Summary
Overview
Work History
Education
Skills
Personal Information
Timeline
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Kennedy Harris

Fairborn,OH

Summary

Experienced clinical support professional with a proven track record in patient care. Collaborative and adaptable, with a strong ability to work effectively in teams and respond to evolving needs. Proficient in patient communication, medical documentation, and coordinating with healthcare providers. Highly regarded for exceptional organizational skills, problem-solving abilities, and unwavering commitment to delivering top-notch support.

Overview

8
8
years of professional experience

Work History

Clinical Support Specialist

Emerge Recovery and Trades Initiative
09.2023 - 06.2024
  • Assist with patient intake, scheduling, and check-in/check-out procedures
  • Maintain and update electronic medical records (EMR) and documentation
  • Support clinicians by preparing patient files, processing referrals, and coordinating care plans
  • Provide administrative assistance, including data entry, correspondence, and report generation
  • Facilitate communication between patients, counselors, medical staff, and external agencies
  • Educate patients and families on available support services and program resources
  • Assist with insurance verification, prior authorizations, and billing inquiries
  • Ensure compliance with confidentiality policies and HIPAA regulations
  • Support crisis intervention efforts and aid as needed
  • Participate in team meetings, training sessions, and professional development activities
  • Collaborated with physician to verify capture of care coordination billable minutes.
  • Streamlined workflow efficiencies within clinical environment through continual process improvements and updates on best practices in patient care management.
  • Performed routine office tasks necessary for office operation and presentation.

Office Assistant

Dr. Ebony Speakes, DSW, LSW-S
08.2019 - 05.2023
  • Registration of patients, insurance verification, scheduling, visit follow-up
  • Enhanced office efficiency by managing schedules, organizing files, and maintaining clean workspace.
  • Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
  • Managed daily operations, ensuring timely completion of tasks and maintaining well-organized work environment.

Pharmacy Technician II

CareSource
10.2021 - 02.2023
  • Review non-formulary prior authorization requests from CareSource providers
  • Educate CareSource providers about resources outlining formulary alternatives
  • Place prior authorizations when approval is appropriate in the CAS/Client Access systems
  • Initiate process for routing prior authorizations requiring review by a Pharmacist
  • Answer calls from providers regarding prior authorization requests prescription coverage and formulary issues in a timely manner
  • Document all telephonic interaction in Streamline
  • Ensure all methods of inquiries (fax, e-mail, EPA) and submissions are answered within the state mandated 24 hour period
  • Involvement in special projects reviewed by the management team when needed
  • Answer calls and troubleshoot issues from Retail and Specialty pharmacies
  • Cross train interdepartmentally for all Medicaid and Marketplace products (Specialty)
  • Assist Case Managers, Member and Provider Services with pharmacy issues, overrides, and questions
  • Maintain awareness of current workload aging and respond with appropriate sense of urgency
  • Perform any other job duties as requested

Medicaid/Medicare Eligibility Specialist

Centauri Health Solutions
06.2021 - 10.2021
  • Submit applications for Medicaid/Medicare on behalf of clients
  • Validation of client documents, liaison between client and county office, application follow-up with client to determine eligibility of Medicaid/Medicare
  • Conducts telephonic outreach activities for members who need to apply or recertify and are potentially eligible for various Medicaid programs including Medicare Savings Programs
  • Collaborated with government offices to accurately complete application and recertification process
  • Secures documentation for Medicaid/MSP renewal applications if needed for members
  • Attention to detail by adhering to state requirements and securing supporting documentation
  • Met daily, weekly, and monthly production goals. Must also meet quality standards by ensuring proper phone etiquette and adherence to scripts, state regulations, HIPAA compliance, meet ongoing corporate compliance standards, and make accurate and descriptive documentation
  • Research changes with any state and federal regulatory requirements to adhere to strict compliance of all aspects of Medicare programs and Medicaid Outreach Operations
  • Ensure safety and confidentiality of data and systems by adhering to organizations information security policies
  • Read, understand and agree to security policies and complete all annual security and compliance training

Program Specialist

Eversana
12.2020 - 06.2021
  • Support to patients and doctors for activities related to benefit coverage, payments, reimbursements, denials and general inquiry phone calls through patient services support center
  • Provide dedicated, personalized support delivered over phone and via online portal
  • Complete investigations and answer questions regarding insurance benefits, including information about coverage and out-of-pocket costs
  • Collaborate with patients and doctors to assist with issues related to payments, reimbursements, payment denials, and appeals
  • Make outbound calls to customers for additional information
  • Assist with prior authorization and medical necessity processes, benefit verification and prior authorization assistance
  • Enter orders, change orders, track shipments, and enter customer notes to complete customer/consumer transactions
  • Act as primary point of contact for healthcare providers to obtain complete patient enrollment and insurance information
  • Received incoming phone calls and contact form submissions and provided timely responses to inquiries.

Clinical Assistant

Kroger - Little Clinic
12.2019 - 12.2020
    • COVID testing, report positive COVID test to county health department, COVID follow up calls
    • Sanitized, restocked, and organized exam rooms and medical equipment.
    • Assisted patients with basic care needs.
    • Ensured accurate documentation of vital signs, symptoms, and medical histories for informed decision-making by healthcare providers.
    • Collaborated with clinical staff to implement quality improvement initiatives that enhanced overall clinic performance metrics.
    • Reviewed physician's calendar and scheduled patient appointments by telephone and in-person.
    • Prepared examination rooms and sterilization of equipment clinical guidelines.
    • Enhanced patient care by efficiently managing medical records and coordinating appointments.
    • Managed inventory levels of medical supplies within the clinic setting, ensuring adequate stock availability for seamless daily operations.
    • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
    • Prepared lab specimens for diagnostic evaluation.
    • Oriented and trained new staff on proper procedures and policies.
    • Improved office efficiency with thorough record-keeping of appointments, reschedules, and cancellations.

Clinical Assistant

OB-GYN Limited
03.2019 - 12.2019
  • Prepare documents for laboratory services and requisitions
  • Data Entry
  • Scheduled appointments for efficient time management.
  • Perform other administrative duties as directed
  • Prepared medical instruments for procedures, ensuring cleanliness and readiness.
  • Greet patients in friendly and welcoming manner
  • Facilitated patient check-in and check-out processes, enhancing clinic efficiency.
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Ensured accurate documentation of vital signs, symptoms, and medical histories for informed decision-making by healthcare providers.
  • Assisted in minor surgical procedures under direct supervision of healthcare providers, ensuring patient safety and comfort.
  • Reviewed physician's calendar and scheduled patient appointments by telephone and in-person.

Clinical Assistant

Rocking Horse Community Health Center
01.2018 - 03.2019
  • Answer telephonic incoming and outgoing inquiries from patients, physician, and pharmacies
  • Update and file patient medical records and other documentation
  • Filled out medical forms, insurance forms, and handle some correspondence
  • Complete prior-authorizations necessary for insurance carriers
  • Prepare documents for laboratory services and requisitions
  • Promote patient/family understanding of the educational content and his/her involvement in the plan of care, and document in patient record
  • Obtain patient's medical history and record vital signs
  • Assists provider during examination and procedures as requested
  • Performs basic in-office laboratory tests and dispose of contaminated supplies; sterilize medical instruments
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Called and faxed pharmacies to submit prescriptions and refills.

Work Study Assistant

Clark State Community College
09.2016 - 12.2017
  • Assisted students with information regarding school, directions, programs, testing, enrollment and financial aid
  • Gave student tours, data entry for various departments, greeted students and visitors, answered incoming calls
  • Managed multiple tasks simultaneously while maintaining high level of attention to detail and accuracy.
  • Ensured timely completion of assigned tasks by setting priorities and establishing clear goals for daily activities.
  • Maintained up-to-date knowledge of campus resources and services available to students, facilitating appropriate referrals when needed.

Education

Some College -

Clark State Community College
Springfield, OH
09.2018

Diploma -

Kenton Ridge High School
Springfield, OH
01.2016

Skills

  • Support and Resolution Skills
  • EMR
  • Excel Proficiency
  • Task Organization
  • Appointment Coordination
  • Health risk assessments
  • First Aid
  • Clinical documentation
  • HIPAA

Personal Information

Work Permit: Authorized to work in the US for any employer.

Timeline

Clinical Support Specialist

Emerge Recovery and Trades Initiative
09.2023 - 06.2024

Pharmacy Technician II

CareSource
10.2021 - 02.2023

Medicaid/Medicare Eligibility Specialist

Centauri Health Solutions
06.2021 - 10.2021

Program Specialist

Eversana
12.2020 - 06.2021

Clinical Assistant

Kroger - Little Clinic
12.2019 - 12.2020

Office Assistant

Dr. Ebony Speakes, DSW, LSW-S
08.2019 - 05.2023

Clinical Assistant

OB-GYN Limited
03.2019 - 12.2019

Clinical Assistant

Rocking Horse Community Health Center
01.2018 - 03.2019

Work Study Assistant

Clark State Community College
09.2016 - 12.2017

Some College -

Clark State Community College

Diploma -

Kenton Ridge High School
Kennedy Harris