Kelly Morris
Baton Rouge
Summary
Results-driven professional with a solid foundation in administration and operations. Demonstrates expertise in data management and customer relationship strategies to enhance service delivery. Committed to supporting organizational goals and fostering professional development.
Overview
21
21
years of professional experience
Work History
Medicaid Call Center Coordinator
State of LA. (UNO/LDH Contract)
11.2022 - Current
- Receives all inbound calls and provides information relative to Medicaid programs and/or rendering real-time Medicaid eligibility determinations within Medicaid's Contact Service Unit (CSU), Member Services Division (MSD).
- Promoted and facilitated enrollment and retention in Louisiana Children's Health Insurance Program (LaCHIP) and Medicaid programs through statewide MSD initiatives.
- Maintains knowledge of all Medicaid programs, policy and procedures, and eligibility and ancillary systems in order to accurately and effectively communicate Medicaid policy and eligibility with members, potential members, and providers.
- Works within the Louisiana Medicaid Eligibility Determination System (LaMEDS) to: research person or case level records, complete Medicaid applications, complete Medicaid renewals, provide information on case status and Medicaid program coverage, complete requests for duplicate cards, complete requests for case changes such as changes to demographic information and income, add or remove case members, read and interpret case notes and notices etc., Epic MyChart
- Managed enrollment and credentialing processes for new providers.
- Assists w/ provider enrollment
- Collaborated with Medicaid partners to deliver timely and appropriate services to members, potential members, and providers.
- Edited, proofread and audited documents for accuracy, clarity and compliance
- Maintained confidentiality of sensitive information contained within correspondence
- Performed data entry of correspondence into an electronic database
- Performs Medical Record/EMR management- ROI
- Composed and distributed emails, letters, memos and other documents
- Provides email/ticket support
- Works within Medicare Savings Program assistance
- Coordinates w/ Billing/Claims processing
- Coordinates via email w/ Medicaid Premium Assistance(MPP/LAP)
- Coordinates w/Appeals and grievances
- Executed electronic filing system for important documents, enhancing organizational efficiency.
- May execute outbound outreach campaigns which may focus on certain populations, programs, or eligibility activities.
- Works within ancillary software and hardware including CICS, CAJUN, TouchPoint, CosmoCorder, etc. to ensure that members, potential members, and providers receive the timely and appropriate services needed.
- Helps identify any other resources
- Participated in outreach efforts and emergency preparedness activities.
- Workday support; time management assistance
- Other tasks as assigned.
Data Specialist III
EBRP SCHOOL SYSTEM
08.2008 - 10.2022
- Data/system monitoring
- Monitored compliance with standards to ensure adherence to regulatory requirements
- Developed organizational policies to streamline operations and enhance efficiency
- Data analytics & WF Management systemic
- Processed explanation of benefits
- Processing of Benefits (life, health, dental, etc.)
- Processing FMLA /ERISA
- Workers Comp. (Risk Management -/Subrogation-division-Application/additional assessment/underwriting/processing)
- Adherence to all privacy guidelines and regulations (HIPPA EDI)
- CRM/Employee support systems
- Case Management
- Accounts Payable/receivable (EPIC)
- Correspondence(internal/external)
- Content Management
- Health system updates
- Application/removal of student health services (ESS)
- Supported employee assistance program to promote employee well-being and resource accessibility
- HRIS-Workday Solutions
- Composition/distribution of time ledger(s)
- WFH scheduling (ledger composition/distribution)
- Collaboration with School and State facilitated staff
- Major use of e-SER (State data transference system(s))
- Major use of JCampus processing system
- Major use of Microsoft Office
- Executed various tasks to support team objectives.
Administrative Support Specialist III (Satellite Benefits/Payroll/Personnel/HR)
EBRP SCHOOL SYSTEM
08.2008 - 10.2022
- Processing payroll deductions/corrections
- HRIS/Workday-application of time approval (time off/vacation/OT)
- Employee relations/compliance
- Investigated employee grievances and compliance issues to ensure resolution and adherence to policies.
- Benefits enrollment
- Onboarding/ off-boarding
- Processing terminations, resignations, & retirees
- Fraud &Payments(BSA/ASL)
- Workers Compensation Claims-grievance;subrogation assist
- Developed and updated policies and procedures to enhance compliance and operational efficiency.
- Risk Management/mitigation
- Procurement
- Purchasing & Managed procurement processes to acquire necessary supplies and services.
- Processing vendor payments to main office
- Account validation/adjustments
- Travel set-up/arrangements
- GDS (ADMIN Travel)
- Use of GemStone processing system
- Microsoft Office
- Coordinated and scheduled meetings to improve team communication and collaboration.
- Organized and maintained filing systems for employee records and documents.
- Performed data entry tasks to maintain accurate records in the system.
- Correspondence (internal/external)
- Personnel w/ inquiries
- Answering multi line phone
- Maintaining/ processing vendor ledgers
- Supervised Summer Call Center/Hotline Site
- Adherence to all privacy guidelines and regulations
- Executed additional tasks as directed by management.
- Adherence to all privacy guidelines and regulations
- Executed additional tasks as directed by management.
Steno Clerk III
EBRP SCHOOL SYSTEM
08.2008 - 10.2022
- Data entry
- Organized and maintained files to support efficient information retrieval.
- Produced copies of documents for distribution and record-keeping.
- Assumed supervisory role to guide team and enhance operational effectiveness.
- Reviewed and updated policies and procedures to ensure compliance with regulations.
- Following regulations and guidelines mandated by the East Baton Rouge Parish School System; EBRPSS Transportation Department guidelines are followed
- Answering multi line phone
- Multi-line phone use
- Radio dispatch
- Assisting with payroll
- Sending invoices
- Assisting with front desk
- Assisting with route pairing
- Assisting bus drivers and the public with all inquiries
- Correspondence (internal/external)
- Correlated Summer Call Center/Hotline
- Parochial ledger balancing
- Following state Code of Ethics
Assistant Manager
Elm Grove Garden Apts.
05.2005 - 08.2008
- Managed phone inquiries to ensure effective communication within the office
- Organized and maintained physical and digital filing systems for easy access
- Processed bank deposits to ensure timely reconciliation of accounts
- Administered payroll tasks for timely and accurate employee payments
- Maintained and organized documentation of policies and procedures
- Facilitated purchasing and procurement processes, securing timely supply availability
- Completed tenant service requests, coordinating effectively with maintenance staff to address needs
- Helped oversee security camera operations to enhance workplace safety
Education
Associates Program - Business Administration
Virginia College
11-2007
HS Diploma -
Glen Oaks High School
05-2005
Skills
- Data entry
- Data Management
- HRIS-Workday
- Oracle
- EDI Implementation
- Microsoft Office/Suite (Excel/Outlook)
- Adobe suite
- Epic(MyChart)
- CRM/CSAT/CES/NPS
- Medical Records/EMR management
- ROI(EMR)
- Inbound/Outbound Support
- Digital/Virtual Support
- Onboarding/off boarding
- Case Management
- Quality Assurance
- Policies & Procedures
- Payments
- Account Management
- 10 keystroke
- System audit/monitoring
- Compliance/Quality support
- E-Filing
- Fraud &Payments Management(BSA/AML)
- Benefits & Enrollment
- Provider Enrollment
- FMLA
- Payroll
- Reimbursements
- Billing
- ERA
- ERISA
- Compliance/Audits
- Workers' Comp/Risk Management
- Grievances
- Enrollment
- Credentialing
- Billing Support
- Medicaid/Medicare
- HIPAA/EDI
- COBRA
- Medicaid eligibility determination
- Electronic filing system
- Data entry accuracy
- Provider enrollment management
- Knowledge of Medicaid policy
- Customer relationship management
- Compliance monitoring
- Process improvement
- Health record management
- Team collaboration
- Call routing expertise
- CRM software
- Workforce management
- Information tracking
- Documentation expertise
- Training delivery
- Timekeeping
- Call monitoring
- Technical support
- Training coordination
- Performance management
References
Available upon request
Timeline
Medicaid Call Center Coordinator
State of LA. (UNO/LDH Contract)
11.2022 - Current
Data Specialist III
EBRP SCHOOL SYSTEM
08.2008 - 10.2022
Administrative Support Specialist III (Satellite Benefits/Payroll/Personnel/HR)
EBRP SCHOOL SYSTEM
08.2008 - 10.2022
Steno Clerk III
EBRP SCHOOL SYSTEM
08.2008 - 10.2022
Assistant Manager
Elm Grove Garden Apts.
05.2005 - 08.2008
Associates Program - Business Administration
Virginia College
HS Diploma -
Glen Oaks High School