Lekisha Brown
Columbia,SC
Summary
Goal-oriented professional with extensive experience in customer service and health administration. Proven ability to enhance operational standards and improve team organization through effective employee engagement strategies. Strong analytical skills utilized to streamline processes and prioritize tasks, resulting in increased efficiency. Demonstrated track record of success in driving organizational improvements and achieving measurable results.
Overview
28
28
years of professional experience
Work History
Customer Service Advocate II
BCBSSC
Columbia, US
06.2023 - Current
- Ensured effective customer relations through accurate, timely responses to inquiries.
- Documented inquiries to maintain comprehensive records.
- Conducted research to resolve complex inquiries as necessary.
- Coordinated with departments to address and resolve customer issues.
- Assisted with priority inquiries and special projects as directed by management.
- Provided management with insights on customer concerns and needs.
- Maintained records on complaints and recommended improvements to enhance service.
- Followed up on complaints until resolution or escalation to management.
Delivery Driver
DoorDash
Gastonia, US
05.2021 - Current
- Delivered food items from various restaurants to customers in Gaston and Mecklenburg areas.
Medical Call Center Representative
Pomeroy Technologies, LLC.
, WAH
02.2022 - 02.2023
- Determined patient insurance eligibility through electronic submissions and phone calls.
- Contacted insurance companies to verify eligibility and benefits per Medco's procedures.
- Identified needs for prior authorizations and submitted necessary documentation for treatment.
- Monitored prior authorization timelines, queued expiring authorizations for timely renewals.
Direct Support Paraprofessional
EASTERSEALS UCP
Dallas, US
07.2018 - 05.2021
- Supported individuals with daily activities, personal care, and home maintenance.
- Prepared meals and managed medication schedules effectively.
- Maintained accurate documentation, including progress notes and essential data records.
Group Home Supervisor
Easterseals UCP North Carolina & Virginia
Dallas, US
03.2009 - 08.2017
- Prepared and maintained accurate records for individuals and staff, enhancing compliance at two facilities.
- Interacted with individuals and families to establish service goals and develop actionable plans.
- Hired, trained, and supervised Direct Support Paraprofessionals to ensure quality care.
- Formulated work schedules to ensure adequate coverage and promote a positive work environment.
- Coordinated with social services, medical teams, and community organizations to optimize resident care.
- Approved activities in accordance with facility policies, budget constraints, and educational objectives.
- Organized transportation for clients to appointments and extracurricular activities.
File Clerk/Billing Representative
UMASS MEMORIAL MEDICAL CENTER
Worcester, MA
02.1997 - 08.2005
- Enhanced office productivity by obtaining EOBs for Billing Office.
- Promoted to Billing Representative after three months of exemplary performance.
- Followed department and payer processes to submit all claims accurately and promptly.
- Contacted patients for account information retrieval and communication.
- Verified billing data accuracy and corrected any identified errors.
- Maintained confidentiality of patient medical records at all times.
- Reviewed patient eligibility using payer websites to determine correct billing parties.
- Prepared claim data and collaborated with payer representatives to resolve denials.
Education
Associate of Arts - Health Care Administration
UNIVERSITY OF PHOENIX
Charlotte, NC02.2014
High school diploma -
Burncoat Senior High School
Worcester, MA06.1994
Skills
- Billing and insurance verification
- Customer service
- Medical terminology
- Microsoft Office proficiency
- Medical records management
- Developmental disabilities expertise
- Supervisory experience
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Customer Service Advocate II
BCBSSC
06.2023 - Current
Medical Call Center Representative
Pomeroy Technologies, LLC.
02.2022 - 02.2023
Delivery Driver
DoorDash
05.2021 - Current
Direct Support Paraprofessional
EASTERSEALS UCP
07.2018 - 05.2021
Group Home Supervisor
Easterseals UCP North Carolina & Virginia
03.2009 - 08.2017
File Clerk/Billing Representative
UMASS MEMORIAL MEDICAL CENTER
02.1997 - 08.2005
Associate of Arts - Health Care Administration
UNIVERSITY OF PHOENIX
High school diploma -
Burncoat Senior High School
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