MYKALA FOSTER
Hammond,LA
Summary
Healthcare administration professional with a Master of Health Administration specializing in clinical operations and patient services. Skilled in managing treatment authorizations and appeals while maintaining rigorous compliance with documentation standards. Leverages advanced tracking systems and efficient communication to enhance operational performance and support high-quality patient care.
Overview
5
5
years of professional experience
Work History
Medical Legal Workers' Compensation Coordinator
Paradigm Health System
01.2025 - Current
- Acted as the primary contact for clinical providers, legal teams, nurse case managers, and insurance adjusters to facilitate timely case progression.
- Oversaw management of 1010s treatment authorizations and 1009 appeals while ensuring adherence to medical-legal documentation standards.
- Directed coordination of treatment plans and scheduling for 19 physicians across diverse specialties including orthopedics, pain management, neurology, and podiatry.
- Streamlined urgent imaging requests—CT scans, MRIs, X-rays, SPECT scans—to ensure prompt clinical intervention for patients.
- Maintained internal tracking systems to effectively monitor patient recovery progress and authorization statuses, ensuring data accuracy.
- Initiated billing processes by efficiently dispatching HCFA forms and ledgers to attorneys, streamlining communication.
Workers' Compensation Coordinator
AVALA Physician Network
01.2023 - 01.2025
- Supervised the treatment lifecycle for 11 physicians in a high-volume clinical environment to drive operational efficiency.
- Facilitated communication among attorneys, nurse case managers, adjusters, and medical providers, expediting resolution of patient cases.
- Processed and resolved 1010s treatment authorizations and 1009 appeals, ensuring compliance with all regulatory standards.
- Created and sustained advanced tracking systems for imaging requests and authorizations, enhancing organizational structure.
- Managed high-volume communication channels and utilized Microsoft 365 for maintaining and auditing complex records.
Patient Access Representative
AVALA Physician Network
01.2022 - 01.2023
- Supervised patient intake, verifying insurance and ensuring demographic accuracy to facilitate seamless patient entry.
- Directed administrative workflows for multi-departmental clinic operations, enhancing efficiency.
- Audited clinical documentation, ensuring compliance three days before procedures.
- Managed daily financial reconciliation for clinic receipts, ensuring fiscal accuracy to support operational integrity.
Education
Bachelor of Science - Health & Human Services
Southeastern Louisiana University
Hammond, LA05-2024
Master of Health Administration -
LOUISIANA STATE UNIVERSITY - SHREVEPORT
Shreveport, LA12-2021
Skills
- Medical-legal documentation
- Clinical documentation accuracy
- Claims management
- Treatment authorization
- Claims processing
- Compliance assurance
- Process optimization
- Operations management
- Operational management
- Team coordination
- Microsoft 365 applications
- Case resolution strategies
AWARDS
Team Member of The Quarter, AVALA 2024
Timeline
Medical Legal Workers' Compensation Coordinator
Paradigm Health System
01.2025 - Current
Workers' Compensation Coordinator
AVALA Physician Network
01.2023 - 01.2025
Patient Access Representative
AVALA Physician Network
01.2022 - 01.2023
Bachelor of Science - Health & Human Services
Southeastern Louisiana University
Master of Health Administration -
LOUISIANA STATE UNIVERSITY - SHREVEPORT