Lekitta Nelson Email & Phone Number

Houston, TX, US

• Own and effectively manage the relationship with several complex health plan clients of diverse scope and serve as the designated point of contact and engagement driver.
• Partner with assigned health plans in developing onboarding project plan outlining dependencies and work with internal teams and external vendor partners to ensure alignment of goals, scope, timelines, requirements.
• Manage project resources to meet deliverables, including motivating cross-functional Business and IT Teams, and provide leadership on the engagement.
• Manage project-related risks, issues, assumptions, and dependencies, including making recommendations to management on mitigating and/or remediating activities.
• Develop and implement a communication plan to ensure all project participants are informed of project status, problems, and required actions.
• Resolve differences, adapt to unexpected events, and facilitate change to achieve outcomes; provide timely guidance to cross-functional stakeholders both internally and externally.

Houston, Texas Area

My responsibility was establishing and maintaining strong business relationships with providers, ensuring each of their territory compositions include an appropriate distribution of provider specialties and provide in depth, high level educational instruction and support to physicians and their staff. This is an account management position. I routinely.

Houston, Texas Area

Upload Clinical Information to Patient CasesCollaborate with Nurses, Hospitals and Clinical Team to manage utilization requests for members

Trained Representatives on operating processes and customer service skillsResearched and resolved complex issues for agents, providers and downstream partnersOversaw teams of 5+ agents for multiple special projects

Houston, Texas Area

Create and review training modules and documents according to agent error reports and supervisor requestsCross-train and participate in Interdepartmental Special ProjectsPerform Refresher Training and Performance CoachingAssisted Providers in understanding member's benefits and eligibility, claim inquires and various company process.

Houston, Texas Area

Verified Insurance and performed financial counseling with patients and their families.Assisted and Reviewed Intake Paperwork with PatientsPerformed Pre-authorizations and Utilization Reviews for patient treatmentsConnected Patients and their families to community, state and federal resourcesReconciled Accounts and Charges for Clinic.Performed.

Bachelor Of Science - Bs, Health/Health Care Administration/Management

Associate Of Applied Science, Business Administration And Management, General