KEEVA COLE
Raleigh,NC
Summary
Experienced professional adept at managing high volume caseloads in fast-paced environments. Known for exceptional organizational skills, drive, and adaptability with a proven track record of success. With 15 years of experience, always ready to take on any challenge. Skilled in overseeing large teams across multiple projects, a resourceful Supervisor known for high productivity and efficient task completion. Expertise lies in team leadership, conflict resolution, and operational oversight. Excels in communication, problem-solving, and adaptability, ensuring smooth operations and workplace harmony. Committed to fostering positive work environments and achieving goals through effective supervision and staff engagement.
Overview
7
7
years of professional experience
Work History
AFL Provider
Lutheran Services of the Carolinas
09.2020 - Current
- Supporting the individual in eating nutritious meals and snacks consistent with dietary needs, resting (by providing sleeping accommodations), daily self-care activities, leisure/recreation, education and working
- Supports are provided according to the person’s abilities and interests while ensuring privacy and dignity
- Preparing, teaching and assisting the person in food preparation, and cleaning of the living space
- Assisting in providing opportunities for social, emotional and spiritual needs to be met
- Assisting with transportation and scheduling of all medical, therapy, vocational and recreational activities
- Implementing services and supports to address goals identified through the Person Centered Plan
- This includes medical, psychiatric, recreational, spiritual, and emotional needs
- Assisting the person supported by attending treatment team meetings and facilitating communication related to individual needs, response to service and supports, and progress toward goals
Supervisor Insurance Analyst
United BioSource
06.2022 - 10.2024
- Supervise EIMP agents and SCIT agents in a cross functional group
- Work proactively with staff to develop creative solutions to challenging patient access issues regarding prior authorizations
- Completed monthly QA reports and Metrics
- Investigate and problem solve escalated issues and document information in the appropriate system of records and format
- Maintained detailed records of interactions using CRM software systems for easy reference and future follow-ups while promoting support for agents and team members to promote client retention
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
RCM Supervisor
Trial Card, Inc
01.2021 - 05.2022
- Evaluate and supervise a high volume of agents on various projects
- Working on various programs within the company
- Coordinating financial options for those with financial needs as outlined by the company's SOP
- Served as an advocate to agents who assisted healthcare professionals
- Trained and monitored agents focus driven on insurance coverage, medical billing, reimbursement processes, and other general access issues like:
- Pharmacy Prescription Triage and Pharmacy benefit verifications for complex pharmaceuticals
- Completed monthly QA reports and Metrics
- Investigate and problem solve escalated issues and document information in the appropriate system of records and format
Healthcare Supervisor
CVS Health Company
11.2017 - 02.2021
- Managing a team of1-20 agents, performing, analyzing metrics, weekly coaching, preparing and motivating team members to provide excellent service to clients and customers daily
- Set objectives to ensure that the company and team were able to meet goals and expectations
- Assisting with Rx claims processes and mail order prescriptions
- Assisting pharmacies with overrides and processing issues for specialty medication
- Following and maintaining all guidelines and regulations
- Completed monthly QA reports and Metrics
- Investigate and problem solve escalated issues and document information in the appropriate system of records and format
- Worked with a large management team to resolve issues and implement updates and changes to teams
Education
Some College (No Degree) - Human Service
Wake Forest Community College
Raleigh, NCSkills
- Claims Review
- Claims Analysis
- Claims Management
- Call Monitoring
- Priority management
- Employee Motivation
- Training and mentoring
- Process Monitoring and Improvement
- Program Management
- CRM Software
- Conflict Management
- Ethical judgment
Certification
Timeline
Supervisor Insurance Analyst
United BioSource
06.2022 - 10.2024
RCM Supervisor
Trial Card, Inc
01.2021 - 05.2022
AFL Provider
Lutheran Services of the Carolinas
09.2020 - Current
Healthcare Supervisor
CVS Health Company
11.2017 - 02.2021
Some College (No Degree) - Human Service
Wake Forest Community College
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