Kevin Ackerson Jr
Carmichael,CA
Summary
Highly skilled healthcare administration professional with the ability to efficiently work with cross-functional teams and accomplish goals with strict deadlines. Experience working with a diverse population, creating, and establishing key relationships with the community and understanding methods of communication techniques that can be implemented to achieve positive results. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
Work History
Provider Operations Advanced Processor
Blue Shield of California
10.2016 - Current
- Analyzes data and ensures all contracts are updated as a Provider Operations Advance Processor for a well-known insurance provider
- Provides assistance and guidance to insurance providers and medical staff with accurate Blue Shield product information and updates on policies and procedures
- Manages up to 40 accounts, building great relationships and providing excellent customer service to each provider, and has helped increased retention rate by 45%
- Reviews and processes incoming and outgoing data, including directory updates, provider credentialing applications, contract maintenance forms and other related forms
- Completes audits configuration loads on new and existing contracts, reviews the budget with upper management, and provides input on improvement of policies and procedures.
Customer Care Rep
Blue Shield of California
10.2016 - 12.2018
- Resolved issues and inquiries concerning members’ eligibility, benefits, provider information, clinical, pharmacy and other health and social service needs
- Composed routine and non-routine correspondence to answer benefits and provider inquiries in written form
- Effectively navigated through multiple platforms and applications to efficiently locate information and complete processing tasks and Analyzed available programs, determined program eligibility, and connected members to appropriate Blue Shield California vendors, Health Advocates, Social Workers, Pharmacy Techs, and Pharmacists
- Coordinated membership changes such as member’s primary care physician and participated in quality and efficiency workgroups and helped improve quality member and customer satisfaction by 65%.
Planet Fitness
04.2015 - 10.2016
- Greet members, prospective members, and guests, providing exceptional customer service
- Check members into the system Answer phones in a friendly manner Take prospective members on tour Sign up new members calculating rates and monthly payment amounts Completing daily assignments within the first hour of your shift
- Helping complete priority cleaning list each day
- Completing walk-around and bathroom checks periodically
- Helping complete any special cleaning projects as needed.
Certified Nurses Assistant
Roseville Care Center
03.2010 - 04.2015
- Provides or assists residents in bathing/showering for thorough cleanliness and hygiene
- Also provides or assists with grooming and hygiene of residents (i.e
- Shaving, oral hygiene, cleaning, trimming finger/toenails) in a safe and thorough manner on a daily basis
- Makes beds, straightens rooms, and keeps resident care areas in an organized manner
- Assists residents in dressing when needed and demonstrates concern for individual privacy while providing resident care
- Provides safe resident transfers involving bed, wheelchair, chair and/or shower chair
- Demonstrates ability to assist with toileting in a safe and thorough manner, as indicated in residents’ plan of care
- Promotes independence in resident care as appropriate and demonstrates awareness of safety for both residents and the individuals providing care
- Takes and records temperature, pulse, blood pressure, and respiration as required
- Assists residents with simple range of motion or other exercises as directed by nurse or therapist and ambulates residents safely according to his/her endurance levels
- Applies medical or adaptive devices as ordered by the appropriate supervising nurse
- Makes rounds to ensure residents' safety, comfort, medical attention every hour or as required
Education
Bachelor of Arts - Health Administration
University of Arizona Global Campus
04.2024
Skills
- Outstanding Interpersonal Communication Skills
- Public Speaking
- Excellent Written and Verbal Communication Skills
- Cultural Competence
- Creative Conflict Resolution
- Prioritization
- Data Collection and Reports
- Relationship Building
- Contract Negotiations
- Strong Organizational Skills
- Critical and Analytical Thinking Skills
- Microsoft Office 365, Facets, Provider Manager
- Data Management
- Insurance Policies and Regulations
Timeline
Provider Operations Advanced Processor
Blue Shield of California
10.2016 - Current
Customer Care Rep
Blue Shield of California
10.2016 - 12.2018
Planet Fitness
04.2015 - 10.2016
Certified Nurses Assistant
Roseville Care Center
03.2010 - 04.2015
Bachelor of Arts - Health Administration
University of Arizona Global Campus
Similar Profiles
Maria Del Rosario ColeMaria Del Rosario Cole
Implementation Manager, Consultant at California Physicians Services - Blue Shield of CaliforniaImplementation Manager, Consultant at California Physicians Services - Blue Shield of California
Weslee BrooksWeslee Brooks
Designated Correspondence Representative at BLUE SHIELD OF CALIFORNIADesignated Correspondence Representative at BLUE SHIELD OF CALIFORNIA
Kelly J. TanKelly J. Tan
Business Process Analyst, Consultant at Blue Shield of CaliforniaBusiness Process Analyst, Consultant at Blue Shield of California
Jade WattsJade Watts
Billing Representative at Wollborg Michelson for Blue Shield of CaliforniaBilling Representative at Wollborg Michelson for Blue Shield of California
Stacey DobrenickStacey Dobrenick
Instructional Assistant I at San Juan Unified School DistrictInstructional Assistant I at San Juan Unified School District