LASHANTA MCDONALD-CHAMBERS
Clayton,NC
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
11
11
years of professional experience
Work History
Risk Adjustment Administration Rep IV
Humana
01.2022 - Current
- Generate targeted insights to support informed decision-making through error-free database management, healthcare data analysis, and reporting
- Provide administrative support to streamline daily operations in collaboration with cross-functional teams
- Efficiently answer phone calls, record messages, direct queries, and mail to stakeholders
- Manage vendor relations and improve cost efficiency by obtaining inventory records through EMR systems
- Augment the service quality and research project efficiency by integrating continuous process improvements, ensuring compliance with regulatory standards
- Communicated with physician offices to confirm clients' information, medical records, and insurance coverage options.
Patient Access Team Lead
Inova Health System
01.2019 - 01.2022
- Spearheaded daily operations while leading a team of 2-10 associates, fostering collaboration across departments for outstanding patient care
- Closely worked with billing and clinical teams to enhance registration process efficiency, adhering to quality standards and privacy regulations
- Led comprehensive training sessions, enhancing staff skills and contributing to professional development
- Streamlined documentation processes using various tools for reports, invoices, and medical records, ensuring accuracy and confidentiality in patient records
- Contributed to improving the patient experience by addressing inquiries and concerns during the registration process.
Patient Access Associate III
Inova Health System
01.2018 - 01.2019
- Achieved high accuracy and efficiency in patient registration processes, minimizing errors and ensuring smooth admissions
- Counseled patients on financial assistance and referral programs, ensuring clarity on costs and insurance coverage
- Timely documented patient information, contributing to accurate records and compliance with regulatory standards
- Delivered outstanding customer service by addressing patient inquiries, providing support for resolving issues, and contributing to a positive overall patient experience.
Physician Representative
Inova Health System
01.2017 - 01.2018
- Proficiently answered multi-line calls and in-person inquiries to schedule appointments for physicians, improving patient satisfaction by reducing patient wait time
- Conferred with the patients to assess their concerns and imparted them regarding procedures and potential outcomes
- Reviewed patients' financial details and coordinated with Physician Services and Patient Registration departments to counsel them on third-party payments and coverage limits
- Coordinated obtaining pre-certification, preauthorization, and referrals and updated medical information in registration and billing systems, minimizing penalties, denials, and bad debt write-offs.
Patient Registration Representative
Inova Health System
01.2014 - 01.2016
- Implemented name search procedures, preventing duplicate medical record assignments and ensuring precise patient identification
- Reviewed insurance details to validate eligibility and addressed web-based requests by interpreting information, contacting patients, and redirecting to alternate work sites
- Entered accurate insurance information and selected appropriate plan codes, facilitating timely authorization and benefits verification for enhanced service efficiency.
Receptionist
Inova Health System
01.2013 - 01.2014
- Proactively performed front desk operations and increased client satisfaction through error-free appointment scheduling and documentation
- Collected patients' history and personal/financial details, prepared medical files, and posted charges
- Actively contributed to continuous process improvement in administrative tasks and helped in integrating quality assurance initiatives, resulting in improved efficiency.
Education
Bachelor Of Science - Health Management
10.2024
Status: In progress
Associate in Arts in Business Administration - Business Administration
03.2014
Skills
- Office Organization and Coordination
- Patient Satisfaction Enhancement
- Customer Relationship Management
- Attention to Details
- Informed Decision-Making
- Planning and Implementation
- Information Management & Documentation
- Exceptional Written and Verbal Communication
- Performance Metrics Analysis
- Interpersonal & Team Collaboration
- Independent and Team Player
- Staff Development
- Problem-Solving & Conflict Resolution
- Regulatory Compliance
- Multitasking & Prioritization
- Time Management
Websites
References
Available upon request
Timeline
Risk Adjustment Administration Rep IV - Humana
01.2022 - Current
Patient Access Team Lead - Inova Health System
01.2019 - 01.2022
Patient Access Associate III - Inova Health System
01.2018 - 01.2019
Physician Representative - Inova Health System
01.2017 - 01.2018
Patient Registration Representative - Inova Health System
01.2014 - 01.2016
Receptionist - Inova Health System
01.2013 - 01.2014
University of Phoenix - Bachelor Of Science, Health Management
Strayer University - Associate in Arts in Business Administration, Business Administration