Dynamic professional with extensive experience at Humana, excelling in customer service and workflow management. Proven ability to enhance team performance through data-driven insights and effective communication. Skilled in insurance verification and adept at multitasking, consistently streamlining processes to improve operational efficiency.
Overview
11
11
years of professional experience
Work History
UM Coordinator 2
Humana
WAH
01.2023 - Current
Following process documentation to streamline workflows and improve
Building authorizations for retro Mediciaid claims.
Working in systems Macess, MHK, CRM, CAS, CGX
Track work progress daily using Excel
Evaluated team performance metrics, providing insights for continuous improvement strategies.
Make outbound calls when needed to request medical records
Care Management Support Assistant
Humana
WAH
06.2021 - 01.2023
Performing outbound and receiving inbound calls to and from members. Provide non-clinical support to the assessment and evaluation of members needs. Perform administrative duties to support Case Managers and Social Workers. Working with systems Mentor, CGX, ODOS, Excel, Outlook, and HCat.
Inbound Call Center Representative
Humana
Metairie, LA
11.2019 - 06.2021
Managed inbound calls, providing accurate information on health plans and services.
Assisted customers with claims inquiries, ensuring timely resolution of issues.
Documented customer interactions in CRM systems for tracking and follow-up.
Collaborated with cross-functional teams to enhance customer experience strategies.
Administrative Coorddinator 3
LSU Health Sciences Center New Orleans
New Orleans, LA
05.2015 - 11.2019
Provide customer service to patients, register patients, and schedule appointments, collect deposits, answering multi-line telephone.
Verify insurance using Medicaid and Passport system, copying various documents
Community outreach
Data entry, 10 key operations, light laboratory work, and perform any other duties that are assigned by my supervisor.
Managed scheduling for meetings, appointments, and events to optimize resource allocation.
Developed and maintained filing systems for efficient document retrieval and storage.
Streamlined office procedures to enhance productivity and reduce turnaround times.
Answered phone calls and responded to inquiries from customers, vendors and other external contacts.
Facilitated smooth day-to-day operations by anticipating needs, proactively addressing potential issues, and efficiently resolving problems as they arose.
Managed and maintained electronic and paper-based filing systems to keep essential documents and information easily accessible and organized.
Greeted visitors with professionalism and enthusiasm to provide support and direct guests to appropriate department.
Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
Sales Associate
CVS
Avondale, LA
02.2015 - 05.2015
Assisted customers with product selection and inquiries to enhance shopping experience.
Processed transactions efficiently using point-of-sale systems to ensure accurate sales reporting.
Maintained store displays and merchandise organization to promote product visibility and accessibility.
Collaborated with team members to manage inventory levels and restock shelves appropriately.