Summary
Overview
Work History
Education
Skills
Timeline
Generic

Michaela foote

front royal,VA

Summary

Dynamic professional with a proven track record in healthcare management and client communication, honed at Evolent Health and other leading organizations. Excelled in policy implementation and relationship building, achieving significant improvements in patient and provider satisfaction. Expert in documentation accuracy and administrative support, consistently delivering first-class customer service.

Overview

5
5
years of professional experience

Work History

Member and Provider Services Representative

Evolent Health
03.2023 - Current

· Delivered superb customer service to internal departments at State of Illinois Medicaid facilities to handle provider-related questions.

· Addressed concerns in full to retain at-risk members.

· Collaborated across organization to resolve complicated issues involving provider teams, sales and vendors.

· Triaged complaints, grievances and appeals to offer expert support for each.

· Liaised between providers, patients and health plans to resolve issues.

· Responded to problems related to claims, eligibility and utilization of provider services.

Made informed decisions under stressful circumstances.

Gm Expert

Target
09.2021 - 07.2022

Offered strong customer service skills, keeping customers satisfied. Unloaded merchandise trailers daily and organized per store procedure. Knowledge of products and equipment. Ability to solve customer issues with empathy and compassion. Restocked and merchandised products to encourage strong sales.

Clinical Support Representative

Berkshire Health Systems - Fairview Hospital
09.2020 - 05.2021


Successfully scheduled appointments daily.
Handled a high volume of inbound calls daily
Accountable for registering patients upon arrival daily
Always provided first class customer service and support
Responsible for verifying and updating patient information into Meditech.
In charge of running insurances with Next bar daily.
Always followed all company policies and procedures at all time.
Provided customer service and was involved in training new team

Youth Substance Abuse Case Worker

The Brien Center
08.2019 - 01.2020

One on one with students

Goal setting

Meeting with school staff regularly to discuss case load

Keep electronic medical records

Log entries on student meetings

Maintained thorough clinical treatment notes.

Identified treatment goals based on individual diagnosis and history.

Completed comprehensive assessments of clients' substance abuse history and treatment requirements to develop individualized treatment plans.

Education

Bachelor of Arts - Human Services

Assumption College
Worcester
05-2019

Skills

  • Provider services
  • Client communication
  • Healthcare management
  • Documentation accuracy
  • Policy implementation
  • Claims processing
  • Case coordination
  • Service coordination
  • Benefit explanation
  • Relationship building
  • Quality assurance
  • Patient interaction
  • Administrative support

Timeline

Member and Provider Services Representative

Evolent Health
03.2023 - Current

Gm Expert

Target
09.2021 - 07.2022

Clinical Support Representative

Berkshire Health Systems - Fairview Hospital
09.2020 - 05.2021

Youth Substance Abuse Case Worker

The Brien Center
08.2019 - 01.2020

Bachelor of Arts - Human Services

Assumption College
Michaela foote