Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KECIA HAYES-POWELL

Jackson ,MS

Summary

Enthusiastic and passionate job seeker with strong organizational skills eager to secure entry-level Claims Adjuster position. Eager to help team achieve company goals and to provide customer satisfaction.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Patient Success Specialist

Amerisource Bergen, The Lash Group
08.2021 - Current
  • Accessed patient information through various CRM applications, maintaining strict confidentiality to remain compliant with HIPAA regulations
  • Answered inbound calls to coordinate shipments of medication and answer patient questions
  • Troubleshot and resolved department issues to maintain patient satisfaction and keep optimal patient flows
  • Coordinated insurance authorizations, quoted copayments, and resolved discrepancies
  • Provided consultations and follow-up call to patients about rights and services
  • Managed life cycle of Patient Assistance Program case from creation to scheduling and tracking shipments.
  • Gained extensive knowledge in data entry, analysis and reporting
  • Worked with reimbursement team to get claims processed used correct on-label diagnosis codes and J-codes to process Medicare Part D and Commercial insurance to process injectable drugs.

Patient Success Specialist

MMC Group
11.2020 - 03.2021
  • Determined patient financial needs and referred eligible patients to proper county, state, or federal agencies to obtain financial assistance
  • Obtained patient's insurance information and determined eligibility for benefits for specific medications keeping 90% or greater on program adherence and quality assurance
  • Collected and entered patient demographic and insurance data into computer database to establish patient's profiles
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
  • Received patient deductibles, co-pay amounts and Medicare Part D out of pocket amounts for approval of patient assistance program
  • Made outbound calls to patients providing them with pertinent information about patient assistance program
  • Tracked daily caseloads and reported daily data to upper management.

Patient Access Specialist

Merit Health Central
04.2020 - 10.2020
  • Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks
  • Meeting monthly quota for revenue cycle of $44,000 in collections or more per month increasing department revenue by 20%
  • Collected copayments and compiled daily financial records.

Project Owner

Verizon- Apex Systems
10.2017 - 06.2019
  • Managed projects on schedule by managing deadlines and adjusting workflows as needed
  • Supervised multiple projects from project start through delivery by prioritizing needs and delegating assignments
  • Maintained project schedules by managing timelines and making proactive adjustments
  • Planned and arranged meetings with external organizations and individuals, enabling all parties to meet and discuss project progress
  • Provided technical direction on IT projects and initiatives to other engineers, designers, and technicians
  • Prepared meeting minutes and correspondence for all weekly meetings as well as sat in on all activation calls in US and Puerto Rico
  • Ensures client success as project evolved.

Customer Service Representative

Driven Solutions
12.2016 - 10.2017
  • Provided primary customer support to internal and external customers in fast-paced environment
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
  • Kept detailed track of all available field personnel and all in-progress and completed calls
  • Sent out roadside assistance drivers to assist 30-50 hourly callers based on locations, needs and worker availability
  • Directed all dispatching, routing, and tracking of fleet vehicles
  • Closely monitored dispatch board to triage and prioritize over 100 plus daily calls

Education

Bachelor of Science - Healthcare Administration

Belhaven University
05.2010

Skills

  • Clarity PM Software, Salesforce
  • Salesforce
  • MS Office 2016
  • Google Suite
  • Problem solving
  • Scheduling
  • Asana
  • Administrative operation support
  • Conflict resolution
  • Project management support
  • Project lifecycle management
  • MS Project

Certification

ll-Lines Claims Adjuster License with Worker's Comp

Awarded by the State of Texas

Received January 2023

Awarded by the State of MIssissippi

Received March 2023

Awarded by the State of Oklahoma

Received March 2023

Awarded by the State of Louisiana

Received April 2023

Awarded by the State of Michigan

Received April 2023

Awarded by the State of Florida

Received May of 2023

All Active License


  • Certified, State Farm Property, Estimatics, Auto - 2023
  • FEMA NFIP Training Certification


Timeline

Patient Success Specialist

Amerisource Bergen, The Lash Group
08.2021 - Current

Patient Success Specialist

MMC Group
11.2020 - 03.2021

Patient Access Specialist

Merit Health Central
04.2020 - 10.2020

Project Owner

Verizon- Apex Systems
10.2017 - 06.2019

Customer Service Representative

Driven Solutions
12.2016 - 10.2017

Bachelor of Science - Healthcare Administration

Belhaven University

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