TRAMAINE KEYS
************@*****.***
WORK EXPERIENCE:
DAVITA KIDNEY CARE
Sept 2023 – Oct 2024
CLINICAL HEMODIALYSIS TECHNICIAN
●Accurately Gathered patient data to ensure accurate medical records, identify, monitor, and record symptoms in patient charts, and deliver findings to nurses and physicians.
●Greet patients at the front desk
●Schedule patients upcoming appointments
●Record patient health information into electronic health records (EHRs)
●Monitored patients as they undergo their clinical haemodialysis treatments under the supervision of a Registered Nurse.
●Reporting any abnormal vitals immediately to the nurse followed by documentation.
●Successfully taking the patient's vitals and cannulating their vascular access followed by treatment initiation and immediate documentation.
●Provided patient education
PEACH STATE HEALTH PLAN
Oct 2022 – Aug 2023
PROGRAM COORDINATOR I
●Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.
●Initiate authorization requests for output or input services in keeping with the prior authorization list.
●Research claims inquiry specific to the department and responsibility.
●Perform tasks necessary to promote member compliance such as enrollment, verifying appointments, obtaining lab results
●Screen members by priority for case management (CM) assessment.
●Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
●Entered assessments and authorizations into the Salesforce database.
BEACONHILL STAFFING
Dec 2021 – Aug 2022
HOME HEALTH CENTRAL SUPPORT OPS COORDINATOR
●Manage inbound and outbound telephone communication (40 calls per day)
●Process data via faxes, emails and electronic communication
●Enter, review and verify member information in the nH Coordinate care management platform using Microsoft Excel
●Complete administrative documentation for members medical records into Salesforce
LASH GROUP MMC
Nov 2021 – Mar 2022
PATIENT SERVICE REPRESENTATIVE
●Inbound Phone Queue/General Program Inquires
●Determination for support programs (Copay, PAP, Medicaid, Prior Authorizations, etc.)
●Pharmacy triage and coordination
●Intakes and reports adverse events as directed.
●Researches and resolves any claim denials or underpayment of claims.
●Resolves/ escalates any customer requests.
HAPPY FACES PERSONNEL GROUP
Mar 2021 – Nov 2021
DATA ENTRY CLERK
●Data entry/ Email/ Fax clients about their accounts
●Compiled excel spreadsheets to Input patients’ demographic info into database
DOLLAR GENERAL
Oct 2020 – Mar 2021
ASSISTANT STORE MANAGER
●Customer service/Data entry
●Manage a team of 10 employees
●Cash handling
HELP A CHILD SMILE SHURETT DENTAL Aug 2019 – Sep 2020
ENROLLMENT VALIDATION SPECIALIST
●Efficiently input patient data into Shurett Dental database
●Verify and validate all insurance information for accuracy before submitting
●Data entry/ filing/ scanning/ transferring calls
●Inbound calls scheduling patient appoints (average of 90 calls a day)
DDS DEPARTMENT OF DRIVER SERVICES
Sep 2017 – Aug 2019
SENIOR VALIDATION SPECIALIST
●Validate Customers’ Citations
●Reinstate licenses; suspend licenses; process failure to appears; update and cancellation of insurance
●Escalation calls assisting with data/info complaints
●In charge of SLA/ team performance (Goal of 80% satisfaction)
GLOBAL IMPORTS MINI
Jun 2016 – Aug 2017
LEAD CUSTOMER SERVICE COORDINATOR
●Order necessary supplies, schedule deliveries, and manage inventory for parts department
●Responsible for ordering new materials when resources are low
●Prepare excel spreadsheets of vehicle inventory
●Data Entry (email/ filing of car deals/ fax/ scanning )
●Organize all paperwork in each deal; check for completeness (clear titles, verify VIN, etc.)
●Ensures proper accounting to accurately record the sale, profit and commissions payable on all sold units in excel
HP ENTERPRISES Aug 2014 – May 2016
PROVIDER ENROLLMENT SPECIALIST
●Review submitted documentation to enroll providers into the Medicaid program according to policy
●Process provider Enrollment updates or applications via fax, web portal
●Compile, sort and verify the accuracy of data before it is entered
EDUCATION:
SOUTH COLLEGE
ASSOCIATES IN HEALTH SCIENCE (2023)
SANFORD BROWN COLLEGE
MEDICAL ASSISTANT CERTIFICATE (2009)
COLUMBIA HIGH SCHOOL
HIGH SCHOOL DIPLOMA (2005)