Kayvina Day
Vanderbilt Medical Center- Full Time
Murfreesboro,TN
5
years of professional experience
Dedicated Primary Care Representative with expertise in patient education, medication management, and healthcare navigation. Demonstrates strong multitasking ability in fast-paced environments, efficiently processing orders and coordinating timely shipments. Leverages effective communication and problem-solving skills to enhance patient experiences and support healthcare teams.
Work History
Patient Care Associate
3 Months- Ensures that the clinic setup is closely monitored to effectively support the needs of the clinic, and make any necessary adjustments, working in collaboration with the appropriate clinic.
- Informed patients and professionals about eligibility, benefits, claim payments, and authorizations to enhance understanding of insurance processes.
- Schedule patients' appointments and manage changes or cancellations efficiently. Check patients In and Out of appointments through EPIC
- Worked with insurance companies to obtain approvals or contest denials.
- Processed daily faxes to ensure timely communication and document management.. Print labels and scan forms into patients' chart.
- Send messages to Providers
- Facilitated appointment reminders via phone calls, text messages and messages via At My Vanderbilt Health
- Collaborated with departments to expedite scheduling of tests, procedures, and consultations, ensuring timely patient care.
- Worked with insurance companies to obtain approvals and contest denials, facilitating patient access to necessary services.
Primary Care Representative
1 Year 7 Months- Coordinated patient registration and appointment scheduling, managed changes or cancellations efficiently through EPIC systems
- Verified insurance coverage for patients with RTE and updated records accordingly.
- Educated patients on available services and resources within Children's hospital, ensuring they received appropriate care and support.
- Resolved patient inquiries and concerns promptly, improving patient satisfaction and fostering positive relationships.
- Established patient referrals for specialty clinics.
- Managed electronic health records to maintain accuracy.
Dispute and Fraud Specialist
2 Years 2 Months- Investigated claims made by customers regarding possible fraudulent charges or unauthorized use of the account.
- Prepared comprehensive reports on investigations into suspected fraudulent activities, ensuring clarity for decision-making.
- Drafted concise summaries of findings from investigations into potentially fraudulent activities, facilitating timely resolution.
- Review and manually process Visa and MasterCard chargeback claims through Appian and Mainframe.
- Ensured accuracy in reports submitted to MasterCard and Visa for chargeback evaluation. to MasterCard and Visa for the next step, chargeback.
- Maintained accurate records of all dispute activities for audits, reinforcing accountability and compliance.
- Researched account information to determine if the dispute is valid.
Senior Customer Service Associate
8 Months- Resolved escalated supervisor calls, ensuring customer concerns were addressed promptly and effectively.
- Processed customer payments promptly, ensuring adherence to established procedures for accuracy and security.
- Processed payments from customers in a timely manner according to established procedures.
- Updated customer information, verifying details through LexisNexis to maintain data integrity and enhance service efficiency.
- Cultivated strong communication skills with teammates and other departments to facilitate collaboration and enhance service delivery.
- Mentored junior associates, fostering skill development and confidence to enhance overall team service quality.
Education
High School Diploma
Skills
Appointment scheduling
Insurance verification
Patient scheduling
Records management
Healthcare coordination
Medical record management
Patient support coordination
Case management
Patient advocacy
Problem-solving aptitude
Communication skills
Team collaboration
Team collaboration
Personal Information
Title: Primary Care Representative
Timeline
Patient Care Associate
Vanderbilt Medical Center- Full Time
05.2026 - CurrentRead More
Primary Care Representative
Nationwide Children's Hospital- Full Time
10.2024 - 05.2026Read More
Dispute and Fraud Specialist
Barclay Bank-Full Time
06.2022 - 08.2024Read More
Senior Customer Service Associate
PNC Bank-Full Time
09.2021 - 05.2022Read More
CAHS
High School Diploma
Read More