Graci Kelly
Ransomville
Summary
Professional with strong background in care coordination. Skilled in patient advocacy, healthcare planning, and resource management. Known for effective team collaboration and achieving measurable results. Adaptable to changing needs with robust communication and organizational skills. Reliable and focused on delivering high-quality care outcomes.
Overview
7
7
years of professional experience
Work History
Care Coordinator
Aither Health
12.2024 - Current
- Coordinated patient care plans, ensuring alignment with healthcare providers and family members.
- Developed and implemented efficient communication processes to enhance patient engagement and satisfaction.
- Monitored patient progress, adjusting care strategies based on individual needs and treatment responses.
- Collaborated with multidisciplinary teams to streamline care delivery across various healthcare settings.
- Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
- Built strong relationships with clients to deliver emotional support and companionship.
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
- Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes.
- Advocated for patients'' rights within the healthcare system, working diligently to address concerns or barriers to care.
Member Advocate
Aither Health
04.2024 - 12.2024
- Provided guidance on insurance policies and procedures to members.
- Assisted members with understanding their benefit plans and coverage options.
- Resolved member complaints efficiently and effectively.
- Maintained accurate records of all interactions with members.
- Performed data entry tasks related to membership information updates.
- Interfaced with other departments to ensure timely resolution of issues.
- Monitored incoming calls and emails from members seeking assistance or advice.
- Applied HIPAA privacy and security regulations while handling patient information.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families.
Customer Service Representative
Highmark Blue Cross Blue Shield
06.2023 - 04.2024
- Maintained a high level of professionalism when dealing with difficult customers
- Handled customer complaints and inquiries in a courteous and efficient manner
- Provided exceptional customer service to ensure customer satisfaction
- Maintained knowledge of company products to provide helpful suggestions and recommendations to customers
- Performed data entry tasks accurately and in a timely manner
- Adhered to company policies and procedures while providing superior service
- Provided account information to customers and explained bill service policies and customer rights
- Conducted regular follow-up calls with customers after resolving their issues
- Provided guidance on insurance policies and procedures to members.
- Assisted members with understanding their benefit plans and coverage options.
Subway Sandwich Artist/Cashier
Subways/Crosbys
05.2018 - 06.2023
- In charge of greeting and serving customers
- Preparation of food
- In charge of training new hires
- Maintain food safety and sanitation standards
- Handle and process light paperwork
Education
High School Diploma -
Wilson High School
01-2023
Skills
- Customer service
- Communication skills
- Problem solving skills
- Culinary experience
- Time management
- Food handling
- Attention to Detail
- Multitasking and Prioritizing
- Food service
- Marketing
- Management skills
- Sales
- Restaurant experience
- POS
- Interpersonal Communication
- Problem-Solving
- Patient education
- Organizational skills
- Patient advocacy
- Policy adherence
- Insurance practices
Timeline
Care Coordinator
Aither Health
12.2024 - Current
Member Advocate
Aither Health
04.2024 - 12.2024
Customer Service Representative
Highmark Blue Cross Blue Shield
06.2023 - 04.2024
Subway Sandwich Artist/Cashier
Subways/Crosbys
05.2018 - 06.2023
High School Diploma -
Wilson High School
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