A'KEISHA WELLS
Evans,GA
Summary
Talented professional with experience working with teams to accomplish short- and long-term project goals. Managed budgets and monitored project costs. A strong background in various healthcare, insurance and pharmaceutical roles. Looking to add value by utilizing skills such as data analytics, influencing innovative change and quality improvement. Forward-thinking, with deep understanding of resolving customer problems with efficiency and civility.
Overview
8
8
years of professional experience
Work History
Project Manager
Schreiber Translation Inc.
06.2023 - 11.2023
- Streamlined project processes by implementing Agile methodologies, resulting in increased efficiency and reduced costs.
- Established effective communication among team members for enhanced collaboration and successful project completion.
- Developed comprehensive project plans with clear timelines, milestones, and budget requirements, ensuring timely delivery of high-quality results.
- Monitored progress against established goals, adjusting schedules and resources as needed to keep projects on track.
Senior Reimbursement Specialist -Contract
United Biosource Corp.
02.2023 - 06.2023
- Streamlined reimbursement processes by implementing efficient tracking systems, reducing time spent on manual tasks.
- Enhanced revenue recovery rates for clients by identifying and resolving underpayments from insurance companies.
- Mentored junior reimbursement specialists, providing guidance on best practices and industry standards for optimal performance.
- Maintained up-to-date knowledge of coding changes, payer policies, and regulatory requirements to ensure compliance in all reimbursement activities.
- Assisted with completion of prior authorization forms, processed and prior authorization and sent proper notification to patients and providers.
Prior Authorization Specialist
Apidel Technologies LLC - CVS
09.2022 - 02.2023
- Performed detailed medical reviews of prior authorization request, following established protocols using CAS, AS400 and other in house programs
- Collaborated with internal departments to provide account status updates, insured that proper steps were followed when submitting appeals and maintained high level of professionalism when speaking to doctors, insurance companies and patients
- Contacted vendors or claims adjustment departments to resolve shipment problems or contact service depots to arrange for repairs.
- Improved patient satisfaction with timely and accurate processing of prior authorizations for medications and procedures.
Combat Medic Specialist
United States Army
04.2016 - 11.2020
- Served as an emergency medical technician in combat and humanitarian situations
- Followed infection control and safety procedures to carry out phlebotomy functions
- Provided guidance and instruction to new team members regarding document review
- Enhanced patient survival rates by providing timely and accurate medical care in high-pressure combat situations.
- Reduced recovery times for injured personnel through effective administration of emergency medical procedures.
- Attended training classes to maintain certification licensure.
Education
Bachelor's in Science - Business Administration-PMP -
University of Phoenix - Online
Phoenix, AZSkills
- Financial Administration
- Productivity Improvement
- Project Planning
- Contract Management
- Project Management
- Schedule Management
Timeline
Project Manager
Schreiber Translation Inc.
06.2023 - 11.2023
Senior Reimbursement Specialist -Contract
United Biosource Corp.
02.2023 - 06.2023
Prior Authorization Specialist
Apidel Technologies LLC - CVS
09.2022 - 02.2023
Combat Medic Specialist
United States Army
04.2016 - 11.2020
Bachelor's in Science - Business Administration-PMP -
University of Phoenix - Online
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