Mercede Chen Email & Phone Number

New York, New York, United States

• Elderplan | HomeFirst is a Managed Long-Term Care Plan (MLTCP) designed for elderly individuals who qualify for Medicaid and require continuous care in the comfort of their own home.
• Analyze data from daily reports and pivot tables to support management in visualizing the department's productivity and performance
• Allocate the daily caseload of Pre-Authorization nurses to ensure compliance to regulatory timeframes, increase processing efficiency and address time sensitive requests for service
• Supervise all incoming communication from multiple departments directed to the Pre-Authorization Unit and address to the appropriate staff

New York, New York, United States

• Coordinate Medicaid benefits and provide assistance with Medicare benefits for a growing membership, all while maintaining a 98% member satisfaction rate
• Develop and implement efficient workflow strategies to manage the rising volume of member requests and maintain operational excellence
• Mentor onboarding employees by introducing company protocols and internal systems to increase department performance

Brooklyn, New York, United States

• Arranged instructional resources for the Coordination Department to simplify and streamline the adjustments to changes in workflow protocols
• Implemented a data framework to track member requests, statuses and outcomes, resulting in a 15% increase in successful care interventions and overall member satisfaction
• Contributed to an additional 5% compliance rate increase by providing team coverage and undertaking special projects

Brooklyn, New York, United States

• Coordinated all Medicaid benefits for a caseload of over 300 new and existing members by managing service placements
• Provided non-clinical support to nurse care managers for over 20 monthly enrolled cases in accordance to the Coordinated Care team workflows and regulatory standards set by the New York City Department of Health
• Resolved over 100 service authorizations and technical errors with participating vendors within a three business-day timeframe

• Served as a front-end developer for two full stack applications using React, JavaScript, HTML and CSS and deployed the applications using Vite
• Developed and maintained dynamic websites and applications to improve user engagement and functionality
• Collaborated and debugged code with other students, covering a range of concepts such as loops and array methods, events and event handlers, Async/Await, React/Redux with RTK Query, state and props, backend.

Brooklyn, New York, United States

• Managed the Coordination Department by providing compliance oversight for the healthcare coordinators and over 100 home health aide workers’ electronic and written visit verifications
• Planned case assignments for registered assessment nurses to conduct in-home patient visits to ensure clients’ health conditions are stable to continue receiving care in the community
• Authorized company payments to vendors using CashPro Online and resolved technical payment issues for the home health aide workers

Brooklyn, New York, United States

• Developed efficient workflows for the Coordination Department including supervision of all call maintenance and home health aide workers’ schedules
• Reviewed pre-billing payroll reports to maintain payment accuracy and timeliness for both employees and providers
• Improved customer satisfaction by managing inbound calls and directed calls to the appropriate office staff

New York, New York, United States

• Facilitated patients' check-in process for their medical appointments, ensuring accuracy of patient records and addressing any immediate concerns to enhance the overall patient experience
• Assisted in coordinating new and returning appointment schedules to improve clinic workflow efficiency
• Collaborated with and supported colleagues to manage high patient volumes during peak hours

Greater New York City Area

• Increased StyleKist’s social media presence on Instagram by 10% through strategic user engagement initiatives and algorithm testing
• Introduced the start-up platform to renowned fashion and beauty influencers and secured over 5 partnerships
• Improved the UX/UI design process by contributing valuable feedback from a developer-consumer’s perspective

Buffalo/Niagara, New York Area

• Led the designs for a range of promotional print and digital collaterals, such as pamphlets, postcards, posters, newsletters and zines, for the University at Buffalo to promote large scale events on campus utilizing.
• Conducted research on typography, Pantone colors and suitable texture types for print and web materials to ensure optimal production quality
• Finalized design packages in Adobe InDesign and ensured their timely delivery for in-house print production

Buffalo/Niagara, New York Area

Buffalo/Niagara, New York Area

Computer Software Engineering

Fullstack Academy is an accelerated and intensive 28-week immersive software engineering program with a curriculum centered on JavaScript.

Bachelor Of Arts - Ba, Psychology, Minor In Studio Art

Activities and Societies: Alpha Kappa Psi Business Fraternity