Dominique Brown
Baton Rouge,LA
Summary
Hardworking individual with strong organizational skills and a desire to succeed.
Overview
16
16
years of professional experience
Work History
Enrollment Analyst/Eligibility Consultant
CVS Health
11.2024 - Current
- Act as a healthcare data subject matter expert on eligibility guidelines and electronic data interchange (EDI) protocol
- Maintain detailed records between multiple databases and programs.
- Analyze data to identify root causes of problems and recommend corrective actions to PBM clients.
- Improve data accuracy by conducting audits on enrollment records and addressing discrepancies.
- Identify patterns and trends in data sets
Analyst Outreach Coordinator
Aetna/CVS Health
10.2021 - Current
- Analyzed data and report findings to providers regarding gaps in care
- Assisted with maintenance of incentive database for track member compliance
- Performed effective medical record capture medical record review
- Identified potential resources and initiates collaboration with providers to improve member outcome and HEDIS measures
- Documented member outreach outcomes
Community Health Worker
Aetna/CVS
06.2021 - 10.2022
- Educated healthcare providers on opportunities for improving social determinants of health.
- Identified health care needs and reduced hospitalizations.
- Conducted face to face visits.
- Aided in socio-economic issues by utilizing community services
- Targeted specific community groups with wellness and disease management information.
Provider Representative
Louisiana Health Connections
08.2019 - 06.2021
- Responded via telephone to providers within established timeframes
- Verified provider demographics and credentialing status
- Assisted providers regarding website registration and navigation
- Researched and identified any processing inaccuracies in claim payments and routed to appropriate site operations team for claim adjustment
- Identified any trends related to incoming or outgoing calls that may provide policy or process improvements
- Provided claim appeal status to providers
- Requested peer to peer interviews
Tech Support
AT&T Mobility
11.2018 - 07.2019
- Answered high volume calls
- Diagnosed and resolved technical issues by examining symptoms
- Identified and escalated priority issues per customer specifications
- Documented customer interactions
- Followed up with customers via callbacks when necessary
Lab Clerk
Ochsner Medical Center
03.2018 - 11.2018
- Received multiple request for add on lab orders
- Verified inventories and prepared orders for in house and outside labs
- Provided physician and nursing staff with knowledge of proper specimen retrieval
- Faxed lab results
- Transcribed home health orders
- Recalled patients for re-draw when recollection of specimen was necessary
Unit Secretary
Ochsner Medical Center
01.2017 - 03.2018
- Assessed EPIC chart reports to ensure unit charges/utilization and maintained adequately.
- Added on surgeries and procedures to master surgery schedule
- Answered and transferred high-volume phone calls
- Assisted board runner/charge nurse with nursing and surgical tech assignments
- Paged physicians and on-call surgical staff for transplants and emergency surgeries
Cashier
Sephora
07.2016 - 07.2017
- Provided courteous, knowledgeable service to clients
- Completed transactions accurately and efficiently
- Processed returns/exchanges in a positive manner
- Answered phones Educated customers on basic store and product information as needed.
Scheduler (Heart Transplant) Dept.
Ocshner Medical Center
06.2015 - 07.2016
- Answered all department calls and documented interactions
- Provided daily census reports
- Scheduled: appointments, cath lab procedures and testing
- Responded and followed up on inquires received from physicians and nursing staff
Unit Secretary
UCI Medical Center
04.2012 - 10.2015
- Transcribed provider orders
- Monitored and restocked unit supplies
- Managed unit call reception
- Reviewed patient charts for accuracy and to ensure compliance
- Assisted charge nurse with patient flow and room assignments
- Answered and transferred high volume calls
911 Operator
Jefferson Parish Sheriff Office
04.2015 - 06.2015
- Received public emergency and non-emergency calls and supervised response prioritization in order to effectively dispatch official units such as police, fire and EMS while tracking data in real-time environments.
- Documented vital details in call tracking and assignment system
- Relayed latest information to first responders via electronic means, telephone calls and radio responses.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Admission Representative
UCI Medical Center
03.2009 - 04.2012
- Completed registrations by determining charges and collected co-pays
- Coordinated patient paperwork and charts
- Verified patient demographics and insurance coverage
- Activated trauma patients
- Answered and transferred phone calls
Education
No Degree - Computer Science
Colorado Technical University
Colorado Springs, COHigh School Diploma -
Buena Park High School
Buena Park, CA06.2005
Skills
- Self-starter
- Strong interpersonal skills
- Strategic thinking
- Problem-solving
Contact
Baton Rouge, LA 70808
Education
Buena Park, CA,true,New Orleans, LA
Timeline
Enrollment Analyst/Eligibility Consultant
CVS Health
11.2024 - Current
Analyst Outreach Coordinator
Aetna/CVS Health
10.2021 - Current
Community Health Worker
Aetna/CVS
06.2021 - 10.2022
Provider Representative
Louisiana Health Connections
08.2019 - 06.2021
Tech Support
AT&T Mobility
11.2018 - 07.2019
Lab Clerk
Ochsner Medical Center
03.2018 - 11.2018
Unit Secretary
Ochsner Medical Center
01.2017 - 03.2018
Cashier
Sephora
07.2016 - 07.2017
Scheduler (Heart Transplant) Dept.
Ocshner Medical Center
06.2015 - 07.2016
911 Operator
Jefferson Parish Sheriff Office
04.2015 - 06.2015
Unit Secretary
UCI Medical Center
04.2012 - 10.2015
Admission Representative
UCI Medical Center
03.2009 - 04.2012
High School Diploma -
Buena Park High School
No Degree - Computer Science
Colorado Technical University
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