Lakeysha P. McKenzie
Redan,GA
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
20
20
years of professional experience
Work History
Sales Operations Specialist
United Healthcare, UHG
Atlanta, GA
04.2022 - Current
- Process 51 - 100 quote requests as assigned in the inventory tracking system
- Use appropriate quoting system to process quotes for 51 - 100 Non - Community rated business and All Savers quotes, as required by markets
- Work with Underwriting and Underwriting tools to provide underwritten rates
- Work in multiple applications including Microsoft Excel, Solaris, VRT, Word, WITT and pricing tools
- Flexibility to work other operational roles during certain times of the year - Hedis
- Work closely with AE, Broker, and Case Installation team to get a case through contract issuance
Premier Elite Benefits Advocate
United Healthcare, UHG
Atlanta, Georgia
11.2020 - 04.2022
- Provided assistance to plan participants by explaining benefits information to ensure educated selections.
- Provided detailed information about the benefits and limitations of different policies and programs.
- Responded to members' questions regarding plan benefits and provisions.
- Evaluated benefits for each caller to determine service needs, and address concerns.
- Instructed clients on amounts covered under health benefit plans using easy-to-understand terminology.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
Credentialing Specialist
Grand Vision For Eyes OPTICAL
Tucker, GA
11.2018 - 10.2019
- Maintained informational resources, tracking and documenting requests for updates, certification, and credentialing.
- Provided guidance and support to new providers throughout the credentialing process.
- Confirmed facility and user credentials to initiate and maintain registration and enrollment processes.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Set up NPI numbers for providers and facilities and updated current profile information.
Healthcare Administrator
Grandvision For Eyes Optical
Tucker, GA
11.2017 - 11.2018
- Satisfied customer queries over phone and email to maintain positive patient-provider relationships.
- Researched health center standards and guidelines to identify best practices and improvement opportunities.
- Collaborated with other departments to ensure that all operations were running smoothly and efficiently.
- Prepare PCP records, end of the month activity reports, and quality review reports.
- Provided guidance to staff on issues related to patient care, billing processes, and insurance regulations.
Optometric Technician
GrandVision For Eyes Optical
Tucker, GA
11.2016 - 11.2017
- Assisted with visual field testing, ocular photography, optical coherence tomography and pre-exam data collection.
- Supported optometrist with vision screenings and exams by prepping rooms with medical instruments.
- Performed clerical duties, including pasting refractor receipts, entering data into spreadsheets and alphabetizing folders and invoices.
- Analyzed chart in preparation of patient engagement to review diagnostic testing, photos and preventive measures needed.
- Discussed problems, impairments and corrective lens prescriptions with patients to select proper corrective equipment.
Corporate Client Services Representative
Fleetcor Technologies Inc
Norcross, GA
06.2005 - 10.2016
- Built sustainable client relationships built on trust by applying excellent communication and interpersonal skills.
- Reviewed customer account information to determine current issues and potential solutions.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Handled client inquiries with exceptional professionalism and enthusiasm.
- Improved service quality and increased sales by developing strong knowledge of company's products and services.
- Exceeded team goals and collaborated with staff to implement customer service initiatives.
- Supervised team of ten Customer Service Reps by delegating daily assignments and prioritizing task.
Education
Associate of Science - Education
Georgia Piedmont Technical College
Clarkston, GA05.2018
Some College (No Degree) - Business Administration
Georgia State University
Atlanta, GASkills
- Interdisciplinary teamwork
- Program coordination
- Quality improvements
- Document management
- Sales process optimization
- Quote preparation
- CRM management
Timeline
Sales Operations Specialist
United Healthcare, UHG
04.2022 - Current
Premier Elite Benefits Advocate
United Healthcare, UHG
11.2020 - 04.2022
Credentialing Specialist
Grand Vision For Eyes OPTICAL
11.2018 - 10.2019
Healthcare Administrator
Grandvision For Eyes Optical
11.2017 - 11.2018
Optometric Technician
GrandVision For Eyes Optical
11.2016 - 11.2017
Corporate Client Services Representative
Fleetcor Technologies Inc
06.2005 - 10.2016
Associate of Science - Education
Georgia Piedmont Technical College
Some College (No Degree) - Business Administration
Georgia State University