Summary
Overview
Work History
Education
Skills
Feeding the homeless. Volunteering in the community. Volunteering at my child's school.
Work Availability
Quote
Timeline
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Kaschandra Coleman

Harvey,La

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

16
16
years of professional experience

Work History

Medicaid Application Center Representative

Ochsner Health
04.2011 - 04.2023
  • Made between 55-100 outbound calls daily and received between 30-40 inbound calls daily in a high-volume call center.
  • Responsible for screening and interviewing self-pay and under insured patients for Medicaid eligibility, with proven understanding of all Louisiana Medicaid programs and for the daily submission of Medicaid applications online for patients who meet Medicaid eligibility.
  • Responsible for documenting Epic with follow-up notes and updates from the Louisiana Department of Health and adding insurance to eligible hospital accounts to ensure timely filing.
  • Worked a work queues and, spreadsheets to maintain current A/R days.
  • Experienced in understanding patient diagnosis and prognosis and reading medical records for the purpose of Medicaid eligibility for deceased patients and patients needing disability Medicaid
  • Working knowledge of medical terminology, ICD-10 and HCPCS codes.
  • Recognized for consistent Medicaid approvals, highest number of applications submitted and approved for the department for multiple quarters, while being the only onsite Medicaid Rep for the Westbank facility.
  • Consistently met productivity and Q/A standards according to the department's guidelines.
  • Learned and followed all organizational policies and procedures to maintain safe and professional working environments.
  • Developed and maintained positive customer relations and coordinated with team members to properly handle requests and questions.
  • Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere.
  • Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
  • Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
  • Researched relevant resources to assist members, identified member representation needs to provide optimal support for member.
  • Worked assigned special projects and provided feedback to management to inform decision-making on future policies and procedures.
  • Optimized customer experience by delivering superior services and effectively troubleshooting issues.


Team Lead/Hospital Cashier

Tulane Lakeside
08.2007 - 11.2010
  • Responsible for maintaining hospital safe, making daily deposits from cash and check payments from the ER, patient registration and outlying clinics.
  • Responsible for patient registration, obtaining authorizations and pre-authorizations for upcoming surgical procedures, labor and delivery, and outpatient testing.
  • Responsible for delegating duties to other patient access representatives, while providing Second-level supervision of the ER and patient access representatives.
  • Coached team members in techniques necessary to complete job tasks.
  • Also responsible for ordering supplies needed for the department.
  • .Worked different areas within the department to provide optimal coverage and meet production goals.
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
  • Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.


Education

Medical Billing and Coding -

Herzing University
Madison, WI
08.2009

Skills

  • Customer service
  • Communication skills
  • Computer literacy
  • Time Management
  • High-level decision making
  • Documentation
  • Customer Support
  • Needs Analysis
  • Records Management
  • Revenue Cycle
  • Paperwork Processing
  • Training and Development
  • Quality Assurance Controls
  • Customer Service Optimization
  • Customer Communication
  • Verbal and Written Communication
  • Inbound Phone Call Management
  • Call Center Operations
  • Customer Experience
  • Resolving Issues
  • Customer Account Updates
  • Product or Service] Expertise
  • Call Control Skills
  • Answering Questions
  • Investigations and Resolutions
  • Call Documentation Skills
  • Electronic Medical Record
  • ICD-9 and ICD-10 Codes
  • Microsoft Office
  • Appointment Scheduling
  • Provider Relations
  • Inquiry Resolution
  • Customer service
  • Providing Feedback
  • Livechat Messaging
  • Policy and Procedure Adherence
  • Online Systems
  • Eligibility Determinations
  • Scripted Calls
  • Outgoing Phone Calls
  • Understanding Customer Needs
  • Call Volume and Quality Metrics
  • Document and Records Management

Feeding the homeless. Volunteering in the community. Volunteering at my child's school.

I feed the homeless at different community centers by donating food for families in need. I volunteer in the community by helping the elderly, picking up trash, taking in groceries and bringing home cooked meals to my elderly neighbors. I volunteer at my child's school by helping wherever I'm needed. Lunch lines, bus lines, watching over classrooms and answering phones and what ever other duties I can perform as needed.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins

Timeline

Medicaid Application Center Representative

Ochsner Health
04.2011 - 04.2023

Team Lead/Hospital Cashier

Tulane Lakeside
08.2007 - 11.2010

Medical Billing and Coding -

Herzing University

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Kaschandra Coleman