| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Location: Louisville KYWork Authorization: US CitizenEducationBusiness Management / Sociology- University of Louisville (some college)Data Processing- Deitrick Vocational SchoolHigh school Diploma- Valley High SchoolWork experienceUnited Healthcare May 2024 to June 2024Financial intake specialistApproving patients home health Care benefits.Answering phone calls in reference to home health care and talking with the appropriate agencies to get approval for the patients home health careGardaworld Security Feb 2024- May 2024Site SupervisorRan the office at night answering phone calls directing phone calls to the appropriate departmentsDispatching all phone calls, monitoring all camera systems, driving the company vehicle to different sites, checking the sites for security issues, filling out all appropriate paperwork.supervising all employeesReynolds Consumer Products Aug 2023- Dec 2023Site coordinator/ Customer serviceMy main job responsibilities were running the front office monitoring all camera systems.Answering telephone calls directing the telephone calls to the appropriate departments in the plant.Answering all phone calls including dispatching and transferring phone calls, dealing with the employees giving out badges, meal vouchers, and paychecks.Knowing where all water systems were located, all fire hydrants, all tanks, and all general security dutiesEmployment Break Aug 2022- Jul 2023The tragic loss of my child. During this period, I experienced profound grief and struggled with focus and productivity.Ford Motor Company Kentucky Truck Plant Apr 2016- Jul 2022Site coordinator/ Customer servicePrimary point of contact for dispatching and directing all incoming phone calls to the appropriate person(s)Responsible for secure checking of all semi-tractor trailer trucks, including proper authorizations and work ordersSecurely scan all Ford test vehicles in and out of plantWeathers and Son May 2012 to April 2016BookkeeperExcellent Customer ServiceCreating and filing financial reportsUpdating and reviewing financial recordsEditing and writing budgetsManaging employee payrollAlerting their client to any financial discrepanciesMonitoring accounts payable and receivableVoith-Ford Motor Company Louisville Plant Apr 2011- Apr 2012TransporterDrove fleet vehicles around our lots or to various places, depending on the location, all while following our processes and driving our cars safelyLouisville Marriott Downtown May 2008- Dec 2010ConciergeProvided World-Class Customer ServiceDirected and set up Concierge lounge for VIP guestsAssisted all guests with dinner reservations, airlines and limousine servicesCoordinated events for birthdays, tours and anniversariesAssisted sales department with reservationsCaritas Physicians Group Jan 2006- Mar 2006Patient Account Reconciliation SpecialistResolved pended/denied healthcare claims including COB, Medicare and MedicaidMade outbound calls to insurance companies to resolve claims issuesSubmitted billing invoices to patientsWorked effectively with team and management to ensure successful completion of projected goals.Humana, Inc. Mar 1996- Oct 2004Benefit Enrollment Business Consultant - CS/ Claims Team LeadEducation Consultant - Training & DocumentationFinancial Recovery AnalystFacilitated End User training courses in Facets and QNTX for Front End, Billing, Enrollment, Claims Documented training plans, processes, and client specific processing manual for SharePoint and TriZetto WikiCreated, implemented & facilitated Professional Development Workshops and Course CurriculumsManually configured data to provide accurate claims adjustments during system migration to Facets 4.8Performed Benefit Configuration Activities according to the Groups Evidence of CoverageEnsured the provider, authorization and benefits configuration met established business rules and proceduresValidated provider coding data for accurate pay reimbursements Perform internal auditing of claims to determine financial accuracyTeam Lead for 20+ associates: reviewed and submitted timesheets electronically, resolved personnel issues with associates inFacilitated training for new hire customer service associates claims adjustors, billing enrollment specialist, quality analyst, provider contracting, and provider configurations associates Strong knowledge of understanding Benefit SummariesConducted system conversion implementation and EDS Metavante testingSpecial awards and group affiliationsRecipient 1984 Black Achievers Brown-Forman ScholarshipMember of Zeta Phi Beta SororityMember of National Action NetworkMember of NAACPMember of West Louisville Urban Coalition |
