AKRA TATES
Summary
Recent graduate with an Associate of Science degree looking to obtain a position in Health Information Management. Results-driven professional prepared for role in member services, bringing proven track record of enhancing member satisfaction and resolving issues efficiently. Known for collaborative teamwork and achieving impactful results in dynamic environments. Expertise in communication, problem-solving, and adaptability aligns with high standards expected in this field.
Overview
18
18
years of professional experience
Work History
Government Program Member Service Agent
Prime Therapeutics LLC
12.2020 - Current
- Received inbound calls to assist pharmacist, doctors, third-party callers, members and various plans with pharmacy benefit information per HIPAA.
- Consistently received positive feedback from members regarding the quality of service provided during interactions.
- #1 of the Top 3 Coverage Request Status Case Creator by effectively submitting various types of prior authorization request and services based on individual member needs.
- Improved Medicare, Medicaid, and commercial members experience by assisted them with various types of overrides, explained prescription cost, provided financial assistance information, initiated prior authorization request, provided alternative medications and cost .
- Resolved member issues efficiently, utilizing strong problem-solving skills and comprehensive knowledge of company policies.
- Collaborated with other departments to resolve complex member situations, ensuring a seamless experience for the customer.
Resident Associate Supervisor
Christus Health
08.2016 - 05.2021
- Trained and monitored 18 - 20 employees how to properly perform the medication pass via Accuflo system.
- Effectively communicated with pharmacy, Registered Nurse, and doctors.
- Upheld the property''s reputation for quality living by consistently enforcing community rules and addressing any violations in a timely manner.
- Assisted residents with activities of daily living, monitored and recorded vital signs, and performed medication pass according standards of the Nurse Practice Act.
- Collaborated with other team members to provide comprehensive support for all resident needs.
- Worked closely with Wellness Director, RN to resolve staffing problems, improved operations and provided exceptional Caregiver service for up to 52 assisted living residents.
- Assisted new residents with the move-in process, ensuring a smooth transition into the community.
Verification Specialist
Health Management Systems
06.2013 - 07.2016
- 100% computer use of Microsoft Word, Excel, and Outlook email
- Identified and recommended changes to existing processes to improve accuracy, efficiency, and responsiveness of verification department
- Verified client information by analyzed existing evidence on file via internet, telephone, and fax for eligibility of active health, pharmacy, dental, and / or vision coverage with Medicare, Medicaid, Veteran, and commercial health insurance companies
- Prioritized workload efficiently, managing multiple cases simultaneously without compromising on quality or accuracy.
Administrative Coordinator III
Louisiana State University Health and Science Center
02.2007 - 05.2012
- Compiled data, prepared reports, and assisted with decision-making process for Sterile Processing Manager
- Performed timekeeper duties for five departments via PeopleSoft 9.0
- Verified inventory and non-inventory purchase orders; matched for accurate receipt of products via PeopleSoft 9.0
- Managed office inventory by restocking supplies and placing purchase orders to maintain adequate stock levels
- Facilitated smooth day-to-day operations by anticipating needs, proactively addressing potential issues, and efficiently resolving problems as they arose.
- Answered phone calls and responded to inquiries from customers, vendors and other external contacts.
Education
Associate of Applied Science - Health Information Technology
Brookhaven College
Dallas, TX12-2025
Associate of Science - Science
Brookhaven College
Farmers Branch, TX08.2019
Certified Sterile Processing & Distribution Tech - Sterile Processing Technology
El Centro College
Dallas, TX02.2017
Certified Nurses Assistant - Certified Nurses Assistant
Brookhaven College
Farmers Branch, TX06.2016
Office Systems Technology - Office Systems Technology
Opportunities Industrialization Center
Richwood, LA06.2006
Skills
- Admission process
- Inventory
- Computer proficiency
- Medical Records Management
- Medical terminology understanding
- Medical office administration
- Identity verification
- Training and mentoring
- Patience and tolerance
- Documentation and recordkeeping
- Customer service
- Document processing
Accomplishments
- Perfect Attendance
- Zero Coverage Determinations, Appeals and Grievance Errors
Timeline
Government Program Member Service Agent
Prime Therapeutics LLC
12.2020 - Current
Resident Associate Supervisor
Christus Health
08.2016 - 05.2021
Verification Specialist
Health Management Systems
06.2013 - 07.2016
Administrative Coordinator III
Louisiana State University Health and Science Center
02.2007 - 05.2012
Certified Sterile Processing & Distribution Tech - Sterile Processing Technology
El Centro College
Certified Nurses Assistant - Certified Nurses Assistant
Brookhaven College
Office Systems Technology - Office Systems Technology
Opportunities Industrialization Center
Associate of Applied Science - Health Information Technology
Brookhaven College
Associate of Science - Science
Brookhaven College
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