Khaliyah Lawrence

Guided members through complex healthcare systems by providing personalized support, benefit education, and care coordination tailored to individual needs and coverage. Resolved member inquiries related to medical benefits, claims, authorizations, and provider networks, ensuring a seamless and empathetic customer experience.

Helped members coordinate their care by connecting them with appropriate healthcare providers and resources, supporting them in scheduling appointments and understanding treatment options. Investigated and resolved complex issues related to claims, coverage, and benefits, collaborating with internal teams to address member concerns promptly.

Responded to member inquiries via phone, email, or chat, providing clear and accurate information about healthcare benefits, coverage, and services. Assisted members with understanding their coverage, including claims processing, billing, and eligibility.

Processed inbound and outbound data and communication, including faxes, emails, and other electronic communications. Entered, reviewed, and verified member information in the nH Coordinate care management platform, communicating pertinent information with healthcare providers and NaviHealth teams.

Assisted pharmacists in accurately filling prescriptions, including verifying medication orders, labeling bottles, and preparing medications for distribution. Managed pharmacy inventory by ordering medications, restocking shelves, and removing expired or outdated medications.

Currently pursuing an Associate of Applied Science in General Studies, building a comprehensive academic foundation. This degree program covers a broad range of subjects, enhancing critical thinking and analytical skills.

Completed a program focused on general studies, providing a foundational academic background. This certificate enhanced my overall knowledge and prepared me for further educational pursuits.

Obtained a certificate in Law Enforcement, gaining knowledge in legal procedures and public safety. This program provided insights into the justice system and its operations.

Earned a certificate in People and Business Leadership, focusing on principles of effective leadership and business management. This program developed skills in team management and organizational dynamics.

Completed the Medical Coding and Billing Specialist program, acquiring expertise in medical coding, billing practices, and regulatory compliance. This program prepared me for a career in claims operations and medical coding.