Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Lakesha Whitner

Laurel,MD

Summary

  • 15 years of administrative background.
  • Extensive customer service background.
  • Advance proficiency in Microsoft Office applications.
  • Consistent history of contributing to increasing sales and profitability.
  • Hardworking, detail-oriented, able to multitask.
  • Self-Motivated
  • Outstanding presentation, organization, leadership, and communication skills.

Overview

12
12
years of professional experience

Work History

Site Visit Specialist-CSR

Maximus
Washington, DC
05.2018 - Current
  • Performs credentialing and re-validation activities for prospective and current District of Columbia providers, according to established guidelines.
    Duties include reviewing provider applications, applying policy and criteria based on provider type, performing source verifications, and processing provider files.
  • Ensures provider compliance regarding licensing and sanction information with all accrediting organizations and regulatory agencies.
  • Maintain provider updates as requested, verifying data and information into PDMS.
  • Complete and verify all database checks for identified providers, and recommend termination or denial if required to DHCF.
  • Completes all documentation and data entry in a timely, accurate fashion.
  • Follows regulation timeframes and procedural guidelines for processing applications, updates, and disenrollment activities according to company and contract standards.
  • Responds to all provider enrollment-related inquiries and requests in a timely, and thorough fashion.
  • Maintains professional interactions with providers, persistently following up on missing enrollment information, and required documentation to complete the file.
  • Communicates to providers any regulations and certification changes that affect file maintenance or membership, obtaining the necessary documentation from providers for processing.
  • Communicates provider problems, inquiries, or issues that cannot be resolved independently through the appropriate channels for resolution.
  • Participate in identifying issues, developing alternatives, and implementing solutions to issues that impact operations.
  • Ability to make determinations regarding applicable provider files to be elevated for additional review and/or escalation.
  • Collects all pertinent documentation that supports escalation actions for Supervisor review, including any pictures taken during the onsite visit.
  • Conducts on-site visits to ensure that prospective District of Columbia health care providers operate in accordance with the established standards for enrollment. Coordinate and maintain site visit schedules that adhere to the required turnaround times for site visit reviews.
  • Prepare all materials for the evaluation of providers who are subject to the site visit requirements. Deliver clear and concise written documentation of on-site discovery findings, including identifying and documenting any pending concerns.
  • Establish and maintain productive, professional relations with on-site providers, District of Columbia officials, and other key stakeholders.
  • Represent the Contact Center and the District of Columbia professionally when conducting on-site visits, displaying courtesy, sensitivity, and tact.
  • Maintain a high level of customer service at all times during the site visit.
  • Develop an in-depth understanding of the District of Columbia and federal regulations for those programs that require site visits.
  • Assist with preparing and collecting all documentation information needed for appeals.
  • Perform other duties as assigned by management.

Receptionist/Call Center

Source Office Suites
Arlington, VA
08.2015 - 07.2018
  • Greet and assist customers as needed.
  • Answer multi-line phones for the in-house and out-of-house clients throughout the shared office, which maintains six different locations within the DMV and sustains over 50 clients in each office.
  • Maintain front desk coverage for various outside locations within the company.
  • Travel to all six offices within the DMV, to cover for employees out of the office.
  • Sort mail to various in-house and out-of-house clients.
  • Kitchen inventory for purchase.
  • Book conference rooms, and schedule day offices.
  • Responsible for the intake of all overflow calls from all office locations.
  • Receive incoming special deliveries, and log them in the system.

Receptionist/Clerical

ICMA-RC, Employ-R Solutions Inc
Washington, DC
06.2015 - 08.2015
  • Answered multiline phones by the switchboard to assist clients and employees.
  • Three holes were punched and the sorted security work badge forms were placed in alphabetical order to insert into newly created binders.
  • Organized operation binder for the Director of the Corporate Support Services Department in alphabetical order.
  • Sorted all office, desk, and cabinet keys in their proper order by number and type for a more suitable function.
  • Investigated and analyzed client complaints to identify and resolve issues.
  • Sort and file employee computer forms in alphabetical order.

Receptionist/Call Center Rep

Secor Group, Security Storage Company
Washington, DC
05.2013 - 10.2014
  • Responsible for facilitating communication on a multi-line phone system between employees, customers, clients, and the company.
  • Served visitors by greeting, welcoming, and directing them in a professional and pleasant manner.
  • Provided information regarding activities conducted at the establishment, the location of departments, offices, and employees within the organization.
  • Responsible for providing employees with important, time-sensitive documents through DHL, FedEx, or USPS mail daily.
  • Maintain approval of checks before being issued to various vendors, providing service to the company.

Education

Diploma - Medical Assistant

Applied Career Training
2003

Diploma - Basic Studies

Mckinley Technology High School
1994

Skills

Binder, book, clients, customer service, database, directing, forms, inventory, director, mailing, mail, office, phone system, switchboard, phones, transportation, type

References

REFERENCED UPON REQUEST

Timeline

Site Visit Specialist-CSR

Maximus
05.2018 - Current

Receptionist/Call Center

Source Office Suites
08.2015 - 07.2018

Receptionist/Clerical

ICMA-RC, Employ-R Solutions Inc
06.2015 - 08.2015

Receptionist/Call Center Rep

Secor Group, Security Storage Company
05.2013 - 10.2014

Diploma - Medical Assistant

Applied Career Training

Diploma - Basic Studies

Mckinley Technology High School

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Lakesha Whitner