Summary
Overview
Work History
Education
Skills
Timeline
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Cindy Foust

Hamlet,IN

Summary

Driven to deliver, my tenure at Humana showcased my adeptness in provider relations and dispute resolution, enhancing network satisfaction by a notable percentage. My blend of technical aptitude and exceptional interpersonal skills underpins a proven track record of optimizing service delivery and fostering meaningful relationships, ensuring seamless healthcare operations and customer satisfaction. Versatile [Job Title] committed to maintaining high customer satisfaction by providing friendly, fast service for all needs. Skillful in researching and resolving billing discrepancies and claims. Disciplined and energetic professional well-versed in medical claim appeal processing, clinical relations, and medical billing.

Overview

3
3
years of professional experience

Work History

Provider Relations Representative

Humana
05.2024 - Current
  • Assisted providers in navigating through various reimbursement processes, resulting in timely payments and reduced financial disputes between parties.
  • Strengthened provider networks through regular outreach and relationship building activities.
  • Served as a liaison between healthcare organizations and insurance companies to ensure seamless communication regarding claims processing and payment matters.
  • Managed high-volume caseloads of dispute resolution cases, providing swift resolutions that maintained positive relationships.
  • Implemented a system for tracking provider feedback, allowing for data-driven improvements to internal processes and enhanced satisfaction among network partners.
  • Researched and resolved disputes, billing discrepancies, and claims efficiently to maintain customer satisfaction, boosting satisfaction ratings [Number]%.
  • Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.

Retail Keyholder

Dollar General
09.2023 - 11.2023
  • Stored security alarm codes and keys and made routine code changes.
  • Performed category maintenance by rotating products according to company product rotation policy.
  • Balanced cash registers at end of shift and filled out necessary reports.
  • Resolved customer complaints professionally, ensuring their concerns were addressed promptly and effectively.
  • Processed returns and exchanges swiftly, ensuring a positive customer experience while adhering to company policies.
  • Maintained a clean and organized work environment for both staff members and customers by performing daily upkeep tasks.
  • Handled cash transactions accurately, contributing to efficient store operations and minimizing discrepancies.

Home Health Aide

Comfort Keepers
06.2023 - 10.2023
  • Helped patients maintain personal hygiene through bathing, grooming, and toileting assistance when necessary for dignity preservation.
  • Maintained a clean and safe home environment for patients, reducing falls and accidents.
  • Assisted clients with daily living activities, enhancing their independence and quality of life.
  • Performed light housekeeping duties including laundry linen changes sweeping vacuuming and mopping ensuring a clean and organized living space for patients.
  • Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
  • Assisted patients with dressing, grooming and feeding needs, helping to overcome, and adapt to mobility restrictions.
  • Improved patient well-being by providing compassionate and attentive personal care.
  • Completed entries in log books, journals, and care plans to accurately document and report patient progress.
  • Provided mobility assistance such as walking and regular exercising.
  • Traveled to clients' homes to complete healthcare services and promote continuity of care.
  • Adapted to ever-changing patient needs, consistently adjusting care plans and strategies in order to provide the highest quality of personalized assistance.
  • Followed nutritional plans to prepare optimal meals.
  • Provided transportation and appointments management.
  • Transported patients to medical appointments and social outings, fostering community engagement and overall wellbeing.
  • Administered medications as prescribed, ensuring proper dosage and timely administration for optimal health outcomes.
  • Provided emotional support to patients and families during difficult times, promoting a positive atmosphere conducive to healing.

IT Specialist

Dish Network Corp
02.2022 - 12.2022
  • Configured hardware, devices, and software to set up work stations for employees.
  • Managed hardware and software inventory, ensuring timely updates and replacements as needed.
  • Maintained servers and systems to keep networks fully operational during peak periods.
  • Provided exceptional customer service by promptly addressing problems reported by endusers.
  • Walked individuals through basic troubleshooting tasks.
  • Enhanced system efficiency by implementing and maintaining IT infrastructure upgrades.
  • Optimized network performance through regular monitoring and maintenance.
  • Maintained a comprehensive knowledge of current industry trends, developments, tools, or techniques relevant to the role of an IT specialist.
  • Explained technical information in clear terms to promote better understanding for non-technical users.
  • Collaborated closely with other departments to provide tailored technology solutions that addressed their specific needs or challenges.
  • Responded to support requests from end-users and patiently walked individuals through basic troubleshooting tasks.
  • Monitored systems in operation and input commands to troubleshoot areas.
  • Streamlined technical support process for enhanced user satisfaction and faster issue resolution.
  • Conducted regular system audits to identify vulnerabilities, weaknesses, or deviations from established policies or procedures.
  • Reduced downtime by identifying potential issues and resolving them proactively.

Education

High School Diploma -

Home School
Indiana
05.2021

Skills

  • Claims reviewing
  • Health plan operations
  • Healthcare Industry Knowledge
  • Provider support
  • Quality Assurance
  • Relationship Management
  • Dispute Resolution
  • Workflow Analysis
  • Technical aptitude
  • Provider relationship management
  • Service Optimization
  • Medicare and Medicaid knowledge
  • HIPAA Compliance
  • Claims Processing
  • Call center experience
  • Insurance Verification
  • Data entry proficiency
  • Compliance Management
  • Provider Relations
  • Policy Interpretation
  • Salesforce CRM
  • Teamwork and Collaboration
  • Customer Service
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Punctual and Hardworking
  • Problem-solving abilities
  • Calm and Effective Under Pressure
  • Multitasking
  • Multitasking Abilities
  • Reliability
  • Excellent Communication
  • Organizational Skills
  • Team Collaboration
  • Caring and Empathetic
  • Active Listening
  • Effective Communication
  • Adaptability and Flexibility
  • Decision-Making
  • Patient Education
  • Documenting and Recording Information
  • Reliability and Dedication
  • Insurance verifying
  • Relationship Building
  • Patient Confidentiality and Data Security
  • Resolving Problems
  • Medical insurance
  • Insurance Authorizations
  • Team building
  • Task Prioritization
  • Outbound Calling
  • Self Motivation
  • Document filing
  • Medical Terminology
  • Technical Troubleshooting
  • Interpersonal Skills
  • Analytical Thinking
  • Benefits Explanation
  • Conflict Resolution
  • 50 WPM Typing Speed
  • Goal Setting
  • Professionalism
  • Interpersonal Communication
  • Data Collection
  • Administrative and Office Support
  • Professional Bedside Manner
  • Medical History Documentation
  • Safety Monitoring
  • Database Search and Data Entry Skills
  • Time management abilities
  • Continuous Improvement
  • Adaptability
  • Building Rapport and Credibility
  • Written Communication
  • Explaining Policy and Procedures
  • Providing Information and Resources
  • Risk Management
  • Insurance Forms Processing
  • Records Management
  • Professional Demeanor

Timeline

Provider Relations Representative

Humana
05.2024 - Current

Retail Keyholder

Dollar General
09.2023 - 11.2023

Home Health Aide

Comfort Keepers
06.2023 - 10.2023

IT Specialist

Dish Network Corp
02.2022 - 12.2022

High School Diploma -

Home School
Cindy Foust