Morgan Clemons
807 South Fry St
Valdosta, GA 31601
(850) 590-1186
m.clemons1982@yahoo.com
Education
April 2014 - March 2016
Capella University, Minneapolis, MN - Masters of Health Administration
Experience
August 2023 – February 2024
Legacy Behavioral Health Services; Valdosta, GA - PreService Coordinator
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Schedule initial or follow-up appointments according to specified appointment (psychiatric doctor,
nurse and/or therapy) protocols
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Pre-registration of new and established consumers, insurance and eligibility verification of all
consumers
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Update registration information on established patients
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Inform the consumer of referral authorization requirements, co-pays, and/or deductibles due, and
assisting in securing payment arrangements
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Answer and direct calls, process referrals, run eligibility checks/compliance, and the completion of
questionnaires for Medicare, Medicaid, Insurance and Self Pay consumers
February 2020 - May 2022
Grace Housing Solutions, LLC; Orlando, FL - Administrative Assistant (Remote)
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Oversees all departments, maintaining full responsibility for efficient operations and compliance
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Responsible for the operation and management of the community in accordance with the standards
and guidelines of the Owners and federal/state/local laws and regulations
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Familiarity with all federal/state/local laws and regulations to ensure compliance
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Interview, hire, orient, train, supervise, and evaluate staff and department heads
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Comply with all aspects of operations (including personnel practices) in accordance with company
policies and applicable regulations
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Maintained working knowledge of state regulations, policies and procedures dictated for residents;
ensures compliance
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Ensures all resident administrative files are well maintained, current and in compliance with state
regulations
2
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Provide on-call and overnight coverage as specified by schedule or as needed
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Maintain a safe working and living environment
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Assist with scheduled marketing and sales activities or resident activities, resulting in increased
census
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Conduct monthly resident and staff meetings to improve effective and regular communication
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Build relationships with family members and other community partner
December 2017 - February 2018
Shirley D. Nanton Corp; Valdosta, GA - Auditor
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Audit daily charge notes to verify employees are utilizing Agency for Persons with Disabilities (APD)
quality assurance best practices
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Review & maintain records of quality and productivity for the quarterly and/or APD quality
assurance audits
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Assists the owner in the development, implementation & ongoing review of employee’s daily charge
notes
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Review & maintain employees records in compliance with APD standards
January 2016 - August 2018
Anthem; Miami, FL - Documentation Analyst Sr
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Review & respond to internal daily & monthly audit requests which allows the company to verify
and maintain compliance
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Review & maintain records of quality and productivity for Ancillary & Utilization Management teams
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Assists the Director of Health Services in the development, implementation & ongoing review of the
Utilization Management Department Program
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Responsible for timely reporting of UM data that is required by Federal and State Regulatory
Bodies, as well as the Plan’s accreditation body
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Create routine reports to showcase & interpret finding and /or develop graphs, statistical data, &
presentations of project results
May 2013 - January 2016
Agency for Health Care Administration; Tallahassee, FL - Human Service Analyst
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Knowledge of Medicaid & Medicare benefit plans
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Prioritize workload to effectively plan, organize and coordinate work activities
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Establish and maintain effective working relationships with other states to maintain recipient files
3
December 2012 - August 2013
Hewlett Packard Enterprise Services; Tallahassee, FL - Provider Enrollment Team Lead
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Utilized the Florida Medicaid Management Information System (FMMIS) to process Florida Medicaid
claims and payments to Health Plans, & to produce management information & reports relating to
the Florida Medicaid program
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Responsible for the day-to-day supervision of a group of call center associates including work and
attendance monitoring in accordance with organization policy and applicable legal requirements
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Enrolled Medicaid health care provider
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Maintained Medicaid eligibility data and provider enrollment data
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Demonstrates effective communication and problem-solving skills with members, providers,
employees, & other health plans
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Conduct Team Meetings to ensure expedient communication of relevant information and as an
open forum for input. Schedule and organize team activities
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Stay current on internal work processes, policies and procedures. Attend required manager
development training
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Promote the HP values through both behavior and attitude, including being an advocate for team
members
January 2008 - September 2011
Shirley D. Nanton Corp; Tallahassee, FL - In Home Support Aide
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Perform all housekeeping duties
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Plan and prepare all meals (including clean-up & serving)
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Do laundry (may include light ironing)
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Assist with dressing, grooming, bathing/showering, personal care, and hygiene
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Remind clients to take prescribed medication
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Assist clients with ambulation and mobility around the house and outside (doctor’s appointments,
Meals On Wheels, voluntary events, etc.)
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Complete household shopping and/or accompany the client to complete their shopping
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Act quickly and responsibly in cases of emergency
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Report any unusual incidents
4
May 2002 - January 2006
Easterseals; Tallahassee, FL - Direct Support Professional
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Protect and honor the rights of people with disabilities
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Ensuring a safe and clean home for people served
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Develop a positive rapport while serving as a role model to create a safe and caring environment
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Teach skills to individuals served that increase independence such as eating, cooking and bathing
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Document data displaying the individual served goals and progression
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Assist in finding and participating in meaningful community activities
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Work independent or with co-workers to enhance the growth of individuals served
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Participate in on-going professional training
Skills
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Punctuality
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Systems administration
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Spreadsheets
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Email management
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Ability to teach and mentor
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Decision-making
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Project planning
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Creativity
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Leadership skills
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Excellent problem solving and communication skills, with focus on customer service
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Highly skilled leader with skills in delegating tasks, team building/communication, and creating
positive customer experiences
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Thorough understanding of social media platforms and trends: Facebook, Instagram, Twitter,
Snapchat, Google +, Tumblur, LinkedIn, Pinterest, Periscope
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Well versed in Microsoft Office systems: Word, Publisher, Excel, PowerPoint, Outlook/Google Apps
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Written and verbal communication
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WPM: 30