Keira Jackson Anderson
Chapel Hill
Summary
Dynamic healthcare operations professional with 7+ years of experience in patient care, reimbursement, and insurance verification. Proven ability to streamline benefit verification processes, improve workflow efficiency, and ensure timely access to care while maintaining strict compliance standards. Experienced in care coordination, medical documentation, and cross functional collaboration, with a strong focus on supporting team performance and resolving complex issues. Recognized for contributing to process improvements, mentoring team members, and enhancing overall program effectiveness. Committed to delivering high quality support that improves patient outcomes and operational success.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Reimbursement Case Manager
Mercalis
Morrisville, NC
11.2024 - Current
- Serve as a key team resource and informal lead, supporting peers with complex reimbursement cases and workflow guidance
- Conduct comprehensive insurance benefit investigations and clearly communicate coverage, prior authorization requirements, and next steps to patients and providers
- Act as a liaison between internal teams, providers, and payers, resolving escalations and reimbursement barriers efficiently
- Support onboarding and training of new hires, reinforcing SOP adherence and compliance standards
- Identify workflow inefficiencies and contribute to process improvement initiatives that enhance productivity and reduce turnaround time
- Monitor case progress and ensure timely resolution in alignment with program goals and quality expectations
Clinical Support Technician Float Pool- Per Diem
UNC Medical Center
Chapel Hill, NC
05.2023 - 02.2026
- Support multidisciplinary teams across various hospital departments, ensuring efficient patient care operations
- Monitor and document vital signs, promptly escalating changes to nursing staff
- Assist with direct patient care, including mobility, hygiene, and daily living activities
- Maintain inventory and ensure readiness of patient care environments
- Assist in onboarding and training new staff on unit workflows and protocols
- Provided technical support for medical equipment, ensuring optimal functionality and safety compliance.
- Coordinated workflow between clinical staff and departments to enhance patient care efficiency.
Behavioral Health Nursing Assistant- Contract
Supplemental Health Care
Butner, NC
04.2021 - 06.2023
- Assisted nursing staff in delivering patient care and maintaining high-quality service standards.
- Monitored vital signs and reported changes to healthcare providers promptly.
- Supported daily living activities, ensuring comfort and safety for patients.
- Maintained accurate patient records, enhancing continuity of care and communication among team members.
Certified Nursing Assistant
Wakemed Healthcare
Cary, NC
04.2021 - 05.2022
- Maintained accurate patient records, documenting care provided and observations.
- Educated patients and families on health management and post-discharge care plans.
- Collaborated with nursing staff to ensure safe and efficient patient transfers within the unit.
- Supported healthcare team in providing compassionate care to expectant mothers and newborns.
Insurance Verification Specialist - Temporary
Biogen
Morrisville, NC
10.2020 - 05.2021
- Performed high-volume insurance benefit verifications across multiple payer types
- Coordinated with providers and insurance carriers to ensure timely approvals and accurate coverage determination
- Served as a liaison between patients, providers, and insurance companies
- Reduced processing delays through efficient documentation and workflow execution
- Verified patient insurance information for accuracy and completeness to facilitate timely claims processing.
- Collaborated with healthcare providers to resolve discrepancies in insurance details, enhancing overall service delivery.
- Trained new staff on verification protocols and best practices, improving team proficiency and consistency.
Medical Screener/Training Coordinator
Octapharma Plasma
Raleigh, NC
10.2018 - 04.2021
- Coordinated and delivered training programs for new and existing staff
- Developed training materials and procedures to support operational consistency
- Provided ongoing coaching and support to team members
- Ensured compliance with company policies and regulatory standards
- Conducted thorough health screenings to ensure donor eligibility and safety compliance.
- Educated donors on donation procedures and potential side effects, enhancing overall experience.
Education
Bachelor of Science - Health Administration
North Carolina Central University
Durham, NC12.2026
Associate of Science - General Education
Durham Technical Community College
Durham, NC07.2021
Skills
- Team Leadership & Staff Support
- Reimbursement Case Management
- Workflow Coordination & Optimization
- Operational Problem-Solving
- Clinical & Reimbursement Documentation
- Stakeholder Relationship Management
- Conflict Resolution
- Decision-Making
- Data Analysis & Productivity Tracking
- Time & Priority Management
- Critical Thinking
- Data entry and analysis
- Critical thinking
Certification
- CNA Certification - Healthcare Certifications
- BLS Certification - Healthcare Certifications
- CPR Certification - Healthcare Certifications
Timeline
Reimbursement Case Manager
Mercalis
11.2024 - Current
Clinical Support Technician Float Pool- Per Diem
UNC Medical Center
05.2023 - 02.2026
Behavioral Health Nursing Assistant- Contract
Supplemental Health Care
04.2021 - 06.2023
Certified Nursing Assistant
Wakemed Healthcare
04.2021 - 05.2022
Insurance Verification Specialist - Temporary
Biogen
10.2020 - 05.2021
Medical Screener/Training Coordinator
Octapharma Plasma
10.2018 - 04.2021
Bachelor of Science - Health Administration
North Carolina Central University
Associate of Science - General Education
Durham Technical Community College