LaShonda Lemons
Cincinnati,OH
Summary
Motivated and results driven professional with extensive experience in customer relations and leadership management. Seeking a dynamic role to leverage my expertise in driving customer satisfaction, optimizing team performance, and achieving strategic business goals. Committed to fostering a customer-centric culture, enhancing operational efficiency, and delivering measurable results that contribute to organizational success.
Overview
13
13
years of professional experience
Work History
Access Coordinator II
TriHealth Inc.
Cincinnati, OH
07.2023 - Current
- Serve as the primary point of contact for patients seeking access to healthcare services, ensuring a seamless and positive experience
- Coordinate patient scheduling and registration, verifying insurance information and obtaining necessary pre-authorizations
- Assist patients with understanding their benefits and navigating healthcare options
- Collaborate with clinical staff to ensure timely and accurate communication regarding patient needs and appointments
- Maintain detailed records and documentation in compliance with healthcare regulations and privacy standards
- Provide support in resolving any access-related issues or concerns, ensuring patient satisfaction.
Dispute Analyst
Barclays Bank UKPLC
Wilmington, DE
07.2018 - 05.2022
- Investigated and resolved customer disputes related to card transactions, ensuring compliance with regulatory requirements and company policies
- Analyzed transaction data and gathered necessary documentation to substantiate dispute claims
- Communicated effectively with customers to understand their concerns and provide clear explanations of dispute outcomes
- Collaborated with other departments, such as fraud prevention and customer service, to gather relevant information and resolve disputes promptly
- Prepared detailed reports on dispute cases and outcomes for management review
- Contributed to process improvements and policy updates to enhance the efficiency and effectiveness of the dispute resolution process.
Specialty Pharmacy Advocate
Humana Insurance - Humana Clinical Pharmacy
Cincinnati, OH
05.2011 - 06.2016
- Assisted patients in obtaining specialty medications, navigating insurance coverage, and addressing any barriers to access
- Educated patients on the proper use and potential side effects of specialty medications
- Coordinated with healthcare providers, insurance companies, and pharmacies to ensure timely and accurate delivery of medications
- Conducted benefits investigations and prior authorization requests to facilitate medication approvals
- Provided ongoing support to patients, addressing any concerns or issues related to their medication therapy
- Maintained comprehensive records of patient interactions and medication orders in compliance with HIPAA regulations.
Skills
- Customer Relations
- Effective Communication
- Time management
- Proficient in Microsoft Office
- Clear and Concise
- Leadership
Languages
English
Timeline
Access Coordinator II
TriHealth Inc.
07.2023 - Current
Dispute Analyst
Barclays Bank UKPLC
07.2018 - 05.2022
Specialty Pharmacy Advocate
Humana Insurance - Humana Clinical Pharmacy
05.2011 - 06.2016