CARLA PELTZER
Oronogo,MO
Summary
Experienced in claims processing and healthcare regulations, with strong decision-making and critical thinking skills. Proven ability to manage tasks effectively while fostering teamwork and communication. Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Claims Examiner
Clarity
Fort Scott, Kansas
10.2020 - Current
- Managed heavy workloads by prioritizing tasks according to urgency or importance.
- Utilized critical thinking skills to research complex issues and develop creative solutions for challenging cases.
- Applied knowledge of healthcare regulations, laws, policies, procedures, guidelines and best practices when making decisions related to claims adjudication.
Personal Trainer
Personal Training
Ks
03.2015 - Current
- Motivated and inspired clients to achieve results and reach goals.
- Demonstrated exercises to clients and modified them as necessary.
- Assisted clients in improving posture, balance, coordination, flexibility, core strength and muscular endurance.
- Demonstrated proper form for each exercise while providing encouragement and motivation.
- Monitored client progress and provided feedback on exercise performance.
- Conducted group classes focusing on cardiovascular conditioning, circuit training, weight loss strategies and muscle toning techniques.
- Instructed members on proper use of club equipment and exercise techniques.
- Led group exercise classes and provided individualized instruction.
- Developed and implemented tailored exercise regimens to meet client’s goals and needs.
- Adapted programs according to changing needs or limitations of the client’s condition or injury status.
- Accommodated different levels of fitness.
CNA
Hospice Compassus
Pittsburg, Kansas
02.2018 - 04.2021
- Delivered direct care to patients, assisting with bathing, feeding, and grooming tasks.
- Completed daily documentation and charts regarding patient care and input reports into practice databases.
- Prepared residents for meals and assisted with feeding.
- Measured patient vital signs, recording body temperature, blood pressure, and heart rate.
- Lifted and repositioned non-ambulatory patients to prevent accidents and falls.
- Observed changes in patient status and response and immediately communicated concerns to nursing staff.
Table Games Dealer
Kansas Crossing Casino
Pittsburg, Kansas
03.2017 - 02.2018
- Proficient in operating table games such as blackjack, craps, roulette, baccarat and poker.
- Provided customers with courteous, exciting and entertaining gaming experience.
- Maintained knowledge of all gaming regulations and policies set by the state gaming commission.
- Displayed excellent math skills for calculating payouts, odds and house advantage percentages quickly.
- Developed strong communication and interpersonal skills while dealing with customers from diverse backgrounds.
CNA
Medicalodge
Columbus, Kansas
07.2016 - 10.2017
- Delivered direct care to patients, assisting with bathing, feeding, and grooming tasks.
- Completed daily documentation and charts regarding patient care and input reports into practice databases.
- Prepared residents for meals and assisted with feeding.
- Measured patient vital signs, recording body temperature, blood pressure, and heart rate.
- Utilized PPE appropriately and followed patient safety and infection control guidelines.
- Lifted and repositioned non-ambulatory patients to prevent accidents and falls.
Patient Care Technician Neurosurgery Clinic
Mercy Hospital
Joplin, Missouri
10.2015 - 03.2016
- Assisted with patient transfers to and from wheelchairs, beds, and exam tables.
- Maintained cleanliness of assigned work area according to infection control standards.
- Demonstrated knowledge of infection control related to hand washing and universal precautions.
- Demonstrated knowledge of universal precautions and infection control protocols when handling specimens and disposing of contaminated materials.
- Exhibited desire to learn and upgrade skills by performing additional department or unit duties.
- Assisted physicians during examinations and procedures as needed.
- Cleaned and sanitized patient rooms and examination rooms.
- Utilized computer systems for charting patient data.
- Maintained chart and filed paperwork, facilitating clerical functions.
- Interacted professionally with all departments within the facility.
- Collected data regarding patients’ diseases, conditions, and treatment plans.
Patient Care Technician
Mercy Hospital OR
Joplin, MO
05.2015 - 03.2016
- Performed hourly rounds and responded promptly to call lights.
- Utilized computer systems for charting patient data.
- Responded promptly to emergency situations using established protocols.
- Assisted with patient transfers to and from wheelchairs, beds, and exam tables.
- Maintained cleanliness of assigned work area according to infection control standards.
- Demonstrated knowledge of universal precautions and infection control protocols when handling specimens and disposing of contaminated materials.
- Interacted professionally with all departments within the facility.
- Exhibited desire to learn and upgrade skills by performing additional department or unit duties.
- Assisted physicians during examinations and procedures as needed.
- Lifted and assisted others to lift patients to move them on and off beds, examination tables, surgical tables, and stretchers.
- Assisted nurses and physicians in operation of medical equipment and provision of patient care.
- Utilized wheelchairs and moveable beds to transport patients to treatment units and operating rooms.
- Cleaned and sanitized patient rooms and examination rooms.
- Positioned or held patients in position for surgical preparation.
Manager
GNC
Pittsburg, KS
05.2014 - 11.2015
- Mentored and trained new employees on company policies and procedures.
- Provided support for customers by addressing complaints quickly and efficiently, displaying exceptional customer service skills.
- Managed daily operations including scheduling and budgeting, exhibiting excellent multitasking capabilities.
- Orientated and trained employees, encouraging confidence and helping individuals adapt faster to job roles.
- Monitored team productivity and performance to support goals.
- Assigned, prioritized, and delegated tasks and responsibility to departmental employees.
- Coached and motivated team, driving sales and delivering exceptional customer service.
- Communicated plans and actions to meet departmental goals.
- Developed personal growth opportunities, empowering employees to produce results and meet goals.
- Maintained accurate records of financial transactions while adhering to all accounting regulations, reflecting attention to detail.
- Maintained frequent interaction with senior management to measure goal achievement and determine areas of improvement.
- Oversaw personnel to maintain adequate staffing and minimize overtime.
Education
Home Health - Home Health
Fort Scott Community College
Fort Scott, KS05.2016
Skills
- Claims processing
- Verbal communication
- Microsoft Office Suite
- Data verification
- Teamwork and collaboration
- Customer service
- Attention to detail
- Time management
- Multitasking Abilities
- Organizational skills
- Excellent communication
- Reliability
- Effective communication
- Decision-making skills
- Team leadership
- Time management abilities
- Teamwork skills
- Computer skills
- Self motivation
- Critical thinking
- Relationship building
- Team building
- Coaching and mentoring
Certification
CPR
Timeline
Claims Examiner
Clarity
10.2020 - Current
CNA
Hospice Compassus
02.2018 - 04.2021
Table Games Dealer
Kansas Crossing Casino
03.2017 - 02.2018
CNA
Medicalodge
07.2016 - 10.2017
Patient Care Technician Neurosurgery Clinic
Mercy Hospital
10.2015 - 03.2016
Patient Care Technician
Mercy Hospital OR
05.2015 - 03.2016
Personal Trainer
Personal Training
03.2015 - Current
Manager
GNC
05.2014 - 11.2015
Home Health - Home Health
Fort Scott Community College