Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Kelly Howell

Etters,PA

Summary

Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Appeals Representative- Part A

Novitas Solutions
Mechanicsburg, PA
01.2013 - Current
  • Collaborated with health care providers, members, and other stakeholders to resolve issues in a timely manner.
  • Assessed appeals and grievances to determine eligibility for reconsideration or review.
  • Interpreted insurance policies and regulations related to appeal decisions.
  • Provided education on the appeals process to staff members as needed.
  • Conducted research on complex cases to ensure accurate resolution of appeals and grievances.
  • Tracked all phases of the appeals process from intake through resolution.
  • Identified areas of improvement in the appeals process and developed strategies to enhance efficiency.
  • Verified that all documentation was complete before rendering a final decision.

Second Grade Teacher

West Shore School District
Etters, PA
08.2010 - 09.2011
  • Developed and implemented lesson plans to meet the needs of all students in a second grade classroom.
  • Encouraged students to set individual goals and strive for academic excellence.
  • Created an environment that fostered positive learning experiences for second graders.
  • Assessed student performance through formal and informal assessments throughout the year.
  • Implemented differentiated instruction methods based on each student's ability level.
  • Participated in parent teacher conferences to discuss student progress and behavior issues.
  • Established clear expectations for classroom behavior and reinforced appropriate behavior with positive reinforcement strategies.
  • Utilized instructional materials, such as books, multimedia sources, and manipulatives to enhance student learning.

Substitute Teacher, K-6

West Shore School District
New Cumberland, PA
09.2009 - 08.2010
  • Managed classrooms of up to 30 students at once while maintaining order and discipline.
  • Ensured that the curriculum was being followed as required by the school district.
  • Provided instruction in place of absent teachers, following lesson plans and instructions for classroom management.
  • Monitored attendance records, enforced rules regarding tardiness or absences, and completed incident reports when necessary.
  • Maintained a safe, organized and disciplined learning environment for students of all ages.
  • Provided notes and reports on school day activities to primary teacher.

Education

Bachelor of Arts - Elementary Education

Penn State University
Harrisburg, PA
05-2009

High School Diploma -

West Perry Senior High School
Elliottsburg, PA
06-2004

Skills

  • Interpersonal Skills
  • Attention to Detail
  • Self Motivation
  • Effective Communication
  • Problem-solving abilities
  • Multitasking
  • Reliability
  • Teamwork and Collaboration

Certification

  • Pennsylvania K-6 Teaching Certificate

References

References available upon request.

Timeline

Appeals Representative- Part A

Novitas Solutions
01.2013 - Current

Second Grade Teacher

West Shore School District
08.2010 - 09.2011

Substitute Teacher, K-6

West Shore School District
09.2009 - 08.2010

Bachelor of Arts - Elementary Education

Penn State University

High School Diploma -

West Perry Senior High School

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Kelly Howell