Kayari Timms
Killeen,USA
Summary
Dynamic HEDIS Administrative Assistant with proven expertise at Teleperformance, excelling in data management and quality assurance. Proficient in QSHR and MS Office Suite, I effectively enhanced health screening processes and improved member outreach. A detail-oriented communicator, I consistently ensured accurate records and fostered strong relationships with healthcare providers.
Overview
11
11
years of professional experience
Work History
Hedis Administrative Assistant
ICONMA
12.2024 - 05.2025
- Data collection.
- Faxed out medical record requests to physician offices via RightFax.
- Data entry.
- Assisted with outbound and inbound calls.
- Quality review of returned medical records.
- Assisted with monitoring the measures of a specific data set to oversee the Health and Drug plans for Medicare and Medicaid in relation to the 5-star measurement steps.
- Organizing and tracking records of assignments.
- Sort incoming records to the proper work area in the workflow.
- I contacted doctors' offices for additional HEDIS-specific requests.
- Detailed research to locate members using customized databases for search engines.
Hedis Administrative Assistant (contract)
Teleperformance
01.2022 - 02.2023
- Assisted with monitoring the measures of specific data set to oversee the Health and Drug plans for Medicare and Medicaid in relation to the 5-star measurement steps.
- Assist members with customer service-related questions and concerns.
- Update/edit Excel reports to correct them via QSHR.
- Entering measure-specific and testing information into the QSHR database.
- Working with EMR/EHR Systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Organizing/tracking records of assignments.
- Quality review of returned medical records.
- Ensured that records were legible and contained customer-identifying information.
- Experience in Medical Record Chart Retrieval.
- Faxed out medical record requests to physician offices.
- Sort incoming records to the proper work area in the workflow.
- HCC Coding and Risk Adjustment experience.
- Contacted doctor's offices for additional HEDIS-specific requests.
- Knowledge of medical records, including basic medical terminology.
Hedis Administrative Assistant (contract)
Teleperformance
02.2021 - 01.2022
- Assisted Members with health risk assessments.
- Completed HRS Assessment with Medicaid and Medicare members.
- Handled / Completed contracts for health risk assessments - Clinical.
- Contacted members via telephone.
- Detailed research to locate members using customized databases for search engines.
- Handled incoming and outgoing calls.
- Created/Edited spreadsheets using Excel and MS Word.
- Transferred troubled calls to Crisis Lines.
- Interacted with LPNs, Social Workers.
- Completed Government Contracts for members with Medicare and Medicaid.
- Answered questions while communicating with customers routing to the appropriate department for assistance.
Hedis Outreach Coordinator
Teleperformance
02.2021 - 01.2022
- Contacted Members to confirm Doctor's Office visits for health screening measures.
- Updated Excel document indicating the status of member's health screenings.
- Updated the member's health screening by utilizing Dynamo.
- Assisted Members with health risk assessments.
- Research member's data utilizing the OSHR application.
Home Health Care Advocate
Department of Rehabilitation Services-DOORS
01.2019 - 01.2021
- Worked as a Home Health Care provider – health care for my mother.
Personal Services Care Coordinator
Department of Human Services
01.2015 - 01.2019
- Assisted clients with personal care, setting up members' transportation needs, administering medication, and setting up member's doctor visits.
- Monitoring patient's medications.
- Updating patient charts.
- Documenting/reporting changes/ status of patient's health status.
Rehabilitation Specialists
Hope Institute
01.2014 - 01.2015
- Managed /Assisted patients with disabilities both Physical & mental.
- Assisted developing patients with visual & communicative impairments.
Education
High School Diploma -
Southeast High School
Springfield, Illinois01.2010
Some College (No Degree) - General Studies
Lincoln Land Community College
Springfield, Illinois01.2010
Skills
- Prime
- Producer manager
- Aerial
- Facets
- QSHR
- MS Office Suite
- Cotiviti
- Darth
- Right fax
- OnBase
- Avaya
Timeline
Hedis Administrative Assistant
ICONMA
12.2024 - 05.2025
Hedis Administrative Assistant (contract)
Teleperformance
01.2022 - 02.2023
Hedis Administrative Assistant (contract)
Teleperformance
02.2021 - 01.2022
Hedis Outreach Coordinator
Teleperformance
02.2021 - 01.2022
Home Health Care Advocate
Department of Rehabilitation Services-DOORS
01.2019 - 01.2021
Personal Services Care Coordinator
Department of Human Services
01.2015 - 01.2019
Rehabilitation Specialists
Hope Institute
01.2014 - 01.2015
Some College (No Degree) - General Studies
Lincoln Land Community College
High School Diploma -
Southeast High School
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