Makayla Henderson
Overland Park
Summary
Seeking to utilize excellent communication, interpersonal, and organizational skills to complete tasks. Reliable with a good work ethic and the ability to quickly adapt to new tasks and environments.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Care Management Coordinator
Centene Health
Overland Park
04.2025 - Current
- Organize and prioritize incoming requests for peer-to-peer reviews, ensuring all necessary clinical and patient information is gathered and documented.
- Coordinate and schedule peer-to-peer discussions between the ordering provider and the health plan's medical reviewer
- Track all scheduled calls and outcomes, including resolution status and feedback on upheld denials. Manage multiple case files simultaneously.
- Maintain up-to-date knowledge of payer-specific rules and criteria for authorizations and the peer-to-peer review process. Use this knowledge to advise and educate providers
- Assist with other administrative tasks, such as requesting additional medical records and managing follow-up actions related to scheduling.
- Audit medical records for accuracy and completeness, confirming that all relevant case data is included before submitting for review
- Communicate effectively and professionally with providers, clients, and insurance representatives throughout the scheduling and review process.
Provider Services Representative
Cobalt MedPlans
Overland Park
07.2022 - 09.2024
- Company Overview: Blue Cross Blue Shield of Kansas City
- Researched customer inquiries using available resources to provide accurate responses quickly
- Responded promptly to inquiries from providers regarding their status in the credentialing process
- Analyzed insurance benefits, coverage limitations, network restrictions, provider contracts, and other factors related to prior authorization requests
- Successfully resolved escalated claims to ensure customer satisfaction
- Utilized knowledge of insurance policies and procedures to determine coverage eligibility
- Managed a high volume of incoming calls from customers, providing excellent customer service
- Analyzed claims to determine extent of company's liability and make approval or denial decisions
- Developed knowledge of ICD-10 codes and CPT codes in order to accurately code diagnoses and treatments for all patients
- Used ICD-10-CM and CPT coding to complete records.
- Blue Cross Blue Shield of Kansas City
Admissions Specialist
Freeman Health System
Joplin
11.2020 - 07.2022
- Performed quality assurance functions over the entire appeals process including documentation preparation, submission methods and follow up procedures
- Demonstrated excellent communication skills when discussing insurance policies with customers to ensure they were fully informed of their coverage options
- Demonstrated expertise in ICD-10 and CPT coding systems, as well as HCPCS Level II codes
- Maintained a thorough understanding of insurance regulations, including Medicare, Medicaid, Blue Cross and Blue Shield and private insurers
- Developed proficiency in medical terminology and anatomy to accurately assign codes for diagnoses and procedures
Administrative Assistant
Jacqueline Orender DO
Pittsburg
08.2018 - 11.2019
- Utilised excellent communication skills when interacting with customers face-to-face and over the telephone
- Provided administrative support to senior management, including scheduling and coordinating meetings, preparing documents and maintaining filing systems
- Maintained confidentiality at all times when handling sensitive material and documents
- Managed incoming phone calls from patients, doctors and other healthcare professionals in a professional manner
- Performed data entry into the referral system to maintain accurate records of patient visits
- Coordinated communication between primary care physician, specialists, hospitals and other healthcare providers regarding patient referrals
- Conducted follow up calls with patients to confirm receipt of referral information and appointment dates and times
- Resolved billing discrepancies by working closely with insurance companies, billing departments and others involved in the payment process
Education
Pittsburg State University
Pittsburg, KSJohnson County Community College
Overland Park, KSSkills
- Analytical Thinking
- Strong Communication
- Time Efficient
- Organization & Prioritization
- Excellent teamwork
- Technological proficiency
- Medical terminology
- Reliability
Certification
Real estate license, KS salesperson
Timeline
Care Management Coordinator
Centene Health
04.2025 - Current
Provider Services Representative
Cobalt MedPlans
07.2022 - 09.2024
Admissions Specialist
Freeman Health System
11.2020 - 07.2022
Administrative Assistant
Jacqueline Orender DO
08.2018 - 11.2019
Pittsburg State University
Johnson County Community College