and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.• Promoting patient satisfaction, serving as a liaison on behalf of hospital and patient. Show less

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  Molina Healthcare

  Aug 2017 - Aug 2019

  Sr Specialist, Member Engagement & Government Contracts

  • Working with enrollees and providers to facilitate the provision of Medicaid benefits and ensure enrollee's rights are upheld. Helping enrollees understand their rights and benefits in working through the system.• Investigating and resolving access and cultural sensitivity issues identified by HMO staff, State staff, providers, advocate organizations, subcontractors and enrollees.• Monitoring all formal and informal grievances with Grievance personnel to identify trends or problem areas of access and care delivery. Assisting enrollees in the grievance process at the HMO and State levels and monitors outcomes.• Providing timely written responses to inquiries; prepares written analyses of advocacy issues; and assists with documentation preparation for appeals, fair hearings or other formal/informal dispute resolution process. • Providing ongoing training and educational materials to HMO and relevant subcontractor employees and providers as needed.• Working in collaboration with the Care Management department to help resolve member issues/concerns, ensure that trends are identified and solutions outlined.• Providing information, guidance and assistance, over the phone or in person, to members with disabilities or BC+ who call for help related to their HMO participation. Analyzing internal HMO system functions that affect enrollee access to medical care and quality of care. • Serving as a resource for Molina staff and members regarding community agencies, services and referrals for special needs, Medicaid in general, or other related needs.• Participating in the Statewide Advocacy Program for Managed Care including working with the State External Advocate, Enrollment Specialist and Ombudsmen on issues of access to medical care, quality of care, enrollment and disenrollment.• Participating in HMO internal Quality Assurance and Improvement Committees to ensure services to enrollees are provided in accordance with all State/HMO requirements Show less

• 

  Skld @ Illuminate-HC and Marvin and Betty Danto Rehab

  Aug 2019 - Apr 2022

  Business Office Director

  − Kept current with all State and Federal Regulations/Laws related to LTC Facilities− Assisted residents with completion of medical assistance applications and verify eligibility− Managed Medicaid applications, renewals, and any potential issues− Requested pre-authorizations for treatment as required by Medicaid or other third-party payers− Processed trust fund requests and maintained trust accounts− Led collection process for past due accounts and accurate month end closing− Prepared and made cash deposits daily. Complete deposit update in PCC; Manage records for petty cash held in facility− Reconciled accounts using appropriate worksheets and accounting software; ensured all accounts kept current− Coordinated functions of business office: accounts payable/receivable, payroll, purchasing and operation of reception desk Show less

• 

  Sparrow Health System

  Apr 2022 - now

  Operations Manager

  Develop, standardize, and implement effective policies, procedures to assure optimal performance for the agency− Maintain current working knowledge of the health care environment as it relates to the Home Care industry. This includes JCAHO, government rules and regulations, changes in reimbursement, changes in the local market− Ensure processes are followed to meet regulatory requirements as it relates to accounts payable/receivable, billing, intake, and home health coding.− Manage, generate, develop and disseminate agency system reports to assist in financial and clinical analysis within predefined timeframes.− Recommend the selection, retention, discipline, evaluation or termination of direct reports− Privacy Officer for agency with liaison duties to the health system− Oversee agency‘s Information Systems and assists in problem resolution of software/hardware− Manage minimum of 15 direct report from multiple departments such as Intake nurses, Utilization department nurses, Authorization and support staff departments Show less