Asia McKenzie
Louisville,KY
Summary
Compassionate and patient caregiver with demonstrated experience, supporting individuals with diverse needs. Skilled in personal care, medication management and community integration who empowers clients to achieve their personal goals and enhance their quality of life.
Overview
15
15
years of professional experience
Work History
Enrollment Specialist
Humana
Louisville, KY
09.2024 - Current
- Researched customer inquiries regarding eligibility for Medicare programs.
- Processed enrollments, changes, cancellations, and terminations according to established guidelines.
- Adhered strictly to all HIPAA privacy rules when handling confidential patient information.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Customer Service - Lead Sorter
UPS
Louisville, KY
10.2021 - 09.2024
- Scanned and sorted packages according to destinations and service type using handheld scanner.
- Sorted packages to appropriate slide, line or belt for final distribution.
- Examined and inspected containers, materials and products to meet packing specifications.
- Coordinated cargo unloading with other workers to achieve efficient and safe transportation.
Grievance & Appeals Specialist
Humana
Louisville, KY
08.2020 - 11.2021
- Researched and reviewed information to determine validity of member grievances & appeals.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Improved operations by working with team members to find workable solutions.
- Initiated processes for tracking progress toward resolution of member grievances.
Claims Specialist - Medicaid COB (SME)
Humana
Louisville, KY
08.2015 - 08.2020
- Analyzed and interpreted policy terms according to Mentor to ensure accuracy.
- Monitored reports to identify claims issues and worked with adjusters to resolve problems.
- Processed payments accurately according to timely filing guidelines.
- Precisely calculated refunds, premiums, and adjustments.
- Assisted in the development of new processes for handling claims more effectively.
- Resolved difficult issues promptly while maintaining a high level of professionalism.
- Collaborated closely with team members to achieve special project (HGB Military) objectives and meet deadlines.
- Maintained updated knowledge through continuing education and advanced training.
Neuro Restorative
Residential Team Leader - LST
Louisville , KY
10.2010 - 01.2017
- Helped individuals address disabilities and put together career plans.
- Recognized by management for providing exceptional customer service.
- Documented assessments, treatment goals and patient's progress using quickmar format.
- Treated residents using established treatment plan under supervision of occupational therapists.
- Gathered resident data and monitored patient progress at all stages.
- Supported patients in daily living activities and maintenance programs under supervision of Program Coordinator.
- Provided education and instruction to patients and families.
Education
Bachelor of Science - Nursing
University of Louisville
Louisville, KY05-2026
Skills
- Data analysis
- Self-motivated
- Complex problem solving
- Medicare & Medicaid claim analysis and research comprehension
- Macess, CAS, CRM, MARx, DIG, CGX
- Policy and procedure development
- HIPAA compliance
- Adaptability and flexibility
Timeline
Enrollment Specialist
Humana
09.2024 - Current
Customer Service - Lead Sorter
UPS
10.2021 - 09.2024
Grievance & Appeals Specialist
Humana
08.2020 - 11.2021
Claims Specialist - Medicaid COB (SME)
Humana
08.2015 - 08.2020
Neuro Restorative
Residential Team Leader - LST
10.2010 - 01.2017
Bachelor of Science - Nursing
University of Louisville