Andreania Carson
Jeffersonville,IN
Summary
Remote healthcare enrollment and administrative professional with strong experience in non phone member support, eligibility determination, and benefits verification. Extensive knowledge of Medicare, Medicaid MAGI, SNAP, and public assistance programs. Proven ability to process high-volume enrollment, renewals, and redeterminations while maintaining HIPPA and CMS compliance. Skilled in multi- system navigation, medical data entry, and written communication.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Enrollment Representative 2
Humana
09.2025 - Current
- Reviews reports and makes adjustments, additions, and deletions based on enrollment rules.
- Manages a daily inventory.
- Reports inventory daily.
- Decisions are typically focus on interpretation of area/department policy and method for completing assignments.
- Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
- Follows standard policies/practices that allow for some opprtunity for interpretation/deviation and/ or independent discretion.
Program Care Coordinator
Pyramid Consulting
05.2024 - 08.2025
- Coordinated patient care plans to ensure timely and effective service delivery.
- Facilitated communication between healthcare providers, patients, and families to enhance understanding of treatment options.
- Organized and maintained comprehensive patient records using electronic health record (EHR) systems.
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
- Educated patients on self-care strategies, promoting independence and empowering them to manage their health conditions.
Family Support Specialist
Commonwealth of Kentucky
01.2024 - 05.2024
- Assisted families in accessing community resources and support services.
- Collaborated with multi-disciplinary teams to develop individualized care plans.
- Processed SNAP, CCAP, and MAGI Medicaid applications
- Determined eligibly and completed renewals and redeterminations.
- Maintained accurate electronic case documentation.
Business Analyst
TEKsystems
03.2023 - 12.2023
- Conducted data analysis using Excel and SQL to inform strategic decision-making processes.
- Performed medical and insurance data entry
- Prepared administrative and compliance report
Education
High School Diploma -
Valley Traditional High School
Louisville, KY06-2013
Skills
- Data entry skills
- Strong organization
- Time management proficiency
- Telephone and email skills
- Billing support
- Customer service
Certification
- Certified Community Health Worker
- Certified Pharmacy Technician
Timeline
Enrollment Representative 2
Humana
09.2025 - Current
Program Care Coordinator
Pyramid Consulting
05.2024 - 08.2025
Family Support Specialist
Commonwealth of Kentucky
01.2024 - 05.2024
Business Analyst
TEKsystems
03.2023 - 12.2023
High School Diploma -
Valley Traditional High School