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Keshia Whisenant

@keshiawhisenant

I coordinate healthcare care management, provider enrollment, and practice operations across managed care and clinical settings.

United States

Message

What I'm looking for

I'm looking to apply my healthcare administration, care coordination, provider enrollment, and revenue cycle experience in a role supporting compliant, efficient patient and member care.

At CVS Aetna, I coordinate care for Special Needs Plan members, complete Health Risk Assessments, and support individualized care plans with interdisciplinary teams.

I've managed provider credentialing and enrollment at Marshall Medical Centers with 98% data accuracy, while resolving issues with providers, payers, and internal teams. Previously, I directed primary care office operations, medical billing, claims, denials, authorizations, and front-office staff.

Across 17 years in healthcare, I've supported care coordination, revenue cycle operations, HIPAA compliance, member engagement, and patient access in clinical and remote settings.

Experience

Work history, roles, and key accomplishments

Current

Care Management Coordinator

Current

CVS Aetna

Oct 2025 - Present (11 months)

Coordinate care for Special Needs Plan (SNP) members with interdisciplinary teams. Conduct annual Health Risk Assessments and support individualized care plans while addressing social determinants of health barriers.

Care Coordination Health Risk Assessment And Interdisciplinary Teams Member Engagement Regulatory Documentation HIPAA Medicare Medicaid

Provider Enrollment Specialist

Marshall Medical Centers

Jan 2024 - Sep 2025 (1 year 8 months)

Managed provider credentialing and enrollment across multiple health plans. Maintained 98% data accuracy while meeting enrollment timelines and KPIs.

Provider Credentialing Provider Enrollment Health Plans Data Accuracy KPIs Communication Skills

Office Manager

Marshall Primary Care LLC

Jan 2021 - Dec 2022 (1 year 11 months)

Directed daily operations for a busy primary care practice while supervising front office staff. Performed medical billing and coding, charge entry, insurance claims, payment posting, and denial follow-up to maximize reimbursement.

Medical Billing Medical Coding Charge Entry Insurance Claims Payment Posting Denial Balance Follow Up Insurance Verification Prior Authorizations Patient Scheduling EMR HIPAA Staff Supervision Workflow Improvement Training

Care Team Coordinator

Kindred at Home

Sep 2015 - Dec 2017 (2 years 3 months)

Coordinated home health referrals, intake, scheduling, and communication among providers, patients, and families. Maintained accurate documentation and ensured timely coordination of care.

Home Health Referrals Intake Scheduling Communication Skills Documentation Care Coordination