Genesis Coggs
Kansas City,KS
Summary
Dynamic Grievance Appeals Specialist at Astrana Health with a proven track record in case analysis and grievance handling. Enhanced patient satisfaction through empathetic communication and streamlined processes. Adept at fostering teamwork and ensuring HIPAA compliance, I am committed to achieving fair outcomes and improving efficiency in healthcare settings.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Grievance Appeals Specialist
Astrana Health
11.2024 - 03.2025
- Collaborated with cross-functional teams to address systemic issues identified during the grievance appeals process.
- Improved customer satisfaction rates by providing timely and empathetic responses to appeals inquiries.
- Conducted thorough investigations for complex cases, ensuring fair and accurate outcomes.
- Established strong relationships with internal and external stakeholders to facilitate smooth information exchange during case investigations.
- Enhanced grievance appeals efficiency by streamlining processes and implementing best practices.
- Modified, updated and processed existing policies.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Patient Care Technician
AdventHealth
08.2022 - 09.2024
- Enhanced patient safety by conducting comprehensive room checks and maintaining a clean environment.
- Participated in regular training sessions, staying current on best practices for patient safety attendants'' roles and responsibilities.
- Conducted hourly rounding to proactively address potential safety hazards or concerns, enhancing overall patient wellbeing.
- Maintained detailed documentation of patient interactions, ensuring accurate records for continuity of care purposes.
- Served as a liaison between patients, families, and nursing staff, helping to resolve any concerns or issues that arose during the hospital stay.
- Took and recorded patients' vital signs, documenting in medical charts.
- Monitored patient progress and reported changes to healthcare professionals.
- Demonstrated adaptability by working with diverse populations, including patients with varying cognitive abilities, physical limitations, or cultural backgrounds.
- Assisted nursing staff with non-clinical tasks, enabling them to focus on direct patient care and improving efficiency.
- Supported family members during their loved ones'' hospitalization, providing information on visitation guidelines and answering general questions about the facility''s policies.
- Improved communication between medical staff and patients by effectively reporting observations and concerns.
Education
Certificate - Certified Nursing Assistant
Kansas College of Nursing
Lenexa, KS06-2023
High School Diploma -
Shawnee Mission West High School
Overland Park, KS05-2020
Skills
- Case analysis
- Grievance handling
- HIPAA compliance
- Medical terminology
- Teamwork
- Problem-solving
- Attention to detail
- Patient care
- Multitasking
- Fall prevention
- Direct patient care
Certification
- First Aid/CPR Certified
Timeline
Grievance Appeals Specialist
Astrana Health
11.2024 - 03.2025
Patient Care Technician
AdventHealth
08.2022 - 09.2024
Certificate - Certified Nursing Assistant
Kansas College of Nursing
High School Diploma -
Shawnee Mission West High School
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