Nykeria Thompson
Columbia,SC
Summary
Detail-oriented Quality Assurance Specialist with extensive experience in implementing standards and investigating customer complaints. Strong analytical and problem-solving skills enhance ability to address non-conformance issues effectively. Focused on optimizing business processes to drive quality improvements.
Overview
4
4
years of post-secondary education
4
4
years of professional experience
Work History
Medicaid Approvals Specialist
TekSystems
Columbia, SC
03.2025 - Current
- Review and approve Medicaid applicants to meet program eligibility requirements.
- Processed high-volume applications accurately to support timely enrollment, facilitating access to Medicaid services.
- Verified applicant information through collateral calls and documentation requests to ensure accuracy and compliance.
- Coordinated with applicants and internal teams to resolve data discrepancies, enhancing application integrity.
Healthcare Representative
Alorica
Columbia, SC
06.2024 - 02.2025
- Coordinated specialty medication deliveries and logistics to ensure timely access for patients.
- Facilitated insurance updates and verified coverage details to support patient access to necessary medications.
- Scheduled specialty medication deliveries and coordinated shipping logistics.
- Tracked communication and managed follow-ups using CRM tools to enhance patient engagement.
Healthcare Representative
Everise
Columbia, SC
01.2023 - 09.2023
- Assisted members with claims, billing inquiries, and benefit guidance to enhance understanding and satisfaction.
- Delivered inbound support for health plan members, addressing inquiries and resolving issues.
- Escalated complex issues to support teams and coordinated follow-ups with members to ensure resolution.
Education
High School Diploma -
Richland Northeast High School
Columbia, SC 08.2013 - 06.2017
Skills
- Patient enrollment & eligibility verification
- Medicaid eligibility
- Application processing
- Insurance updates & claims support
- Scheduling & coordination of specialty medication deliveries
- Application data review
- CRM management
- Patient outreach coordination
- Confidentiality / HIPAA awareness
- Clear phone & email communication
- Problem solving
Timeline
Medicaid Approvals Specialist
TekSystems
03.2025 - Current
Healthcare Representative
Alorica
06.2024 - 02.2025
Healthcare Representative
Everise
01.2023 - 09.2023
High School Diploma -
Richland Northeast High School
08.2013 - 06.2017