Kelly Davis
Kissimmee,FL
Summary
Adept at navigating complex healthcare systems, I leveraged my strong communication skills and expertise in HIPAA regulations at Centauri Health Solutions Inc - Human Arc to enhance patient access and support. My proficiency in medical terminology and coding, combined with a proven ability to work efficiently in fast-paced environments, has consistently improved application processes and patient experiences.
Overview
14
14
years of professional experience
Work History
Medicaid Medicare Specialist
Centauri Health Solutions Inc - Human Arc
Kissimmee, FL
11.2024 - Current
- Responsible for assisting members to apply or re-certify who are potentially eligible for various Medicaid programs including the Medicare Savings program.
- Collaborates with government agencies to complete the application or re-certification process for eligible members.
- Detail oriented while adhering to state guidelines to ensure the process runs efficiently and accurately as possible.
- Strong analytical; critical thinking and excellent communication skills.
- Ability to work in fast paced work environment while still ensuring accuracy and diligence on any task assigned.
- Handle escalated calls from dissatisfied customers with professionalism and tact, ultimately resolving issues efficiently.
- Ability to work as a team player or independently.
Best Benefits Disability III
Centauri Health Solutions Inc - Human Arc
Kissimmee, FL
03.2020 - 11.2024
- Assisted patients / plan members who are low income/no income, aged or disabled to enroll in government assistance programs.
- Coordinated appointments, provided resources; materials, medical updates to the Disability Determination Services and other private institutions.
- Collaborated and worked closely with Social Security Administration in the pursuit of facilitating the member's application process.
- Maintained regular communication with claimants; answered questions regarding the application, services, benefits and eligibility guidelines.
- Managed time efficiently in order to complete all tasks within deadlines given.
- Managed all accounts and took appropriate action to secure eligibility until all methods are exhausted.
- Organized and detail-oriented with a strong work ethic.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
Patient Access Representative II
Accredo
Orlando, FL
01.2013 - 04.2017
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Responsible for inbound/outbound calls to members, providers, and physicians and responded to all inquiries regarding copay assistance programs, prescription deliveries, etc.
- Assisted colleagues and other internal departments to achieve proper resolution for delivery of specialty mail prescription orders while adhering to the company regulations and guidelines.
Administrative Assistant II
Beth Isreal Deaconess Medical Center
Boston, MA
03.2011 - 03.2012
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Ensured all related reports, labs and information were filed accurately and timely prior to the patient's appointment.
- Worked collaboratively with the nurses' station and other colleagues in medical department to ensure the offices of the physicians and health practitioners run smoothly
Education
Health Administration
Lincoln Technical Institute
Somerville, MA05-2009
Skills
- Strong communication skills
- Legal Aspects of Allied Health/HIPAA
- Health Information Systema
- ICD - 9, ICD 10, CPT, and HCPCS Coding
- Clinical Office Procedures
- Medical Terminology
- Medical Practice Management
- Excel, Word, Livevox, Compass
- Sales and marketing acumen
Timeline
Medicaid Medicare Specialist
Centauri Health Solutions Inc - Human Arc
11.2024 - Current
Best Benefits Disability III
Centauri Health Solutions Inc - Human Arc
03.2020 - 11.2024
Patient Access Representative II
Accredo
01.2013 - 04.2017
Administrative Assistant II
Beth Isreal Deaconess Medical Center
03.2011 - 03.2012
Health Administration
Lincoln Technical Institute