ad2x5d@r.postjobfree.com

334-***-****

**** ****** **** **

Midland City, Alabama 36350

Joyia Givens Kelley

Enlighten Behavioral Consultation, Inc. – May, 2023 – November, 2023, Ozark, Al

Office Assistant

Responsible for maintaining confidential medical files for clients receiving ABA therapy. Answering phone calls from client parents/guardians regarding schedules, eligibility for assessment and/or therapy services. Assisted therapists with scheduling changes. Compiled employee hours for payroll submission, including verification of billable or a dministrative hours. Assisted with providing short respite for therapists during required breaks.

Work History

Eligibility Screening Services/Flowers Hospital - February 2016 – January 2017

Dothan, Alabama

Onsite Eligibility Representative

Responsible for screening and assisting eligible patients with enrollment into Medicare, Medicaid Institutionalized, QMB, Alabama Blind and Disabled programs, as well as state/federal programs like Crime Victims and Social Security Disability/SSI. Refer patients to the hospital Financial Aid program if ineligible for other assistance and information regarding local area resources such as food banks, sliding fee scale clinics and church/charity organizations. Currently certified as a Marketplace Certified Application Counselor.

Southeastern Performance Apparel – October 2015 - December 2015

Dothan, Alabama

Accounting Clerk (temporary assignment)

Responsible for coding of check payments for customer accounts, creation of PDF documents of check copies, credit card transactions and customer invoices for data documentation.

Jacksonville Speech and Hearing Center – November 2013 – March 2015

Jacksonville, Florida

Credentialing, Contracting and Account Receivable Coordinator.

Credentialing and Patient scheduling, front office coverage –Provider Credentialing of healthcare professionals into government, private and third party payors. Proposal submissions for Group Insurance Contracts, Assisted Controller with collection and reconciliation of billing, review of daily deposits.

Independent Licensed Insurance Broker - February, 2013 – December, 2013

Jacksonville Florida

Responsible for acting as intermediary between consumers and insurance carriers. People unfamiliar with the insurance industry gain significant benefits from enlisting the services of a broker, namely having a dedicated industry professional to explain policy provisions, make recommendations, and assist with the implementation and maintenance of coverage.

May 2012 to December 2012- Temp Service - prn

Shands Jacksonville Medical Center - November 2010 – May 2012

Shands Jacksonville Campus

Credentialing Specialist – Medical Staff Office

Responsible for initial credentialing and recredentialing (every two years) of physician

medical staff for hospital privileges at Shands Jacksonville Medical Center. Reported to

Director of Shands Jacksonville Medical Center. Processing of physician hospital privilege

application via verification of post graduate training, competencies in specialty privileges

requested, board certification or eligibility for presentation to credential committee. Use of

Morrissey medical database to track and document required tasks.

Boys Home Association – October 2005 – August 2011. - Jacksonville, Fl

Accounting Clerk

Part-time position (10-15 hours per week). Job responsibilities included filing, review of vendor bills and assignment of charges to the various internal departments as appropriate for submission to CFO for processing and payment. Responsible for reviewing payments received from Florida Medicaid (itemized by foster child services) and notating internal department responsible for each charge/payment for budget purposes.

University of Florida Jacksonville Physicians, Inc. -September 1997 – November 2010

Shands Jacksonville Campus

Provider Enrollment Specialist

Responsible for enrollment of UFJP physicians and allied health personnel service providers into commercial and government-sponsored third party payors. Maintain provider enrollment, certification and documentation records. Develop and maintain database of 500 plus providers for tracking and reporting requirements. Assist Medical Staff Manager with research and analysis for special projects as assigned. Liaison with local AHCA and Medipass offices.

Humana Health Plan – August 1996 – September 1997. Jacksonville, Fl

Case Coordinator – Member specialist

Responsible for resolution of member concerns/complaints, interpretation of contractual benefits and adjudication of HMO member claims. Responsible for review of Quality Complaints and Appeals for Jacksonville/Daytona unit. Acted as liaison between Humana Administration, HMO members and participating medical providers.

Kaiser Foundation Health Plan of North Carolina – 1986 – 1996 Raleigh, NC

Multiple positions with continued advancement within the company – ending position – Supervisor of Member Services – N.C. Region

Oversaw the Member Services Department including call center queue management, performance, hiring and training, ongoing communication.

Developed and maintained complaint and inquiry tracking and trending data. Identified member dissatisfaction and recommended changes based on this data. Provided direction for resolution of concerns/queries and benefit issues from internal and external customers, including QRM management, marketing, membership accounting, etc. Acted as chief resource for member services staff for interpretation of Health Plan policies and contractual benefit administration. Licensed as Health and Life Insurance Agent for the State of North Carolina.

Previous Positions: Assistant Supervisor of Member Services, Senior Member Services Representative, Member Services Representative and Department Secretary.

Rowe and Sinclair Medical Office – 1982 – 1986 Oakland, CA Medical Office Assistant/Medical Secretary

Responsible for appointment scheduling, allergy patient instruction and medical history, medical examination assistant. Responsible for training of front office staff

University Hospital of Jacksonville – 1976- 1982 Jacksonville, Fl

Medical Secretary

Responsible for general office duties to include answering telephone, relaying/routing messages and correspondence, filing, copying, faxing, etc.

Medical transcription of patient care reports and other items as needed by providers. Prepared, edited, distributed correspondence and presentations for faulty. Processed incoming and outgoing mail. Maintained physician files/rosters/calendars, schedules and arranged meetings, attended divisional meetings as requested and took meeting minutes as needed.

State of Florida, Div. of Vocational Rehabilitation - 1973 – 1976. Jacksonville, Fl

Secretary

Responsible for general office duties to answering telephone, relaying/routing messages and correspondence, filing, copying, faxing, etc. Transcription of counselor/client sessions, preparation of check requests and documentation for client services.

School

Terry Parker High School – Jacksonville, Fl

Business Student of the Year

Attended Florida Community College

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