Nysheka Martin
Summary
Compassionate Caregiver and Support Specialist with 5 years of experience in healthcare and mental health. Skilled in assessing individual needs and delivering tailored support while ensuring compliance with organizational policies. Collaborative team player focused on enhancing overall well-being through effective communication and innovative solutions.
Overview
14
14
years of professional experience
4
4
years of post-secondary education
Work History
ROI Specialist
Sharecare Health Data Services
San Diego
07.2023 - Current
- Conducted quality audits to verify accuracy of legal medical records, ensuring completeness across multiple medical systems.
- Executed daily prepping and scanning of patient medical records to maintain workflow efficiency
- Facilitated prompt access to essential medical records, enhancing patient care delivery
Insurance Specialist
Aston Carter / Mission Healthcare
San Diego
10.2022 - 03.2023
- Obtained verification and authorization for patients' insurance coverage, including MIA and Managed Care, and shared relevant information swiftly.
- Managed referral process for non-Medicare referrals, overseeing initiation, physician and patient communication, insurance verification, assignment, and record keeping.
- Initiated referral by accepting information from referral sources (including the use of multiple electronic referral systems) and completing referral in Homecare Home base (HCHB) from start to finish.
- Called physician offices to thank them for patient referral, ensure that they are following and will sign orders and ask if there is anything else, we can help with.
Patient Care Coordinator Health Homes Program
CSL Staffing/American TrueCare
San Diego
08.2021 - 12.2021
- Conduct initial assessment and periodic reassessments of Medi-Cal client needs, maintaining patient rapport and providing a positive customer experience.
- Develop patient-focused care plans in partnership with other providers, medical staff, and community facilities ensuring continuous coordination of care and retention of the patient.
- Provided case management services to 60 qualified Medi-Cal members, focusing on healthcare services including physical health, behavioral health, and community-based needs, while creating care plans and formalizing goal setting.
- Delivered individualized support based on patient needs, demonstrating high levels of tolerance, patience, and understanding to ensure effective care coordination.
- Execute and maintain confidential information according to HIPAA standards to protect the patient and company policies.
- Acquired and applied knowledge of internal messaging systems, electronic health records system, and software systems to access patient information and document coordination of care.
Caregiver/Provider
In Home Support Services
San Diego
05.2019 - 03.2021
- Delivered personal care to clients in their homes, including cooking, cleaning, meal preparation, and shopping to ensure fulfillment of basic needs.
- Cultivated companionship with clients, fostering an engaging and compassionate environment to enhance their emotional well-being.
- Distributed medication to clients in prescribed doses at designated times.
- Provided transportation for clients to healthcare appointments and errands.
- Promoted independence when appropriate with clients, empowering them in their daily activities.
Customer Service/Returns Processor
Chinaberry Inc.
Spring Valley
01.2012 - 02.2015
- Delivered exceptional customer service through phone, email, and online channels for 50 to 100 daily inquiries regarding order processing and account support.
- Resolved issues for customers with lost packages and shipment errors by coordinating with shipping companies, scheduling returns, tracking shipments, and managing claims for lost or damaged items.
- Documented interactions with each customer to enable personalized follow-up on multiple, diverse tasks.
- Assisted the call center department by placing phone orders and delivering accurate information about merchandise.
Education
Certificate - Medical Biller & Coder (MCMB)
MedCerts
San Diego, CA 03.2022 - 06.2022
Bachelor of Arts - Healthcare Administration
Ashford University
San Diego, CA 04.2011 - 11.2014
Skills
- Medical Billing /Coding
- Healthcare Documentation
- Medical Terminology
- HIPAA Compliance
- Insurance Benefits
- Policy/Account Changes
- Records Management
- Microsoft Office Suite
- Insurance verification
- Care coordination
- Healthcare
- Client Relationships
- Patient Advocacy
- Electronic health records
- Problem solving
- Time management
- Attention to detail
- Effective communication
Timeline
ROI Specialist
Sharecare Health Data Services
07.2023 - Current
Insurance Specialist
Aston Carter / Mission Healthcare
10.2022 - 03.2023
Certificate - Medical Biller & Coder (MCMB)
MedCerts
03.2022 - 06.2022
Patient Care Coordinator Health Homes Program
CSL Staffing/American TrueCare
08.2021 - 12.2021
Caregiver/Provider
In Home Support Services
05.2019 - 03.2021
Customer Service/Returns Processor
Chinaberry Inc.
01.2012 - 02.2015
Bachelor of Arts - Healthcare Administration
Ashford University
04.2011 - 11.2014