Lashonte King
Las Vegas
Summary
Dynamic Care Coordinator with a proven track record at MTI America, excelling in customer service and data entry. Skilled in managing patient caseloads and enhancing communication among healthcare providers, resulting in improved patient outcomes. Committed to maintaining HIPAA compliance while delivering compassionate support and streamlining access to essential medical services.
Healthcare professional with expertise in coordinating and managing patient care. Proven track record of integrating care plans across multidisciplinary teams, fostering strong collaboration to achieve optimal patient outcomes. Known for adaptability to changing needs and reliability in delivering excellent service.
Overview
10
10
years of professional experience
Work History
Non Telephonic Care Coordinator
MTI America
06.2024 - Current
- Used company software and databases to maintain records of services performed and patient conditions.
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
- Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
- Conducted regular evaluations of care plan effectiveness, making necessary adjustments based on feedback from patients and providers.
- Built strong relationships with clients to deliver emotional support and companionship.
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
- Improved communication among healthcare providers, Adjusters, and Attorneys streamlining the coordination of services for injured workers.
- Facilitated appointments for MRI, physical Therapy, Translations and transportation for patients, streamlining access to essential medical services.
Behavior Health Intake Coordinator
Health Care Support (Centene)
04.2023 - 11.2024
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
- Reduced errors in patient data entry with thorough verification processes and attention to detail.
- Completed intake assessment forms and filed clients' charts.
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
- Collaborated with healthcare professionals to ensure patients received appropriate services and resources.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Contributed to a positive work environment through effective teamwork and open communication among colleagues.
- Resolved issues related to insurance authorizations or medical necessity quickly, minimizing delays in service provision.
- Assisted in developing an improved tracking system for incoming referrals, resulting in faster response times.
- Conducted initial assessments of patient needs and eligibility for various programs or services offered by the organization.
- Maintained accurate and up-to-date client records.
- Conducted initial assessments to tailor care plans, positively impacting patient outcomes.
- Enhanced patient experience, conducting thorough initial assessments to understand their needs fully.
Care Coordinator Determination
CVS Healthcare (NTT Data)
09.2023 - 05.2024
- Applied databases to document patient conditions efficiently.
- Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
- Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
- Conducted regular evaluations of care plan effectiveness, making necessary adjustments based on feedback from patients and providers.
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
- Assessed patient needs and connected them with appropriate resources to ensure optimal health outcomes.
- Facilitated appointments and transportation for patients, streamlining access to essential medical services.
- Determined need for special assessment activities for complex cases, effectively handling care plans.
- Communicated with patients, ensuring that medical information was kept private.
BlueShield Mental Health Associate/ Care Coordinat
Magellan Health (Talentburst)
06.2022 - 04.2023
- Evaluated program effectiveness using outcome measures and feedback from patients, modifying services as necessary to optimize results.
- Improved treatment outcomes with thorough documentation of patients'' progress and timely communication to mental health professionals.
- Guided patients and families through understanding mental illnesses, therapies available, support systems.
Customer Service Concierge
B Swift (NTT DATA )
04.2021 - 04.2022
- Handled over 100 customer calls efficiently.
- Facilitated understanding of health benefits during open enrollment for employees at various career stages.
- Handled various employee life events including marital changes and child birth.
- Provided support for benefit modifications and updates.
- Executed cancellation of benefits.
- Guided retirees through initial stages of retirement planning.
- Enhanced customer satisfaction by promptly addressing inquiries and resolving issues.
Member Service Representative
La Care Health Plan
06.2018 - 10.2020
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries and concerns.
- Maintained high-quality service by adhering to company policies and standards in all member interactions.
- Verified customer identification and documentation for compliant transactions.
- Assisted members with account management, including updating personal information and setting up automated payments.
- Processed account transactions accurately, ensuring proper documentation and timely processing.
- Handled complaints with prompt, courteous service to uphold professional reputation.
- Built rapport with members by engaging in genuine conversations and demonstrating a commitment to their financial wellbeing.
- Promoted a positive work environment by fostering open communication between colleagues and supervisors.
- Consistently met or exceeded performance metrics through proactive management of workload and effective prioritization.
- Educated customers about billing, payment processing and support policies and procedures.
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Investigated and resolved customer inquiries and complaints quickly.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
- Met customer call guidelines for service levels, handle time and productivity.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Identified and resolved discrepancies and errors in customer accounts.
HEDIS Medical Records Coordinator
Advantmed
01.2015 - 06.2018
- Maintained accuracy, completeness, and security for medical records and health information.
- Kept accurate log of requests for medical information and records.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Adhered to HIPAA standards, company policies, and federal, state, and local requirements to ensure patient privacy.
- Secured medical records via coordinated phone calls, faxes, mail, EMR systems, and onsite collection.
Education
High School Diploma - Gender Studies
Culver City High School
Culver City, CA06.2019
Skills
Customer service
Data entry
Remote worker
Communication
Problem Solving
(CRM)
Conflict Resolution
Emotional Intelligence
Time Management
Adaptability
Empathy and Patience
Timeline
Non Telephonic Care Coordinator
MTI America
06.2024 - Current
Care Coordinator Determination
CVS Healthcare (NTT Data)
09.2023 - 05.2024
Behavior Health Intake Coordinator
Health Care Support (Centene)
04.2023 - 11.2024
BlueShield Mental Health Associate/ Care Coordinat
Magellan Health (Talentburst)
06.2022 - 04.2023
Customer Service Concierge
B Swift (NTT DATA )
04.2021 - 04.2022
Member Service Representative
La Care Health Plan
06.2018 - 10.2020
HEDIS Medical Records Coordinator
Advantmed
01.2015 - 06.2018
High School Diploma - Gender Studies
Culver City High School
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