Kimberly Payne
Younger Days Daycare
PHILADELPHIA,PA
28
years of professional experience
Dedicated Infant and Young Toddler Teacher with a strong foundation in child development, classroom management, and parent communication. Committed to creating a nurturing environment that fosters cognitive and social growth.
Work History
Infant and Young Toddler Teacher
6 Years 11 Months- Developed and implemented age-appropriate lesson plans to enhance cognitive and social skills.
- Promoted development of social, emotional, and communication skills in infants.
- Collaborated with parents to share insights on child progress and developmental milestones, enhancing parental involvement.
- Trained and mentored new staff on effective classroom management techniques, promoting a positive learning environment.
- Maintained a safe, nurturing environment for infants by adhering to health and safety regulations.
- Maintained cleanliness in classroom and feeding areas by regularly organizing and sanitizing spaces.
- Managed personal hygiene requirements with frequent diaper changes, use of bibs, and monitoring of behaviors.
- Disinfected toys and play equipment daily to ensure a safe and hygienic play environment for children.
- Developed strong relationships with parents to foster trust and open communication regarding their child's well-being.
- Developed strong relationships with parents to foster trust and open communication regarding their child's well-being.
- Kept classroom and feeding areas clean, neat, and safe.
- Created a safe, nurturing environment that fostered creativity, curiosity, and exploration among toddlers.
- Developed and implemented age-appropriate lesson plans that fostered cognitive and social development.
- Established positive relationships with children to promote emotional well-being and engagement in activities.
- Mentored junior staff in classroom management techniques and effective teaching strategies.
Complaint Grievence and Appeals
4 Years 7 Months- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Passionate about learning and committed to continual improvement.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Strengthened communication skills through regular interactions with others.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Learned and adapted quickly to new technology and software applications.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked closely with Health Service Providers in obtaining information of appeals for denial of services, kept monthly reports on complaints, grievance and appeal process. In including the number of appeals by category, number of denials upheld and time frames met, investigated and resolved difficult issues to achieve member satisfaction.
- Managed case-loads correspond with members, providers, and other health care professionals
- Maintained 95% quality on monthly audits
Senior Claims Analyst
15 Years 2 Months- Analyzed complex claims data, identifying trends to enhance decision-making processes.
- Led claims processing initiatives to improve turnaround times and efficiency across departments.
- Mentored junior analysts, fostering a collaborative environment and enhancing team capabilities.
- Developed training materials for new software implementation, promoting user adoption among staff.
- Proficient in coding
- Proficient with ICD-10, CPT CODING, HCFA 1500 and UB-04
- Trained other claim Analysts
- Assisted training, claims processing and call center when needed
- Assisted specialist projects and contributed to teamwork
- Maintained 98% Quality on monthly audits
Education
High School Diploma
Child Development Associate Certification Credential - Early Childhood Education
Skills
Age-appropriate activities
Child development expertise
Observation and assessment
Progress tracking
Classroom management
Group instruction
Positive reinforcement
Nutrition
Record management
Parent communication
Social skills development
Circle time
Traings
Completed all weekly trainings and regulations.
Received Hall of Fame and Distinguished Performance Award.
Top Performance Award.
Timeline
Infant and Young Toddler Teacher
Younger Days Daycare
11.2019 - CurrentRead More
Complaint Grievence and Appeals
Aetna
06.2013 - 01.2018Read More
Senior Claims Analyst
Aetna
04.1998 - 06.2013Read More
Lackawanna College
Child Development Associate Certification Credential from Early Childhood Education
Read More
Dr. Martin Luther King High School
High School Diploma
Read More