Yonna Parham
Westchester,IL
Summary
Seasoned Healthcare Advocate with extensive background in screening and interviewing patients to identify underlying health issues. Selected, approved and documented individualized treatment processes, plans and procedures. Systematic and detail-oriented recordkeeper with updated and comprehensive medical records.
Overview
8
8
years of professional experience
Work History
Medical Bill Review Advocate
HealthJoy
Chicago, IL
07.2022 - 08.2022
- Analyzed medical, dental and vision bills for proper claims processing and payment.
- Assisted members with plan benefit questions.
- Liaised with insurance carriers on behalf of members .
- Developed follow up plans for reprocessed claims.
Healthcare Concierge
HealthJoy
Chicago, IL
12.2018 - 07.2021
- Served patients by scheduling primary care and specialist visits.
- Facilitated redirection for less expensive care options.
- Worked closely VIP priority groups, with high degree of respect for privacy.
- Remedied issues quickly and effectively through active listening, conflict resolution and dynamic communication skills.
Outreach/Enrollment Coordinator
Aetna Better Health
Downers Grove, IL
05.2017 - 12.2018
- Processed enrollment of Medicare LTSS,TBI, SNF, and Disabled members including first-time enrollment and member modifications within the contractual obligations for outreach.
- Reached out to members via calls, texts, emails and social media.
- Outbound Enrollment Verification member calls, while completing Motivational Interviewing while completing assessments and engaging members in CM.
- Discussed the advantages, and benefits of the premiere plan covered under Illinois Department of Human Services and Medicare.
- Interfaced with other applications for research and where applicable, updating them with actions/outcomes of enrollment activity.
- Managed scanning of all member correspondence into Dynamo application, which drives enrollment queue.
- Updated Excel spreadsheets to track workflow of various special assigned projects
- Met or exceeded enrollment and retention goals consistently.
- Trained and mentored junior enrollment professionals.
Administrative Relias Mental Health Associate
Aetna BetterHealth
Downers Grove, IL
05.2017 - 02.2018
- Identified behaviors that necessitated intervention and obtained assistance from qualified personnel to complete intervention.
- Communicated effectively, both orally and in writing, with patients from diverse backgrounds.
- Conducted training to new and seasoned staff on Relias process, MEDI state system, as well as development of detailed process flow.
- Primary contact for CM staff to help with administrative questions.
- Conducted analysis of and implemented mailings to manager HEDIS gaps in care • Proficient knowledge of QNXT, Dynamo, MEDI, and Microsoft products including, but not limited to, oversight of member data, claims information, and provider details. •
- Managed development of spreadsheets to track and trend staff trainings • Professional interactions with providers as well as internal staff and leadership.
Disenrollment Coordinator
Aetna BetterHealth
Downers Grove, IL
12.2013 - 05.2017
- Managed filing systems for electronic and hard copy documents to keep organized records.
- Verification of patient demographic information, special needs/request.
- Processed daily MCO enrollees requiring medical waiver service.
- Monthly 834 State Disenrollment members; completed Enrollment, Transfer Information and Aging Managed Care Organization member forms with updated demographic, waiver, authorization, and expired member information.
- Handled incoming and outgoing shipping and receiving activities.
- Studied processes, implemented cost reductions and developed reporting procedures to maintain administrative workflow.
- Received and responded to customer requests via letters, emails, and telephone calls.
Education
Associate of Business Administration - Healthcare Administration
University Of Pheonix
Illinois City, ILHigh School Diploma -
Steinmetz Academic Center
Chicago, IL06.1994
Skills
- Reading Comprehension
- Financial Assistance
- Productivity
- Rapport Building
- ICD-10,CPT, and Medical Terminology
- Various Practice Management Software
- Various Practice Management Software
- Claim Processing Knowledge
- Data Entry
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Achieved a promotion within a year of being with each company with demonstrating my learned skills and abilities.
- Work well independently or within a team to reach the overall success of the company.
- Exceeded productivity consistently.
Timeline
Medical Bill Review Advocate
HealthJoy
07.2022 - 08.2022
Healthcare Concierge
HealthJoy
12.2018 - 07.2021
Outreach/Enrollment Coordinator
Aetna Better Health
05.2017 - 12.2018
Administrative Relias Mental Health Associate
Aetna BetterHealth
05.2017 - 02.2018
Disenrollment Coordinator
Aetna BetterHealth
12.2013 - 05.2017
Associate of Business Administration - Healthcare Administration
University Of Pheonix
High School Diploma -
Steinmetz Academic Center
Similar Profiles
Citeria M. PlummerCiteria M. Plummer
Member Marketing Specialist at HealthJoyMember Marketing Specialist at HealthJoy
Sean TristanSean Tristan
Senior Security Engineer at HealthJoySenior Security Engineer at HealthJoy
Dominique ChladaDominique Chlada
Hair Salon Assistant at Nicole ChladaHair Salon Assistant at Nicole Chlada