Behavioral Health
Healthcare Analytics
Open To Work
SHERITA MIMS
Southfield,MI
Work Preference
Summary
Professional with solid background in medical support, prepared to contribute effectively to clinical environments. Skilled in patient care, medical documentation, and assisting healthcare providers, with strong focus on teamwork and adaptability. Known for reliability, empathy, and results-driven approach. Proficient in medical software, patient communication, and administrative tasks, ensuring seamless operations and high-quality care.
Overview
16
16
years of professional experience
Work History
Transportation Security Officer
Department of Homeland Security
Detroit, MI
12.2024 - 11.2025
- Full Time, 40 hrs
- Conducted thorough screening of passengers and baggage using advanced security technology.
- Monitored security checkpoints to ensure compliance with federal regulations and protocols.
- Trained new officers on operational procedures, enhancing team efficiency and effectiveness.
- Collaborated with law enforcement to address potential security threats effectively.
- Enhanced passenger safety by conducting thorough security screenings and inspections of luggage and individuals.
- Detected potential threats by utilizing advanced screening technology, such as X-ray machines and metal detectors.
Client Engagement Specialist
Integra Partners
Troy, MI
09.2019 - 11.2024
- Full Time, 40 Hrs
- Utilize Microsoft Office (Excel/Word/Teams/Sharepoint/Powerpoint) and Salesforce for high level communication with health plans and providers.
- Analyzed & improved internal processes & procedures in the current state to ensure successful implementation and engagement.
- Assisted clients in understanding claims processes, providing timely updates on status and requirements.
- Resolved complex claim disputes by collaborating with internal teams and external stakeholders effectively.
- Analyzed claims to ensure compliance with company policies and industry regulations.
- Obtained and organized documentation needed for cross-departmental projects while scheduling time to discuss specific criteria needed and implementing contingency to ensure quality and standards are met.
- Developed and maintained strong client relationships, enhancing customer satisfaction and retention.
- Collaborated with cross-functional teams to streamline communication and improve service delivery processes.
- Reviewed and analyzed single case agreements and provider contracts to verify accuracy, compliance, and to confirm negotiated terms protected business interests.
- Analyzed client feedback to identify trends, driving continuous improvement initiatives for engagement strategies.
- Trained new team members on best practices for client interaction and engagement protocols.
- Implemented tools for tracking client interactions, increasing efficiency in follow-up communications.
- Managed conflict resolution efforts, effectively addressing client concerns to restore trust and satisfaction.
- Facilitated patient authorization processes, ensuring timely approvals and compliance with insurance requirements.
- Analyzed and resolved complex authorization issues, enhancing operational efficiency and minimizing delays.
Customer Service Representative
Integra Partners
Bloomfield Hills, MI
10.2017 - 08.2019
- Full Time, 40 hrs
- Facilitated patient inquiries and resolved issues efficiently through effective communication and active listening.
- Assisted in educating patients about healthcare services and benefits, enhancing overall customer satisfaction.
- Utilized electronic health record (EHR) systems to manage patient information and streamline processes.
- Increased first-call resolution rates by carefully listening to customers'' needs and providing accurate information based on their inquiries.
- Managed difficult conversations with compassion and professionalism, helping deescalate tense situations while maintaining a focus on finding resolutions.
- Expedited service times with effective triage of incoming calls, directing patients to the correct department or resource.
- Assessed and recommended durable medical equipment solutions to meet patient needs.
Department Supervisor
The Home Depot
Canton, MI
01.2014 - 10.2017
- Full Time, 40 Hrs
- Supervised daily operations, ensuring compliance with safety and quality standards.
- Trained and mentored team members on product knowledge and customer service techniques.
- Analyzed sales data to identify trends and adjust merchandising strategies accordingly.
- Managed team of 6 employees, delegated tasks and held each employee accountable for completing assignments.
Head Cashier
The Home Depot
Canton, MI
03.2012 - 01.2014
- Part Time
- Supervised cashiers, ensuring efficient checkout processes and exceptional customer service.
- Trained and mentored new staff on operational procedures and customer interaction techniques.
- Managed cash handling and reconciliation, maintaining accuracy in daily transactions.
- Resolved customer inquiries and issues, enhancing overall shopping experience and satisfaction rates.
- Educated employees on register use, merchandising, and customer service.
Cashier
The Home Depot
Canton, MI
04.2010 - 03.2012
- Part Time
- Assisted customers with product inquiries, ensuring satisfaction and loyalty.
- Monitored inventory levels at checkout, communicating needs to management for replenishment.
- Implemented process improvements that reduced transaction times, enhancing workflow efficiency.
- Resolved customer complaints promptly, maintaining a positive store environment and reputation.
Education
Master of Science - Healthcare Administration
Central Michigan University
Mount Pleasant, MI05-2017
Bachelor of Science - Healthcare Administration
Eastern Michigan University
Ypsilanti, MI04-2012
Skills
- Integrity and honesty
- Adaptability and flexibility
- Teamwork and collaboration
- Data analysis and analytical thinking
- Strong communication skills (verbal and written)
- Time management and Multitasking Abilities
- Ability to work under high stress
- Clinical Data Management
- Project Management
- Utilization Management
- Case Management and Documentation Review
- Claims Processing and Review
- Client Resolution
- Medicaid/Medicare Policy implementation
- Medical Coding Knowledge (ICD-9 and ICD-10)
- Policy enforcement
- De-escalation techniques
- Customer service and assistance
- HIPAA compliance
- Insurance verification
- Prior authorization
- Critical thinking
Accomplishments
- Documented and resolved [Issue] which led to [Results].
Interests
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Transportation Security Officer
Department of Homeland Security
12.2024 - 11.2025
Client Engagement Specialist
Integra Partners
09.2019 - 11.2024
Customer Service Representative
Integra Partners
10.2017 - 08.2019
Department Supervisor
The Home Depot
01.2014 - 10.2017
Head Cashier
The Home Depot
03.2012 - 01.2014
Cashier
The Home Depot
04.2010 - 03.2012
Master of Science - Healthcare Administration
Central Michigan University
Bachelor of Science - Healthcare Administration
Eastern Michigan University