SEARCH

Humana of Louisville, Disenrollment Specialist Resume Example

Resume Score: 90%

Love this resume?Build Your Own Now
HUMANA OF LOUISVILLE, DISENROLLMENT SPECIALIST
Professional Summary

Medical Administrative skills, processing insurance claims, scheduling appointments, patient check-in, medical records management, medical research


Self-starter with professional manner


Proficient in clinical setting


Certified Nursing Assistant with 3+ years work in fast-paced environment handling confidential paperwork, providing quality patient care.


Ability to stay on task and remain calm in fast-paced work environment or in the presence of conflictEnergetic Home Health Aide licensed in the state of Kentucky. Current certifications in First Aid, CPR and BCLS. Knowledge of proper feeding, grooming and wound care procedures.

Licenses

Certified Nursing Assistant

CPR Certification

Associates in Applied Science

Skill Highlights
  • Understands mobility assistance needs
  • Understands medical procedures
  • Trained in grooming and bathing assistance
  • Calm and level-headed under duress
  • Medical terminology knowledge
  • Charting expertise
  • Documentation procedures expert
  • General housekeeping ability



Professional Experience
Humana of Louisville, Disenrollment Specialist, 01/2014 to CurrentHumana － Louisville, KY
  • Applies technical expertise in solving complex problems relating to the customer setup.
  • Monitor and recommend improvements to increase team productivity by providing expert advice and assistance to other associates.
  • Monitor and update associate productivity metrics information for leadership.
  • Acts as a representative during conference meetings with other departments and markets.
  • Identify training needs for team members.
  • Research/process member's disenrollment in a timely manner.
  • Maintain quality and production standards.
  • .
Patient Observation Assistant, 01/2012 to 01/2014University of Louisville hospital CNA － Louisville, KY
  • Observed and documented patient status and reported patient complaints to the case manager.
  • Read and recorded temperature, pulse and respiration.
  • Massaged patients and applied preparations and treatments, such as liniment, alcohol rubs and heat-lamp stimulation.
  • Completed and submitted clinical documentation in accordance with agency guidelines.
  • Collected urine and fecal samples.
  • Assisted with adequate nutrition and fluid intake.
Mental Health Associate, 01/2010 to 01/2013Our Lady of Peace CNA － Louisville, KY
  • Observe patients' conditions, measuring and recording food and liquid intake and output and vital signs, and report changes to professional staff.
  • Provide patients with help while in classroom during school hours.
  • Provide patient dressings and supervising exercise routines.
  • Provide group activities for patients when school hours are over.
Certified Nursing Assistant, 01/2009 to 01/2010Kindred Healthcare, － Louisville, KY
  • Observed and documented patient status and reported patient complaints to the case manager.
  • Read and recorded temperature, pulse and respiration.Massaged patients and applied preparations and treatments, such as liniment, alcohol rubs and heat-lamp stimulation.
  • Completed and submitted clinical documentation in accordance with agency guidelines.
  • Collected urine and fecal samples.
  • Assisted with adequate nutrition and fluid intake.Provided transportation, assistance and companionship to clients.
  • Positioned residents for comfort and to prevent skin pressure problems.Kept facility stocked with necessary supplies, equipment and instruments.
  • Assisted with transferring residents in and out of wheelchairs and adaptive equipment.
  • messaged patients and applied preparations and treatments, such as liniment, alcohol rubs and heat-lamp stimulation.
  • Completed and submitted clinical documentation in accordance with agency guidelines.Assisted with adequate nutrition and fluid intake.
Cashier, Sales Representative, Pharmacy Technician, 01/2005 to 01/2009Wal-Mart － Louisville, KY
  • Provide customers with proper information on where product is located in store.
  • Provide customer with discounts and sale items.
  • Provide customers with exact medication distribution.
Mental Health Technician, Administrative Assistant, 01/2004 to 01/2008Central State Hospital － Louisville, KY
  • Maintained a clean, orderly and well-stocked environment.
  • Participated in the maintenance of safe conditions within the facility and other related areas.
  • Promoted personal and co-worker safety.
  • Promoted continuity of care by accurately and completely communicating to other caregivers the status of patients for which care is provided.
  • Comforted patients and provided them with reassurance and encouragement.
  • Sensitive to the needs of geriatric patients.
  • Assisted with ADLs.Documented resident records on daily flow sheets.
  • Recognized and reported abnormalities and/or changes in patients' health status to nursing staff.
  • Charted daily information on the residents such as mood changes, mobility activity, eating percentages, and daily inputs and outputs.
Para Educator, 01/1998 to 01/2008Jefferson County Public School, ECE － Louisville, KY
  • Support children's emotional and social development, encouraging understanding of others and positive self-concepts.
  • Identify signs of emotional or developmental problems in children and bring them to parents' or guardians' attention.
  • Keep records on individual children, including daily observations and information.
Education and Training
Associate:Applied Science Healthcare AdministrationBrown Mackie College － Louisville, KYGPA: Dean's List *Perfect Attendance

Applied Science Healthcare Administration


Dean's List


Perfect Attendance

Coursework in Computerized Diagnostic Coding, Medical Law and Ethics, Medical Administrative Practices, Medical Terminology, managing Health Care Information

Coursework in Anatomy, Physiology and Health Assessments

Skills

Medical administrative skills, processing insurance claims, scheduling appointments, a patient check-in, medical records management, medical research

Self- starter with professional manner

Proficient in clinical setting

Ability to stay on task and remain clam in fast - paced work environment or in the presence of conflict

Certified Nurse Assistant

Skilled in medical procedures including, but not limited to:

Proper and concise charting, filing of laboratory reports

Knowledge medical administrative techniques:

Patient registration, filing, data entry, etc.

Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • Humana
  • University of Louisville hospital CNA
  • Our Lady of Peace CNA
  • Kindred Healthcare,
  • Wal-Mart
  • Central State Hospital
  • Jefferson County Public School, ECE

School Attended

  • Brown Mackie College

Job Titles Held:

  • Humana of Louisville, Disenrollment Specialist
  • Patient Observation Assistant
  • Mental Health Associate
  • Certified Nursing Assistant
  • Cashier, Sales Representative, Pharmacy Technician
  • Mental Health Technician, Administrative Assistant
  • Para Educator

Degrees

  • Associate : Applied Science Healthcare Administration

Similar Resumes

View All
DISENROLLMENT-SPECIALIST-resume-sample

DISENROLLMENT SPECIALIST

HUMANA

Louisville, Kentucky