Nikita Lyons
Dallas,TX
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Positive and upbeat with top-notch strengths in building relationships, solving problems and managing conflict.
Overview
7
7
years of professional experience
Work History
Clinical Quality Analytics
TEKsystems
Dallas, TX
11.2023 - 05.2024
- Maintaining databases containing information about patient care activities including diagnoses, treatments, medications prescribed.
- Performing data entry into electronic systems ensuring accuracy of information entered.
- Conducting audits of medical records to assess compliance with relevant regulations.
- Maintaining records management system to process personnel information and produce reports.
- Evaluating documentation used in clinical business units to verify compliance with document control and patient protection requirements.
- Using statistical techniques to measure, analyze and report on clinical processes.
Health Enrollment Specialist
Molina Healthcare
Dallas, TX
05.2020 - 06.2023
- Reviewing applications for accuracy before submitting them for approval.
- Monitoring clients' insurance coverages to ensure changing needs were met.
- Calculating premiums and establishing payment methods, receiving customer payments and issuing receipts.
- Counseling prospects and policyholders on coverage, limits and regulations.
- Managing incoming calls from patients and other healthcare facilities to provide information or schedule services.
- Addressing patient inquiries and concerns, resolving issues in a timely and empathetic manner.
Health Benefits Advisor
Willis Towers Watson
Richardson, Texas
07.2019 - 02.2020
- Troubleshooting technical problems related to online enrollment systems or other software applications used by customers.
- Collaborating with internal departments to coordinate the delivery of services to customers.
- Answering questions from members about their benefits packages via telephone or email.
- Conducting eligibility reviews to ensure compliance with applicable regulations.
- Identified cost-saving opportunities within existing benefit plans by conducting comparative analyses.
- Performing administrative tasks such as filing paperwork, creating spreadsheets, and scheduling appointments.
- Responding to member questions regarding plan benefits and provisions.
Onboarding Coordinator
CBRE
Plano, Texas
10.2018 - 01.2019
- Serving as a point of contact for questions about employee benefits packages.
- Informing job applicants of duties and responsibilities, compensation, and benefits.
- Preparing or maintaining employment records using human resources management system software.
- Developing and maintaining onboarding documentation, including guides and checklists.
Account Specialist
Regus Management Group
Dallas , TX
11.2017 - 07.2018
- Developing and maintaining relationships with clients to ensure satisfaction with services provided.
- Resolving any discrepancies between vendor invoices and purchase orders quickly and efficiently.
- Collaborating with other departments to resolve problems related to customer accounts.
- Researching and resolving customer inquiries regarding billing issues or payment disputes.
- Processing payments for customers, including credit card transactions, checks, wire transfers, and ACH payments.
- Generating monthly reports detailing account activity such as new accounts opened, closed accounts, and delinquent payments.
Education
Associate of Science - Paralegal Studies
Lighthouse College
Dallas, TX03-2012
Skills
- Clinical Research
- Documentation Review
- Health Information Systems
- Organizational Skills
- Attention to Detail
- Application support
- Technical Support
- MS Office proficiency
Timeline
Clinical Quality Analytics
TEKsystems
11.2023 - 05.2024
Health Enrollment Specialist
Molina Healthcare
05.2020 - 06.2023
Health Benefits Advisor
Willis Towers Watson
07.2019 - 02.2020
Onboarding Coordinator
CBRE
10.2018 - 01.2019
Account Specialist
Regus Management Group
11.2017 - 07.2018
Associate of Science - Paralegal Studies
Lighthouse College
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