Summary
Overview
Work History
Education
Skills
Timeline
Generic

LaKesha McDougle

Glendale,AZ

Summary

Passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options.

Overview

8
8
years of professional experience

Work History

HIM Representative

Aurora Behavioral Health
11.2021 - Current
  • Retrieve charts from the nursing unit
  • Assemble charts in appropriate order, and analyze chart for deficiencies
  • Assist physicians and staff with medical records questions, problems and requests
  • Answer department phones promptly
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
  • Processed medical records requests from outside providers according to facility, state, and federal law.
  • Route messages as necessary, refers person to appropriate staff member or department
  • Complete daily and bi-weekly in-house physician billing for long-term inpatients.
  • Increased customer satisfaction by addressing and resolving complaints in a timely manner.
  • Handled customer complaints quickly and professionally to restore customer confidence and prevent loss of business.
  • Scanned medical records in digital format for easy retrieval and accessibility.
  • Generated reports detailing findings and recommendations.
  • Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
  • Assisted in training new Medical Records Clerks, sharing best practices for managing files efficiently while maintaining confidentiality.
  • Maintained patient records systems by archiving, scaning and indexing important documents and files.


Client Information Specialist II-Customer Services

Arizona Children Association
07.2020 - 09.2021
  • Schedules intake appointments with the Intake Clinicians
  • Gathers pertinent demographic information and complete referral data sheet for all potential clients
  • Checks, update and verifies Insurances, utilizing the Regional Behavioral Health Portals and AHCCCS Portal information in medical records
  • Opens and closes client records upon admission, transfer and discharge of intake referrals
  • Generates and distributes reports from the Nextgen electronic medical record system
  • Completes Monthly reports such as such as Access to Care, Referral Tracking log, and Follow-up Reports
  • Analyzes submitted documents and forms for completeness and accuracy
  • Assists in reconciling incongruent information in the electronic system by contacting parents, foster parents, guardians, and insurance providers involved with client coordination of care.
  • Responded to customer requests for products, services, and company information.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Delivered prompt service to prioritize customer needs.
  • Promptly responded to inquiries and requests from prospective customers.
  • Updated account information to maintain customer records.
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.

ACT Program Assistant

LaFrontera Empact-Phoenix, AZ
10.2017 - 07.2020
  • Schedule Seriously Mentally Ill (SMI) Participants appointments and act as a Liaison regarding participant needs and clinical Team
  • Maintained confidentiality in handling sensitive information while performing administrative tasks.
  • Deescalating participants Crisis Intervention
  • File/Scan all documents into Seriously Mental Ill (SMI) Participants electronic health record
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Input data into spreadsheets and databases.
  • Verified insurance eligibility and benefits and updated insurance information.
  • Handle matters as directed and maintain communication with staff
  • Interacted with customers and clients by phone, email, or in-person to provide information.
  • Managed daily data entry and kept clerical information accurate and up-to-date.
  • Provided guidance to families on navigating mental health resources, enhancing their ability to support their loved ones'' recovery journey.

Office Assistant

Partners in Recovery-Phoenix, AZ
08.2017 - 10.2017
  • Interacted with customers by phone, email, or in-person to provide information.
  • Completed clerical tasks such as filing, copying, and distributing mail.
  • Contributed to a positive work environment by fostering open communication among colleagues.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Resolved customer problems and complaints.
  • Maintained confidentiality of information regarding clients and company.
  • Operated multi-line telephone system to answer and direct high volume of calls.

Office Manager

Sojourner Center Health-Phoenix, AZ
01.2017 - 07.2017
  • Greet and assists staff, clients, and others in a courteous and timely manner, including directing incoming calls appropriately
  • Schedule all clinic visits and follow up appointments
  • Perform insurance verification and/or pre-authorization as necessary
  • Develop, implements and maintains the Behavioral Health Clinic’s referral process
  • Provide administrative support for clinical staff of social workers and licensed therapist, assessing priorities as necessary
  • Communicate with clients and/or their families to provide necessary pre-appointment instructions
  • Communicate with clinicians and other team members to ensure availability of facilities and staff
  • Provide other administrative services associated with the operation of the outpatient clinic.

Administration Office Assistant

Southwest Network -Phoenix, AZ
09.2016 - 01.2017
  • Completed clerical tasks such as filing, copying, and distributing mail.
  • Contributed to a positive work environment by fostering open communication among colleagues.
  • Interacted with customers by phone, email, or in-person to provide information.
  • Maintained confidentiality in handling sensitive information while performing administrative tasks.
  • Welcomed office visitors and alerted staff to arrivals of scheduled appointments and validate parking.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Kept office supplies well organized and sufficiently stocked, placing orders promptly to replenish materials before depleted.
  • Processed incoming and outgoing mail and packages according to established procedures.
  • Coordinated and scheduled meetings and appointments.

Education

Certificate - Medial Billing And Coding

KC Medical Coding Training
Kansas City, MO
07.2021

Health Administration/Health Information Systems - Health Administration

University of Phoenix-Phoenix, AZ
Phoenix, AZ
03.2012

Diploma - Junior High Education

Okmulgee High School
Okmulgee, OK
05.1994

Skills

  • Critical Thinking
  • Office equipment proficiency
  • Public Notary
  • Direct Support
  • Microsoft PowerPoint
  • Organizational Skills
  • Goal-oriented mindset
  • Customer Support
  • Customer Relations
  • Data entry proficiency
  • Electronic Medical Records
  • Staff Training
  • Problem Resolution
  • HIPAA Compliance Understanding
  • Critical Thinking Capacity
  • Microsoft Office Suite proficiency
  • Health Information Systems Familiarity
  • Customer Service
  • Call center experience
  • Telephone Etiquette
  • Active Listening
  • Microsoft Outlook
  • Proofreading

Timeline

HIM Representative

Aurora Behavioral Health
11.2021 - Current

Client Information Specialist II-Customer Services

Arizona Children Association
07.2020 - 09.2021

ACT Program Assistant

LaFrontera Empact-Phoenix, AZ
10.2017 - 07.2020

Office Assistant

Partners in Recovery-Phoenix, AZ
08.2017 - 10.2017

Office Manager

Sojourner Center Health-Phoenix, AZ
01.2017 - 07.2017

Administration Office Assistant

Southwest Network -Phoenix, AZ
09.2016 - 01.2017

Certificate - Medial Billing And Coding

KC Medical Coding Training

Health Administration/Health Information Systems - Health Administration

University of Phoenix-Phoenix, AZ

Diploma - Junior High Education

Okmulgee High School
LaKesha McDougle