Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennifer Miller

Avondale

Summary

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.

Education

No Degree - Health Administration

University of Phoenix
Jacksonville

High School Diploma - N/A

L.W.Higgins High School
Marerro, LA
06-2002

Skills

  • Multitasking and organization
  • Customer service
  • Data entry
  • Decision-making
  • Insurance verification
  • Team collaboration
  • Workflow management

Timeline

UM Coordinator 2

Humana
01.2023 - Current

Care Management Support Assistant

Humana
06.2021 - 01.2023

Inbound Call Center Representative

Humana
11.2019 - 06.2021

Administrative Coorddinator 3

LSU Health Sciences Center New Orleans
05.2015 - 11.2019

Sales Associate

CVS
02.2015 - 05.2015

No Degree - Health Administration

University of Phoenix

High School Diploma - N/A

L.W.Higgins High School
Jennifer Miller