McKayla Gast
Shawano,WI
Summary
Professional coordinator with strong record in handling and resolving complex claims efficiently. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. Effective team collaborator with focus on achieving results and adapting to evolving requirements. Skilled in negotiation, customer service, and regulatory compliance, consistently ensuring accuracy.
Overview
10
10
years of professional experience
Work History
Mobility Coordinatior II
ATF Medical
05.2023 - Current
- Review all new referrals and establish a plan of action to achieve favorable claims resolution.
- Communicate consistently and in detail with carriers, TPA, IW, vendors, and any other important party.
- Entered data, generated reports, and produced tracking documents.
- Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
- Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
- Gathered and organized materials to support operations.
- Attend ongoing educational changes in relation to industry standards.
- Facilitates discharges and ongoing services for DME, home health, transportation. translation, IV medication, ect.
Senior Work Comp Claims Specialist
CorLife LLC
01.2023 - 05.2023
- Communicate consistently and in detail with the carrier, IW, vendors, and any other important parties.
- Ongoing detailed documentation of all tasks.
- Billing relative to existing caseload
- Assist with mainline calls and data entry in the absence of the receptionist.
- Review all new claims and establish a plan of action to achieve favorable claim resolution.
- Review claim status and action plans while reserveing consideration of client cost.
- Advocate, consult, and provides coverage and advice to clients as appropriate.
- Supports the Claims Specialists team by assisting in answering questions, proofreading communication as needed, and providing guidance in complex circumstances.
- Assist with recruitment and interviewing tasks.
- Facilitates job shadows, onboarding, and training for new CCS members.
- Facilitates ongoing education and training with at-risk employees who may require additional support.
- Identifies and establishes strategic solutions for tactical and operational risk.
- Provides excellent customer service for all internal and external customers of the operations at all times.
- Provide solutions for customer concerns and continually focus on customer service as our top priority.
Work Comp Claims Specialist
CorLife LLC
02.2022 - 01.2023
- Communicate consistently and in detail with the carrier, IW, vendors, and any other important parties.
- Coordinate a minimum of 60 claims on a daily basis.
- Ongoing detailed documentation of all tasks.
- Billing relative to existing caseload.
- Assist with mainline calls and data entry in the absence of the receptionist.
911 Operator
Brown County
09.2021 - 02.2022
- Under direct supervision, operates communications equipment that receives and dispatches police, fire, and medical emergency calls via telephone, electronic, and radio dispatch equipment; dispatches a minimum of one position
- Schedules available: 10 or 12-hour shifts, with 3-4 days off per week Answers and routes telephone calls and messages of emergency and non-emergency nature to the proper public service agency
- Utilizes data input procedure on multiple keyboard terminals to assure data is properly transmitted to the computer
- Completes electronic incident forms
- Maintains documentation of all communications transmitted and received by radio into electronic databases
- Assures proper routing of incident information through geographic knowledge of the county
- Verifies on visual screen (video display terminal) with call incident information to assure data was correctly transmitted
- Maintains records and data in accordance with departmental rules
- Routes, transmits and interpret teletype messages
- Testifies at adjudication hearings as necessary
Service Specialist
Advocates For Healthy Transitional Living
08.2020 - 09.2021
- Primary Responsibilities: Deliver quality services, on-site and in the community, in a way that most benefits the client and their team while working toward established recovery plan goals
- Demonstrate shared Values
- Provide safety for children at all times
- Prioritize building trust with all children by allowing choice (client-led action steps), Collaborating with and empowering children in our care
- Provide consistent, effective communication as required (includes clients, client families and teams, referral sources, and outside collaborators)
- Timely submission of required service documentation and notes
- Participation in supervision, team meetings, and group programming
- Attending training as designated by the manager
- Maintaining professionalism at all times when representing Advocates for Healthy Transitional Living
- Creating a safe and productive environment at all time
- Transportation of clients, as required
Care Manager Support Assistance
Humana
12.2019 - 08.2020
- The Care Management Support Assistant role's primary responsibility is to complete a Health Risk Assessment with our Humana members. This assessment takes a holistic approach to address members – health and well-being. In addition to completing the assessment, this role may have the opportunity to connect members with other departments to address unmet needs that are uncovered.
Personal Care Worker
Community Alternatives
06.2015 - 12.2019
- Caregivers play a key role in promoting the medical stability, independence, and vocational skills of members.
- Provide supervision and guidance to the member during the hours during which they are at home and during the night.
- Monitor health concerns and report any problems to the supervisor.
Education
Associate of Science - Nursing
Rasmussen College
Green Bay, WI06.2019
High School Diploma -
Clintonville High School
Clintonville, WI06.2015
Skills
- Ability to establish and maintain a great working relationship with clients and team members
- Strong communication, analytical, and customer service skills
- Ability to prioritize efficiently and remain focused while handling multiple tasks
- Efficient and effective communication skills, both written and verbal
- Ability to maintain a minimum caseload of 60 claimants while maintaining excellent communication and documentation
Accomplishments
- Received the CorLife Associate of the Year Award for 2022.
Timeline
Mobility Coordinatior II
ATF Medical
05.2023 - Current
Senior Work Comp Claims Specialist
CorLife LLC
01.2023 - 05.2023
Work Comp Claims Specialist
CorLife LLC
02.2022 - 01.2023
911 Operator
Brown County
09.2021 - 02.2022
Service Specialist
Advocates For Healthy Transitional Living
08.2020 - 09.2021
Care Manager Support Assistance
Humana
12.2019 - 08.2020
Personal Care Worker
Community Alternatives
06.2015 - 12.2019
Associate of Science - Nursing
Rasmussen College
High School Diploma -
Clintonville High School
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