Rickayla Newsome
Pikeville
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
13
13
years of professional experience
Work History
Patient Financial Services Representative
Pikeville Medical Center
Pikeville, KY
02.2026 - Current
- Managed patient billing inquiries and resolved discrepancies efficiently.
- Facilitated insurance verification processes, ensuring accuracy in patient records.
- Implemented streamlined workflows for claims processing, enhancing operational efficiency.
- Collaborated with healthcare providers to address financial concerns and improve patient satisfaction.
- Educated patients on financial responsibilities and payment options clearly and effectively.
- Maintained compliance with industry regulations, ensuring proper handling of sensitive patient data during the billing process.
- Streamlined billing processes for increased efficiency and accuracy in payment collections.
- Negotiated payment arrangements with self-pay patients, offering flexible solutions that aligned with their financial capabilities.
- Promoted a positive patient experience, addressing concerns and resolving issues related to billing or insurance coverage.
- Coordinated closely with clinical teams to verify services rendered, ensuring accurate billing and reimbursement for all provided care.
- Streamlined communication with insurance companies, ensuring timely submission of claims and expedited reimbursements.
- Educated patients about their benefits eligibility, helping them make informed decisions regarding their healthcare services.
Claims Specialist
Social Security Administration, Pikeville, KY
Pikeville, KY
12.2021 - 09.2025
- Assist clients in filing claims for Social Security benefits, including retirement, disability, and Supplemental Security Income (SSI)
- Communicate with medical professionals, legal representatives, employers, and other relevant parties to verify and process claim information
- Review and process applications to determine eligibility for benefits
- Provide guidance and answer questions regarding Social Security programs and benefits.
- Maintain case records and ensure accurate documentation of all interactions and decisions
- Handle appeals for denied claims and assist claimants in the appeals process.
- Work with other government agencies to coordinate benefits and services for claimants.
- Schedule and maintain full Medical Continuing Disability Reviews for the entire servicing county.
- Process and record overpayment and underpayments on SSI and Social Security records for individuals receiving benefits.
Outreach Librarian
Pike County Public Library District, Pikeville, KY
Pikeville, KY
03.2020 - 12.2021
- Develop and implement outreach programs to engage community members, schools, and local organizations.
- Coordinate library services for underserved populations such as senior citizens, homeless shelters, and non-English speakers
- Promote library resources and services through presentations, workshops, and events in the community
- Collaborate with local schools, agencies, and community groups to create partnerships and expand library usage
- Promote programs through social media, printed services, and in person community events
- Advocate for equitable access to information and learning opportunities across the country
- Tracked outreach metrics and used data to evaluate success and guide future planning
- Provided photography and editing services for programs within the community and in house.
Co-Librarian
Pike County Public Library District, Pikeville, KY
Pikeville, KY
10.2019 - 03.2020
- Operate small branch libraries under the direction of off site librarian supervisors
- Enter and update patron records in library systems
- Open/close library during specified hours and secure library equipment
- Answer routine inquiries
- Register new patrons and issue library cards
- Locate and gather library materials for patrons requested in person or online
- Complete yearly inventory of all materials located in each library branch
- Reading and organizing shelves
- Creating displays
- Clerical activities such as: answering phone calls, sorting mail, filing, faxing, making copies, etc.
- Maintaining a clean and organized work area
Lead Pre-school Teacher
Model City Daycare Center, Pikeville, KY
Pikeville, KY
01.2018 - 10.2019
- Create and maintain daily schedules and lesson plans
- Keep accurate attendance records and child personal files
- Actively communicate with students, parents/guardians, staff, and representatives from STARS and the State to ensure proper care is being provided and policies are being followed
- Trained in basic medical treatments that are likely to arise in a classroom
- Constantly coordinate the themes of the room decor with lesson plans to keep children engaged
- Planning and executing on field trips and summer activities
- Scheduling of staff to ensure breaks/lunches are met along with the classroom teacher to student ratios
- Conducting parent teacher conferences
- Provide creative ways of keeping the attention of younger children
- Engaging in over 300+ hours of child development training
- Mentor and train new staff
- Obtaining the Commonwealth Child Credential
Teacher Assistant
Model City Daycare Center, Pikeville, KY
Pikeville, KY
07.2013 - 01.2018
- Providing assistance to the lead teacher with classroom activities and care for the children
- Making sure cleanliness standards are met within the classroom
- Provide assistance with daily records and organization of the classroom
- Engage with parents/guardians at end of the day pick up
- Close out the classroom ensuring all areas are clean and electronics are turned off
- Provide front desk staff with updated reports (attendance, accident, etc.) as necessary
Education
Certification - Medical Coding
Eastern Kentucky University
08-2026
Bachelors Degree - Human Resources
Sullivan University
Louisville, KY03-2022
Associates Degree - Business Management
Sullivan University
Louisville, KY06-2021
High School Diploma - undefined
Pike County Central High School
Pikeville, KY05-2012
Skills
- Outreach
- Scheduling
- Record Keeping
- Accounting
- Project Management
- Communication
- Child Care/Development
- Online Services
- Grant Proposals
- Medical Billing/Coding knowledge
- Claims Processing
- Government Applications
- Advocacy for Underserved Populations
- Interviewing and Intake
- Insurance verification
- Customer service
- HIPAA compliance
Timeline
Patient Financial Services Representative
Pikeville Medical Center
02.2026 - Current
Claims Specialist
Social Security Administration, Pikeville, KY
12.2021 - 09.2025
Outreach Librarian
Pike County Public Library District, Pikeville, KY
03.2020 - 12.2021
Co-Librarian
Pike County Public Library District, Pikeville, KY
10.2019 - 03.2020
Lead Pre-school Teacher
Model City Daycare Center, Pikeville, KY
01.2018 - 10.2019
Teacher Assistant
Model City Daycare Center, Pikeville, KY
07.2013 - 01.2018
Bachelors Degree - Human Resources
Sullivan University
Associates Degree - Business Management
Sullivan University
High School Diploma - undefined
Pike County Central High School
Certification - Medical Coding
Eastern Kentucky University