Kelly Smith
Scottsburg,IN
Summary
Highly organized and detail-oriented professional with strong work ethic and dedication to achieving goals. Over 30 years experience in billing, customer service, reporting and compliance. Knowledgeable in project management principles, business processes and customer service best practices.
Overview
22
22
years of professional experience
Work History
UM Admin Coordinator 3
Humana
12.2018 - Current
- Prepares and forwards authorizations request to send to clinical review
- Works within defined parameters to identify work expectations and quality standards, but has some autonomy over prioritization/timing , and works under minimal direction.
- Completes outbound calls to providers and/or members to advise of timely decisions.
- Prepare and sends out written correspondences
- Multi-task ability due to extreme importance of timeliness
- Collaborates with multiple departments/providers and team members
- Work well as a team or individual
- Prepare all documented information for appeals to be sent for clinical review
Senior Billing Representative
Humana Government
11.2001 - 12.2018
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues in strict timely manner.
- Answered 50-70 incoming calls daily
- Remained calm and professional in stressful circumstances; and ability to de-escalate problematic member concerns.
- Processed credit card payments via secure online systems
- Reinstated member accounts once resolution was made.
Education
No Degree -
Floyd Central High School
Greenville IN06.1989
Skills
- Data Entry
- Information Collection
- Project Assistance
- Customer Service
- Excellent Attendance History
- Microsoft Excel
- Microsoft Word
- Microsoft Teams
- Pivot Tables
- Verbal and Written skills
- Self Directed
- Reliable
Timeline
UM Admin Coordinator 3
Humana
12.2018 - Current
Senior Billing Representative
Humana Government
11.2001 - 12.2018
No Degree -
Floyd Central High School
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