LEJOY COLEMAN
Louisville,KY
Summary
Dedicated healthcare professional with extensive experience in patient access and administrative support, ensuring seamless patient admissions and accurate data management. Proficient in Microsoft Office Suite and skilled in multi-channel communication, fostering collaboration within teams while adapting to dynamic healthcare environments. Recognized for a strategic work ethic, exceptional attention to detail, and the ability to manage multiple tasks independently. Committed to enhancing patient experiences through effective communication and operational excellence.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Patient Access Representative
University of Louisville Physicians Group
11.2023 - Current
- - Efficiently manage patient registration processes, ensuring accuracy and completeness of patient information.
- - Verify and validate patient insurance coverage, ensuring active status and eligibility.
- - Secure necessary pre-approvals and authorizations from insurance providers to facilitate patient care.
- - Provide exceptional customer service, addressing patient inquiries and resolving issues promptly.
- - Maintain confidentiality and comply with HIPAA regulations, safeguarding patient information.
- - Collaborate with medical staff and insurance companies to streamline patient access and billing processes.
- - Utilize electronic health records (EHR) systems to update patient information and track registration status.
- - Conduct training sessions for new staff on registration procedures and insurance verification protocols.
Patient Care Technician
Baptist Health
02.2011 - Current
- - Patient Care and Monitoring: Provide comprehensive care to patients by assisting with daily activities, monitoring vital signs, and ensuring comfort and safety.
- - Clinical Support: Perform EKGs, phlebotomy, and other diagnostic tests as required, ensuring accurate and timely results.
- - Collaboration: Work closely with nurses, physicians, and other healthcare professionals to deliver high-quality patient care and support.
- - Patient Education: Educate patients and their families on care plans, procedures, and post-discharge instructions to promote understanding and compliance.
- - Documentation: Maintain accurate and detailed patient records, documenting care provided and any changes in patient condition.
- - Emergency Response: Assist in emergency situations by providing immediate care and support, following established protocols.
- - Infection Control: Adhere to strict infection control procedures to ensure a safe and sterile environment for patients and staff.
- - Patient Advocacy: Act as a liaison between patients and healthcare providers, advocating for patient needs and preferences.
TRICARE Beneficiary Service Representative
Humana Inc.
10.2012 - 06.2023
- - Delivered exceptional customer service to TRICARE beneficiaries, addressing inquiries and resolving issues related to healthcare benefits, eligibility, and claims processing.
- - Provided comprehensive education and guidance on TRICARE policies, procedures, and benefits, ensuring beneficiaries fully understood their entitlements and options.
- - Managed complex cases, coordinating with healthcare providers, insurance carriers, and government agencies to facilitate seamless access to care and resolution of issues.
- - Conducted detailed benefit verifications and pre-authorizations, ensuring accurate and timely processing of healthcare services.
- - Developed and maintained strong relationships with beneficiaries, healthcare providers, and internal teams to foster a collaborative and supportive environment.
- - Utilized advanced knowledge of TRICARE regulations and healthcare systems to assist beneficiaries with navigating the healthcare system and accessing necessary services.
- - Maintained meticulous records of beneficiary interactions and case resolutions, ensuring compliance with organizational and regulatory standards.
- - Participated in ongoing training and professional development to stay current with TRICARE program updates and best practices in customer service.
Education
Bachelor of Arts - Business
Simmons College of Kentucky
Louisville, KYSkills
- Skilled in independent multitasking
- Experienced with Microsoft Excel, Word, and PowerPoint
- Experienced in diverse communication channels
- Customer service excellence
- Insurance eligibility verification
- Expertise in HIPAA standards
- Patient registration
- Remote team coordination
- Patient referral coordination
Certification
Certified Community Health Worker, CHW - 2025
Timeline
Patient Access Representative
University of Louisville Physicians Group
11.2023 - Current
TRICARE Beneficiary Service Representative
Humana Inc.
10.2012 - 06.2023
Patient Care Technician
Baptist Health
02.2011 - Current
Bachelor of Arts - Business
Simmons College of Kentucky