Summary
Overview
Work History
Education
Skills
Timeline
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Dalona Holmes

Brandon,FL

Summary

Dynamic Enrollment Specialist with a proven track record at Humana, leveraging exceptional communication and analytical skills to enhance customer satisfaction and optimize coverage recommendations. Adept at managing documentation and ensuring compliance, I excel in multitasking and prioritizing tasks to achieve operational excellence in fast-paced environments.

Overview

11
11
years of professional experience

Work History

Enrollment Specialist

Humana
Lawrenceville, GA
02.2022 - 03.2025

• Analyzed risk factors to recommend appropriate coverage levels.

• Collected premiums on or before effective date of coverage.

• Evaluated competitors' products and services to gain competitive advantage.

•Going over DME that best fit medical needs

• contacting pharmacy and providers in and out of network

Intake Specialist

Northside Hospital
Lawrenceville, GA
05.2019 - 01.2022
  • Answered phone calls and provided new clients with required paperwork to initiate service.
  • Increased customer satisfaction with timely follow-ups, ensuring all necessary documentation was collected and processed promptly.
  • Completed intake assessment forms and filed clients' charts.
  • Maintained high levels of accuracy and compliance in data entry,
  • ensuring all information was correctly entered into the required systems.

Claims Processor

Cognizant Technologies Solutions
Tampa, FL
01.2017 - 02.2019
  • Managed high volume of claims
  • prioritizing tasks to meet deadlines without sacrificing quality.
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Reviewed applications and supporting documents to verify claims eligibility and accuracy.
  • Managed workload and priorities to meet claims processing meet deadlines.

Team Lead

Clarion Hotel
Tampa, FL
02.2014 - 01.2017
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
  • Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
  • Coached team members in techniques necessary to complete job tasks.
  • Managed schedules, accepted time off requests and found coverage for short shifts.

Education

GED - Adult Education

Erwin Technical College
Tampa, FL
08.2005

Skills

  • Exceptional communication
  • Reporting and analytics
  • Documentation management
  • Customer service expertise
  • Data entry skills
  • Applicant screening
  • Excellent phone demeanor
  • Task prioritization
  • Team building
  • Insurance sales
  • Customer engagement
  • Verbal and written communication
  • Active listening
  • HIPAA compliance
  • Team leadership
  • Multitasking Abilities

Timeline

Enrollment Specialist

Humana
02.2022 - 03.2025

Intake Specialist

Northside Hospital
05.2019 - 01.2022

Claims Processor

Cognizant Technologies Solutions
01.2017 - 02.2019

Team Lead

Clarion Hotel
02.2014 - 01.2017

GED - Adult Education

Erwin Technical College
Dalona Holmes