Quinae Clay e-mail: **************@*****.***
Denham Springs, LA 70726 Tel: 225:347-9176
PROFILE
Proven record of facilitating support services, managing fast-paced office operations, and educating/counseling patients. Result-oriented administrator with expertise in driving business development and ensuring high customer satisfaction. A multitude of versatile skills transfer into any administrative setting to create and maintain high levels of efficiency and productivity. Advanced understanding of customer needs with diligent attention to detail resulting in superior customer service and high levels of client satisfaction.
HIGHLIGHTS
Organizational Skills
Data Entry
Phone Etiquette
Administrative Experience
Customer Service
Childcare
Patient Care
Excellent Communication Skills
Medical Receptionist
Firs Aid/CPR Certification
Fundamentals of Coordination of Benefits
Filing
Marketing
Managed Care Services
QuickBooks
Medical Terminology
Network Administration
MS Office Suite
Non-Emergency Transportation
Vital Signs
Medical Records
Sales
Negotiation
Customer Relation Management
Telephonic Assessment & Management Services
Time Management
Behavioral Health
Home Care
Medical Office
Billing Inquiries
CPL Personnel
EXPERIENCE
Administrative Coordinator 4
Medicaid Vendors, LDH January 2022 – Present
Review and process incoming claims submissions for accuracy and completeness
Verify claims details against policy information and documentation
Communicate with claimants, healthcare providers and internal departments to gather necessary information and clarify discrepancies
Assess claims for compliance with company policies and regulations
Make determinations on claim approvals or denials, documenting the rationale for each decision
Identify and report potential fraudulent claims to the appropriate authorities. Conduct initial assessments and evaluations of clients to set achievable goals and outline steps to reach those goals.
Collaborate with clients to set achievable goals and outline steps to reach those goals
Coordinate and connect clients with appropriate resources and services, including healthcare, housing and social services
Monitor client progress and adjust service plans as needed, ensuring follow up and continuity of care.
Advocate clients by navigating systems and accessing available resources. Responsible for the management of Medicaid accounts through patient written and verbal directions, aged trial balance reimbursement. Ability to provide support to the other accounts receivable departments as needed. Adhere to all departmental policies and procedures
Administrative Coordinator 1
Capital area Human Service District January 2018 -March 2022
Gathering Information
Scan Papers
Make sure all information was correct
Answering incoming calls
Data Entry
Faxing
Maintaining Records
Managing Schedules
Schedule Meetings
Administrative Coordinator 3
Louisiana Department of Health and Hospitals January 2020- February 2022
Performs responsible, initial departmental-program duties in accordance with rules, regulations, and policies. Involve communication with other departments, customers, etc.
Processes routine paperwork and/or enters data into a department log or database in the servicing of a customer.
Develops procedures and guidelines related to the imaging of documents; maintains a log of imaged files; may serve as lead worker over other imaging positions.
Prepares requisitions for the purchase of supplies; may involve entering information into an automated system.
Compiles information from various sources and prepares specialized reports; formats reports according to departmental standards.
Serves as clerical assistant to a manager, which could include keeping appointment schedule, preparing travel, issuing directives to others on their behalf, and relieving the manager of administrative matters.
Perform duties related to traditional administrative functions, such as property control, purchasing, and safety, in addition to other clerical duties as noted above.
Performs related duties as assigned.
Personal Home Care
In Home Caregiver- January 2011-April 2017
Cook Meals
Done Laundry
Wash Dishes
Bathe Patient
Fed Patient
Transfer Patient
Make groceries
Clean home
Anointed Family Medicine
Receptionist/Administrative Assistant February 2014-January 2017
Greeting visitors and directing them to the correct person or department
Answering and making phone calls for office employees
Handling office mail and faxes
Keeping the reception area and common areas clean and tidy
Giving advice about products and services, and providing information about company policies and procedures
Faxing, transcribing, filing, and photocopying documents
Keeping office records up to date, including visitor logs
Managing people signing in and giving out security passes
Multitasking and prioritizing
SKILLS
Independent
Organized
Good Time Management
Fast Learner
Typing
Great Customer Service
Detailed Oriented
Written Communication
Verbal Communication
Project Management
Dependability
Ability to work under pressure
EDUCATION
BRCC
January 2014 – December 2014
HIGH SCHOOL
Central High School August 2009 – May 2012