Summary
Overview
Work History
Education
Skills
Strengths
Timeline
Generic

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 I

Trihealth Inc.
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 - UK
06.2018 - 04.2022
  • 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 Company
04.2011 - 05.2016
  • 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.

Education

High School Diploma -

Colerain High School
Cincinnati, OH
06.2004

Skills

  • Effective Communication
  • Proficient in Microsoft Office
  • Clear and Concise
  • Customer service expertise
  • Appointment Setting
  • HIPAA Compliance
  • Insurance Verification

Strengths

Philomath

Self Believer

Optimist

Coach

Timeline

Access Coordinator I

Trihealth Inc.
07.2023 - Current

Dispute Analyst

Barclays Bank - UK
06.2018 - 04.2022

Specialty Pharmacy Advocate

Humana Insurance Company
04.2011 - 05.2016

High School Diploma -

Colerain High School

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LaShonda Lemons