Kayla Snowden
Columbia,SC
Summary
Results-oriented individual with a passion for continuous learning and innovation. Known for leveraging analytical thinking and creativity to solve problems and deliver high-impact solutions in fast-paced environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
MEDICAID ELIGIBILITY ANALYST
NORTH HIGHLAND
2023.09 - Current
- Subcontractor for north highland working on a project with South Carolina Department of Health and Human Services, Healthy Connections
- Analyst with an understanding of Medicaid eligibility rules
- Experience using a Medicaid eligibility system(s): OnBase, Curam, person composite, and Clemson (MMIS/ MEDS)
- Experience reviewing/analyzing applications in a high volume/high productivity environment
- High attention to detail including precise and effective customer communications and proven ability to manage multiple, competing priorities simultaneously.
SUPPORT SPECIALIST
TURN2PARTNERS
2022.04 - 2023.09
- Subcontractor for Guidehouse with government agency; Small Business Administration
- Answer inbound and outbound from client about their loan status
- Provide financial support to clients via phone
- Provide technical support/assistance with computer hardware and software for callers using / Mac iOS, Windows 8 and 10
- Helping customers install applications and programs
- Resolving issues for staff/borrower/lender via phone; handling high call volume
- Log in/out, password reset and other enhancements to gain access to SBA portal
- Performing hardware and software installations, configurations, and updates as needed; troubleshooting
- Resolving technical issues and answering any questions in a timely manner using resources within the company.
COVID INVESTIGATOR
APPLEONE
2021.12 - 2022.02
- Subcontractor worker for South Carolina Department of Health and Environmental Control SCDHEC
- Conducting extensive research, gathering the information/analyzing and determining the laboratory specimen results
- Contact the laboratory-confirmed, probable, and suspected diagnosis of covid-19 via phone and/or text message
- Ensuring people who are exposed to a contagious person are provided education and guidance regarding the next steps for interrupting the ongoing disease transmission
- Provide resources to support, understanding, local testing sites, and vaccination sites
- Contact tracing follows the investigation by identifying, monitoring, and support individuals who have been exposed
- Input gathered information into multiple web-based programs, South Carolina infectious disease and outbreak network and patient management software.
ADVOCATE
REMX
2021.10 - 2021.12
- Subcontractor worker with Changehealth
- Providing eligibility and enrollment solutions for government healthcare programs such as Medicare saving programs and low-income subsidy programs to assist with healthcare expenses
- To help insurance payers that want to increase revenue and improve member satisfaction by facilitating member enrollment in high-quality programs that help offset many social determinants of health
- Receiving a high volume of inbound and outbound from a dialer.
PROVIDER ENROLLMENT ANALYST
KELLY SERVICES
2021.05 - 2021.10
- Subcontractor worker for blue cross blue shield of South Carolina
- Responsible for reviewing, researching, analyzing, and processing provider enrollment applications ensuring provider file integrity and confirming that suppliers are following established standards and guidelines
- Verifying and updating demographics and insurance information for enrolling providers within Blue Cross Blue Shield of SC networks
- Experience in word processing, spreadsheet, and database software
- Excellent organizational, interpersonal, written, and verbal communication skills
- Ability to multi-task using technology, including call handling and call.
CUSTOMER SERVICE REPRESENTATIVE
CONTINUUM GLOBAL SOLUTIONS
2020.10 - 2021.02
- Answers questions and resolves issues based on phone calls/letters from members, providers, and plan sponsors
- Documents and tracks contacts with members, providers, and plan sponsors guiding each member through their plan of benefits, Aetna policy and procedures as well as having knowledge of resources to comply with any regulatory guidelines
- Provides the customer with related information to answer the unasked questions, additional plan details, benefit plan details, member self-service tools and more
- Review processed claim and referrals to submit complaints (member/provider), grievance and appeals (member/provider)
- Assists in compiling claim data for customer audits
- Handles incoming requests for appeals and pre-authorizations not handled by clinical claim management
- Performs review of member claim history to ensure accurate tracking of benefit maximums and/or coinsurance/deductible
- Navigate through multiple computer applications with speed & accuracy.
PATIENT FINANCIAL COUNSELOR
LEXINGTON MEDICAL CENTER
2019.11 - 2020.02
- Communicate closely with patients via in-person, email, mail, and/or phone
- Appropriately request/collect, review, document and report payment information to ensure the patient meets the program’s requirements
- Educate patients about payment options and financial assistance
- Negotiate and strategize patient payment arrangements
- Update patient accounts and balances through the organization’s EHR system; Epic and Onbase.
MEDICAL COLLECTOR 1
RECRUITING SOLUTIONS
2019.05 - 2019.11
- Researching outstanding claims balances using online research via insurance company portals, and telephone calls to organizations regarding claims status
- Ability to professionally communicate with insurance resources by website, e-mail, telephone, and customer service departments, etc
- Ability to take initiative to utilize and apply industry knowledge to resolve outstanding claims
- Accurately document progress of each claim throughout cycle
- Knowledgeable of explanation of benefits EOBs
- Knowledgeable of insurance carrier billing and reimbursement, medical terminology, icd-9, icd-10, and CPT codes and using UB04/CSM1500 forms.
FRONT DESK RECEPTIONIST
COLUMBIA VET CENTER
2017.01 - 2019.04
- Serves visitors by greeting, welcoming, and directing them appropriately
- Notifies company personnel of visitor arrival
- Scheduling patients’ appointments
- Maintains security and telecommunications system
- Informs visitors by answering or referring inquiries
- Directs visitors by maintaining employee and department directories
- Keeps a safe and clean reception area by complying with procedures, rules, and regulations.
Education
BACHELOR OF ART - HEALTH INFORMATICS
UNIVERSITY OF SOUTH CAROLINA UPSTATE
12.2020
ASSOCIATE OF SCIENCE -
MIDLANDS TECHNICAL COLLEGE
08.2018
ASSOCIATE OF ART -
MIDLANDS TECHNICAL COLLEGE
08.2017
HIGH SCHOOL DIPLOMA -
RICHLAND ONE MIDDLE COLLEGE
06.2013
Skills
- Data analysis
- Review and loading documentation experience
- Verbal and written communication skills
- Phone etiquette skills
- Software (Excel, Word, Outlook, and Powerpoint)
- ERP database – Salesforce, Oracle, SAP, Netsuite
- Medical terminology
- Data Entry
- Data Analysis
- Attention to Detail
- Strong Work Ethic
- Analytical Problem Solving
- Compliance with processes, policies, and regulations
- Records Management
- Claims Processing
- Medical record security
- Maintaining business relationships
- Working in a fast-paced environment
- Documentation And Reporting
- Research abilities
- HIPAA Compliance
- Ethical standards
- Revenue Cycle Management
- Data security procedures
Blog
blog
Certification
- awarded from Ashworth College on August 2022
Timeline
MEDICAID ELIGIBILITY ANALYST
NORTH HIGHLAND
2023.09 - Current
SUPPORT SPECIALIST
TURN2PARTNERS
2022.04 - 2023.09
COVID INVESTIGATOR
APPLEONE
2021.12 - 2022.02
ADVOCATE
REMX
2021.10 - 2021.12
PROVIDER ENROLLMENT ANALYST
KELLY SERVICES
2021.05 - 2021.10
CUSTOMER SERVICE REPRESENTATIVE
CONTINUUM GLOBAL SOLUTIONS
2020.10 - 2021.02
PATIENT FINANCIAL COUNSELOR
LEXINGTON MEDICAL CENTER
2019.11 - 2020.02
MEDICAL COLLECTOR 1
RECRUITING SOLUTIONS
2019.05 - 2019.11
FRONT DESK RECEPTIONIST
COLUMBIA VET CENTER
2017.01 - 2019.04
BACHELOR OF ART - HEALTH INFORMATICS
UNIVERSITY OF SOUTH CAROLINA UPSTATE
ASSOCIATE OF SCIENCE -
MIDLANDS TECHNICAL COLLEGE
ASSOCIATE OF ART -
MIDLANDS TECHNICAL COLLEGE
HIGH SCHOOL DIPLOMA -
RICHLAND ONE MIDDLE COLLEGE
- awarded from Ashworth College on August 2022
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