La’Kitra M. Wilks
Sunrise,FL
Summary
To work in a field that will allow me to utilize my skills, abilities and talents. I am interested in working for a company that has vision that is proactive and will provide a future. Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Workers’ Compensation Medical Support Assistant
Broward County School District
Ft. Lauderdale, FL
12.2021 - Current
- Responsible for providing administrative assistance in relation to the management of the clinician panel and other medical service functions
- Reporting to the Manager, Workers’ Compensation Support Operations, this position primarily handles and/or fields day-to-day clinician panel operational issues, prepares and maintains panel related documentation and supports select activities and transactions performed by the medical management team.
- Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
- Evaluated new software tools that improved productivity levels while maintaining accuracy standards.
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
ECONOMIC SELF-SUFFICIENCY SPECIALIST I
Department of Children and Families
Ft. Lauderdale, FL
07.2021 - 12.2021
- Interviewing applicants to obtain and verify information needed to determine eligibility for Food Assistance, Medicaid, and Cash Assistance
- Learning numerous state and federal program regulations, through intensive training prior to full case assignment and then ongoing training thereafter
- This work is driven by ongoing reliance on regulations
- Instructing clients in completion of various forms, and reviewing the applications and forms submitted for completeness and accuracy
- Determining program eligibility in accordance with current regulations using a computer-based eligibility system
- Researching information provided by an applicant until satisfactory explanations regarding eligibility status is confirmed
- Reporting cases where identity theft or fraud is suspected
- Advising clients of deadlines, time frames, and necessary actions to be taken
- Working with clients who may not take the necessary actions within the required time frame
- Establishing and maintaining multiple electronic files and conducting regular reviews and updates
- Documenting all communications and contacts with clients
- Managing an electronic caseload that varies based on the community needs, ensuring that accuracy levels are maintained, and cases are processed within the specified time frames set by federal and state regulations
- Computing and authorizing public assistance benefits based on financial and family status
- Reviewing and explaining the monthly benefit amount to the customer
- Staying current with changes in rules, laws, procedures, etc
- That affect timeliness and accuracy
- Apply the laws, rules, and regulations governing eligibility and grant determination for multiple public assistance programs and the case administration of these programs
- Communicate with others to obtain and verify information concerning eligibility
- Use computers and related software packages
- Follow written and oral directions and instructions.
Regional Communications Operator I
Broward Sheriff Office
Ft. Lauderdale, FL
01.2021 - 05.2021
- Interrogate, inform, refer, and instruct callers reporting emergency and non-emergency complaints for police, fire, medical, and other public safety services received via telephone, text message, and other communications devices
- Provides prompt attention to customers who request police, fire rescue, or other public safety services using the Enhanced 911 system or non-emergency telephone lines by using trained methods of evaluation, classification, and prioritization to ensure the customer’s complaint has been accurately described, documented, and the appropriate public safety agency has either been referred or forwarded the information based on the circumstances
- Follows International Academy of Emergency Dispatch protocols for Fire (EFD), Medical (EMD), and Police (EPD) interrogations prior to the arrival of the first responders
- Prioritizes the calls for service, assigns appropriate number and type of field personnel, and notifies supervision on critical, active, and pending incidents
- Uses sound judgment, applicable policy, acquired knowledge, and supervisory direction to complete the field requests during routine and critical incidents
- Uses software linked to the National Crime Information Center (NCIC) and Florida Crime Information Center (FCIC) database to retrieve or enter information on stolen vehicles and/or tags and disseminates responses via CAD submission
- Performs related duties as necessary.
Front Desk/Referral Coordinator
Gastro Health
Cooper City, FL
02.2017 - 03.2020
- Greet patients in a pleasant and timely manner
- Utilize practice management system to create provider records, scan medical records & documents including active medical insurance cards, driver’s license or equivalent ID, & maintain insurance information
- Verify registration forms are complete & obtain referring physician & primary physician information
- Ensure patient has current referral on date of service
- Obtain referral if necessary
- Verify insurance benefits and eligibility prior to office visits & procedures
- Collect all applicable co-payment, coinsurance, deductible or outstanding balance from the patient & post all payments collected
- Ensure time-of-service batch is balanced and closed daily
- Research & assist patients with questions regarding balances including collecting applicable payments
- Maintains cleanliness and neatness of lobby/reception area to include stocking of business cards
- Other duties as assigned.
Medical Assistant/Front Desk/Referral Coordinator
Dr. Spivack
Aventura, FL
01.2012 - 11.2016
- Perform venipuncture, specimen collection, prepare patient for exam, measure vital signs, perform EKG’s and chest X- Ray’s, appointment scheduling, check in patients, collect patients balance and co-pay, pull charts for next day, filing Verify insurance information for referral purposes and process insurance information for referral patients
- Provide Intensive tracking and follow-up on all patients designated as needing Intensive Tracking; supported by a minimum of 3, if appropriate, documented efforts to re-schedule patients
- (Documentation in EMR / Referral tracking Data base, or others, as appropriate)
Medical Assistant Externship
Dr. Spivack
Aventura, FL
09.2011 - 11.2011
- Perform venipuncture, specimen collection, prepare patient for exam, measure vital signs, perform EKG’s and chest X- Ray’s, appointment scheduling, check in patients, collect patients balance and co-pay, pull charts for next day, filing
Document Imaging Clerk
Miami Dade County
Miami, FL
06.2010 - 09.2010
- Operates standard office equipment such as computer, copy or facsimile machine, and calculator; screen telephone calls and refer caller to appropriate party or takes telephone message.
Secretary
University of Miami
Miami, FL
09.2004 - 08.2005
- Responsible for maintaining accurate data entry in electronic records system, open and database mail or re-route incorrectly sent mail, and answering telephone inquiries.
Receptionist
Miami Dade College
Miami, FL
03.2004 - 09.2004
- Provided information to the public about Miami Dade Community College Medical programs
- Schedule appointments mail out information about the different programs.
Education
Medical Assistant Technology -
ATI College of Health
Miami, FLSkills
- Administrative
- Keyboarding- 35wpm
- Knowledge Medicare Manager
- Perform Filing, Documentation, Charting
- Knowledge Microsoft, Excel, PowerPoint
- Clinical
- Perform Minor lab testing
- Perform Urinalysis
- Perform Vital signs
- Perform Ear/Eye lavage
- Perform Snellen chart
- Perform Reflex Testing
- Perform EKG
- Perform Prep for physical
- Perform Exams
- Computer literate
- Great oral/written communication
- Knowledge of ICD & CPT codes
- Prepare Pap set-up
- Knowledge Pediatric Growth Chart
- Knowledge Surgical tray set
- ROM exercise
- Perform Autoclaving
- Perform Bandaging
- Perform Suture/Staple removal
- Perform Venipuncture
- Perform Injections
- Teamwork orientation
- HIPAA compliance awareness
- Continuous learning mindset
Certification
- OSHA
- HIV&AIDS
- HIPAA
- BLS
- FCIC/NCIC Terminal Access Certification
- IAED Emergency Dispatch Certifications (EFD, EPD, and EMD)
- ICS 100, 200, 700, Certifications
- APCO Public Safety Telecommunicator Certification
- APCO Fire Service Communications Certification
- CPR Certification
- Licensed Adjuster 6-20
References
Available Upon Request
Timeline
Workers’ Compensation Medical Support Assistant
Broward County School District
12.2021 - Current
ECONOMIC SELF-SUFFICIENCY SPECIALIST I
Department of Children and Families
07.2021 - 12.2021
Regional Communications Operator I
Broward Sheriff Office
01.2021 - 05.2021
Front Desk/Referral Coordinator
Gastro Health
02.2017 - 03.2020
Medical Assistant/Front Desk/Referral Coordinator
Dr. Spivack
01.2012 - 11.2016
Medical Assistant Externship
Dr. Spivack
09.2011 - 11.2011
Document Imaging Clerk
Miami Dade County
06.2010 - 09.2010
Secretary
University of Miami
09.2004 - 08.2005
Receptionist
Miami Dade College
03.2004 - 09.2004
Medical Assistant Technology -
ATI College of Health