KEYAIRRA ENEIX
Dublin,OH
Summary
Healthcare professional with 5+ years of experience supporting Medicaid, Medicare, and self-funded populations through provider relations, care coordination, and managed care operations. Experienced in prior authorizations, claims investigation, denial resolution, provider education, and cross-functional collaboration with health plans, provider offices, hospitals, and community agencies.
Overview
8
8
years of professional experience
Work History
Community Health Partner
Cityblock Health
Columbus, OH
10.2025 - 04.2026
- Managed high-risk Medicaid member caseloads and coordinated care across providers, hospitals, and community agencies.
- Established relationships with care teams, hospitals, and local organizations to support access to services and smooth transitions.
- Addressed social determinants of health barriers and connected members to healthcare and community resources.
- Maintained documentation and supported quality improvement through outreach and care gap closure.
Transitions of Care Coordinator
Cityblock Health
Columbus, OH
10.2024 - 10.2025
- Coordinated post-discharge services for members transitioning from inpatient and emergency settings.
- Partnered with providers, families, guardians, and community partners to ensure timely referrals and follow-up.
- Educated members on insurance coverage, referrals, and care options while resolving access issues.
Health and Wellness Coach
Quantum Health
Dublin, OH
09.2022 - 10.2024
- Delivered health education and wellness coaching for diverse member populations.
- Supported preventive care outreach, member engagement, and quality initiatives.
Patient Care Coordinator
Quantum Health
Dublin, OH
07.2021 - 09.2022
- Managed prior authorizations, claims inquiries, denials, appeals, and benefits education.
- Coordinated with providers and health plans to resolve billing, coverage, and access issues.
- Maintained detailed case documentation and tracked outcomes.
Home care Aide
Better Lifestyles
Canton, OH
05.2018 - 01.2021
- Provided in-home support and collaborated with families and care teams to support individualized care plans.
Education
Bachelor of Science - Health Sciences
Cleveland State University
Cleveland, OH05-2021
Skills
Provider Relations
Prior Authorizations
Healthcare Billing Support
Provider Education Care Coordination
HEDIS Quality Measures
Care Gap Closure
Behavioral Health Health Plan
Operations Cross-System Collaboration
Medicaid Managed Care Claims & Denials Resolution
Affiliations
- HeartSaver Institute | Basic Life Support (BLS) Certification | Sep 2025
Timeline
Community Health Partner
Cityblock Health
10.2025 - 04.2026
Transitions of Care Coordinator
Cityblock Health
10.2024 - 10.2025
Health and Wellness Coach
Quantum Health
09.2022 - 10.2024
Patient Care Coordinator
Quantum Health
07.2021 - 09.2022
Home care Aide
Better Lifestyles
05.2018 - 01.2021
Bachelor of Science - Health Sciences
Cleveland State University