Safra Adams
Boiling Springs,SC
Summary
Dynamic A+ Care Navigator with extensive experience leading meetings and presenting complex topics, complemented by a proven ability to manage cross-functional teams effectively. Outgoing and people-oriented professional, adept at building strong connections with diverse groups and individuals, fostering collaboration and engagement. Highly organized with exceptional communication skills that enhance support for upper management in fast-paced healthcare settings. Demonstrated expertise in patient care coordination, utilizing compassionate communication and resource management to improve patient experiences while navigating complex medical environments.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Care Navigator
United Healthcare
Minnetonka, MINNESOTA
01.2023 - Current
- Facilitated care coordination for over patients, ensuring timely access to essential services and improving overall patient satisfaction ratings by 90% within a year.
- Developed and implemented comprehensive patient education programs that led to increased adherence to treatment plans, directly supporting Centene’s mission of enhancing healthcare outcomes.
- Analyzed patient data to identify gaps in care and instituted targeted interventions, resulting in a decrease in emergency room visits and reduced overall healthcare costs for the organization.
- Collaborated with interdisciplinary teams to streamline care transitions, achieving a reduction in readmission rates and contributing to Centene’s quality improvement initiatives.
- Actively engaged with patients and their families to navigate complex healthcare systems, enhancing their understanding of available resources and achieving a 100 % improvement in patient engagement scores.
Customer Service Specialist
Ferrell Gas Propane
Greenville, SC
09.2022 - 09.2022
- Solicit Sales.
- Confer with customers by telephone or in-person
- Monitored customer feedback to identify areas for improvement in customer service.
- To provide information about products or services, take or enter, cancel accounts, or obtain details of complaints.
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments as well as actions taken.
- Collect and deposit money into accounts, take and process payments.
Medical Records
Springbrook Behavioral Health Center
Greenville, SC
07.2021 - 10.2021
- Educated patients on their rights to access their medical records.
- Established protocols for maintaining accurate and updated medical records.
- Ensured timely retrieval and delivery of medical records for patient care.
- Add new material to file records or create new records as necessary.
- Keep records of materials filed or removed, using logbooks computers.
- Track materials removed from files to ensure that borrowed files are returned Gather materials to be filed from departments or employees.
Data Entry Specialist
Premier
Greenville, SC
02.2021 - 05.2021
- Read source documents such as canceled checks, sales reports, or bills, and enter data in specific data fields or onto tapes or disks for subsequent entry, using keyboards or scanners.
- Compile, sort
- Performed data entry from various sources including paper documents, web pages, scanned images, and email.
- Developed and implemented quality assurance procedures to ensure data accuracy and integrity.
- And verify the accuracy of data before it is entered.
Data Entry Technician
Sky Insurance Technologies
Greenville, SC
11.2021 - 04.2021
- Compiled data from variety of sources for purpose of complying with financial, legal, and administrative requirements.
- Reviewed incoming data for proper classification and handling requirements according to guidelines.
- Helped adapt database systems to better meet organizational data handling and reporting needs.
- Kept upload errors low by carefully checking source data for errors.
- Identified problems with automated uploads by carefully scanning completed work.
- Worked efficiently with highly repetitive tasks, maintaining a detail-oriented approach and precision.
Data Entry Specialist
Luxor Scientific
Greenville, SC
12.2020 - 02.2021
- Reviewed and updated account information in company computer system
- Completed accurate and efficient data entry and database updates to support business operations
- Transcribed data after verifying information to deliver projects with 100% accuracy
- Transferred completed work to Supervisors for review and approval.
Customer Service Rep
Contact Sources Solutions
Chesterland, OH
09.2020 - 12.2020
- Take inbound/outbound calls and provide services to relationship-based clients in healthcare.
- Taking care of client’s requirements and implementing technology to maximize ROI in the highest quality of customer care with Byram healthcare medical supplies.
- Fielded customer complaints and queries, fast-tracking them for problem resolution.
- Determine charges for services requested, collect deposits or payments, or arrange for billing.
Anesthesia Technician
Vanderbilt University Medical
Nashville, TN
07.2020 - 09.2020
- Helped place intravenous infusion lines and invasive pressure monitoring devices.
- Cleaned and restocked carts in operating rooms for general surgery and labor and delivery.
- Researched and implemented fully compliant practices in line with accrediting organizations and government requirements.
- Kept work areas and equipment clean and sanitized for optimal protection.
- Maintained clean and sterile fields in operating rooms when assisting anesthesiologists.
- Coordinated and set up supplies and equipment for planned procedures.
- Communicated closely with patients to obtain in-depth health histories before calculating dosages and administering anesthetics.
Clinical Appeals Liaison
LifePoint Health
Houston, TX
06.2018 - 05.2019
- Review denied claims and adverse determinations to identify appeal opportunities
- Analyze medical records, clinical documentation, and payer medical policies
- Prepare comprehensive appeal packages, including clinical narratives and supporting documentation
- Ensure appeals meet payer, state, federal, and regulatory requirements and timelines
- Collaborate with physicians, nurses, case management, and revenue cycle teams to obtain necessary clinical information
- Communicate with payers regarding appeal status, requests for additional documentation, and determinations
- Track appeal outcomes and maintain accurate documentation within internal systems
- Identify trends in denials and communicate opportunities for process improvement
- Maintain compliance with HIPAA, organizational policies, and accreditation standards
Education
Bachelor of Applied Science - Health Care Administration, Health Information Management
Southern New Hampshire University
09.2027
Associate of Applied Science - Healthcare Management
The College of Healthcare Professions
Houston, TX07.2019
Skills
- HIPAA compliance expert
- HRIS Software
- Quality Assurance
- MS Office
- Complaint Resolution
- Data Entry Specialist
- ACA Reporting Software
- Analysis
- Patient confidentiality
- Care coordination
- Healthcare systems
- Resource identification
Accomplishments
Documented and resolved clinical documentation deficiencies which led to successful appeal submissions and reduced claim denials.
Certification
Certified Data Analytics- EDX
LANGUAGES
English: Native
Timeline
Care Navigator
United Healthcare
01.2023 - Current
Customer Service Specialist
Ferrell Gas Propane
09.2022 - 09.2022
Data Entry Technician
Sky Insurance Technologies
11.2021 - 04.2021
Medical Records
Springbrook Behavioral Health Center
07.2021 - 10.2021
Data Entry Specialist
Premier
02.2021 - 05.2021
Data Entry Specialist
Luxor Scientific
12.2020 - 02.2021
Customer Service Rep
Contact Sources Solutions
09.2020 - 12.2020
Anesthesia Technician
Vanderbilt University Medical
07.2020 - 09.2020
Clinical Appeals Liaison
LifePoint Health
06.2018 - 05.2019
Bachelor of Applied Science - Health Care Administration, Health Information Management
Southern New Hampshire University
Associate of Applied Science - Healthcare Management
The College of Healthcare Professions