Tamika Parson

UM Administrative Coordinator

Humana

08.2012 - Current

Coordinated cross-departmental communication to streamline administrative processes.
Facilitated onboarding of new team members, ensuring a smooth transition into roles.
Answered phone calls and responded to inquiries from facilities, vendors and other external contacts.
Enhanced communication between departments with timely and accurate preparation of reports and documents.
Provided exceptional administrative support to upper leadership through meticulous organizational skills and attention to detail.
Collaborated with other HSO regions to achieve objectives within tight timelines.
Resolved gaps in members' care through active listening and open-ended questioning and escalating major problems to a care manager for additional support.
Trained team members on new workflows to support the needs of the company.
Coordinated multidisciplinary review processes to optimize patient care and resource utilization
Maintained confidentiality and security of patient data, adhering to all relevant privacy laws and regulations.
Collaborated with case managers on patient assessments, identifying opportunities for improvement in care transitions and reducing avoidable delays.
Performed prior authorization review of services requiring notification.
Collaborated with multidisciplinary teams to optimize resource utilization within care programs.
Increased access to supportive services by identifying barriers to care and connecting members with appropriate resources.
Process QIO appeals from delegates, hospitals, SNF, LTAC, and IRF in a timely manner.
Request clinical information from facilities to ensure timely processing of approvals, to either get an approval or a denial based on medical necessity.