Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Lexus Thomas

Denver,CO

Summary

Aspiring healthcare professional experienced in account management, consulting, and organizational projects. History of success working in healthcare administration, organizational development, and customer service. Successfully improve processes, foster key relationships with various stakeholders, work on team projects, and promote inter-organizational collaboration. Achieve breakthrough results by fostering an atmosphere of engagement, inclusion, equity, and progress.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Access & Systems Consultant

Kaiser Permanente
04.2022 - Current
  • Collaborate with organizational leadership to provide expert consultation on strategic approaches to enhance patient access and meet clinic demand.
  • Oversee and ensure compliance with primary care regulations, meticulously upholding patient access benchmarks in accordance with regional standards.
  • Proactively resolve access issues by enforcing scheduling policies and procedures, employing research, investigation, interpretation, and appropriate escalation techniques as necessary.
  • Leverage standardized statistical models to interpret and utilize data, constructing clinician schedules that effectively met access requirements.
  • Identify and analyze access gaps, trends, and issues through data tracking, providing actionable insights to drive process improvement initiatives.
  • Develop optimal schedules that met established criteria and standards for member access, ensuring equitable distribution of providers throughout the month.
  • Implement appointment requirements that aligned with regional and local standards, guaranteeing efficient utilization of resources throughout the day.

Skills:

  • Comprehensive understanding of primary care regulations and patient access benchmarks
  • Effective liaison and collaboration with team members and stakeholders
  • Proficient problem-solving and research skills to address access issues
  • Strong interpretation and resolution capabilities within policy frameworks
  • Proven expertise in designing optimized schedules to meet access needs
  • Adherence to regional and local standards in appointment arrangements
  • Data-driven decision-making utilizing statistical models
  • Keen attention to detail and tracking to identify access gaps and trends

Durable Medical Equipment Billing Specialist

Zynex Medical
07.2021 - 04.2022
  • Liaised with insurance entities, including Adjustors/Nurse Case Managers, TPAs (Third Party Administrators), and Insurance Representatives, to secure billing authorizations for the utilization of Durable Medical Equipment (DME).
  • Provided comprehensive billing and coding support to insurance carriers, offering requested information pertaining to devices, accessories, and supplies. Collaborated with recipients, insurance providers, physicians, and the payer community to ensure accurate and timely processing of claims.
  • Ensured the submission of error-free and precise claims to insurance companies, facilitating prompt payment for all Zynex goods and services.
  • Maintained meticulous records and offered detailed, professional notes in patient files, upholding accuracy and completeness.
  • Proficiently operated within a database/billing system, autonomously completing patient orders with a keen focus on accuracy and efficiency.

Liaison

Aurora Public Schools
08.2019 - 06.2021
  • Provided guidance and support to key stakeholders, leveraging a diplomatic and inclusive leadership style to build trust and establish productive partnerships.
  • Monitored the progress of collaborative projects, analyzing outcomes and making evidence-based adjustments to optimize the effectiveness of each project.
  • Effectively cultivated collaboration among the community, school, and parents, fostering a cohesive and synergistic approach to addressing the multifaceted needs of families.
  • Strategically facilitated communication channels and engagement platforms to encourage active participation and increased engagement among stakeholders.

Skills:

  • Collaborative leadership and stakeholder engagement
  • Strategic partnership development and relationship management
  • Effective communication and facilitation skills
  • Problem-solving and consensus-building
  • Analytical thinking and outcome evaluation
  • Inclusive and diplomatic approach to leadership
  • Ability to bridge gaps and foster shared responsibility
  • Knowledge of community development principles and best practices

Community Economic Development Volunteer

Peace Corps
07.2018 - 06.2019
  • Strengthened infrastructure and facilitated economic growth in rural Colombia through proactive community engagement and business development initiatives.
  • Collaborated with local stakeholders to identify and address community needs, fostering sustainable solutions for long-term development.
  • Conducted in-depth assessments and market research to identify viable business opportunities and promote entrepreneurship within the community.
  • Provided training and mentorship to local entrepreneurs, empowering them to establish and grow their businesses.
  • Developed and implemented strategic business plans, leveraging resources and partnerships to maximize community impact.
  • Facilitated workshops and training sessions on financial literacy, marketing strategies, and business management, equipping community members with essential skills for success.
  • Worked closely with government agencies and NGOs to facilitate access to funding and resources for community development projects.
  • Fostered cross-cultural understanding and promoted positive relationships between the host community and volunteers.

Skills:

  • Community Engagement and needs assessment
  • Business development and entrepreneurship
  • Market research and analysis
  • Strategic planning and implementation
  • Training and mentorship
  • Cross-cultural communication and collaboration
  • Project management and coordination
  • Resource mobilization and partnership building

Education

Master of Healthcare Administration - Project Management And Organizational Development

Colorado State University Global
Colorado
04.2023

Bachelor of Arts - International Studies

Colorado State University
Fort Collins
05.2018

Skills

  • Client Support
  • Project Management & Organizational Development
  • New Project Development
  • Process Improvement Strategies
  • Project Execution Coordination
  • Work Planning and Prioritization
  • Program Improvements
  • Continuous Deployment

Certification

Certified Associate Project Manager - in progress

Lean Six Sigma - in progress

Languages

Spanish
Professional Working

Timeline

Access & Systems Consultant

Kaiser Permanente
04.2022 - Current

Durable Medical Equipment Billing Specialist

Zynex Medical
07.2021 - 04.2022

Liaison

Aurora Public Schools
08.2019 - 06.2021

Community Economic Development Volunteer

Peace Corps
07.2018 - 06.2019

Master of Healthcare Administration - Project Management And Organizational Development

Colorado State University Global

Bachelor of Arts - International Studies

Colorado State University
Lexus Thomas