Lene Hickerson
Louisville,KY
Summary
Dedicated professional with a strong work ethic and effective communication skills. Proven ability to learn quickly and adapt to new environments. Committed to contributing to team success and achieving organizational objectives.
Overview
14
14
years of professional experience
Work History
Provider Installation Representative
Humana
Louisville, KY
01.2020 - Current
- Provider Installation Representative 2 (Correspondence and Inquiry) provides support to provider accounts by responding to inquiries and resolving issues of concern.
- Validate, update, and maintain provider demographic and eligibility information within payer systems.
- Conducts research using multiple tools and systems to ensure the accuracy and quality of record updates.
- Communicates via outbound calls with providers, market offices, and other internal partners to resolve discrepancies.
Claims Review Representative 2
Humana
Louisville, Kentucky
11.2018 - 12.2019
- Performs varied activities and moderately complex administrative, operational, and customer support assignments. Performs computations. Typically, it works on semi-routine assignments.
- Investigated complex customer claims, utilizing a variety of resources to reach a successful resolution.
- Partners with professional staff on pre-screening review by applying guidance and making an appropriate decision, which may include the interpretation of provider information or data.
Beneficiary Service Representee
Humana Government Business
Louisville, KY
07.2011 - 11.2018
- Assisted beneficiaries who were in the military with their requests, and answered questions to improve satisfaction.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
- Worked effectively in team environments to make the workplace more productive.
- Assisted beneficiaries and their families with their TRICARE appointments and benefits.
Education
Bachelor of Science - Criminal Justice
University of Phoenix
Tempe, AZ06-2011
Skills
- Provider data management
- Claims processing
- Research analysis
- Regulatory compliance
- Customer service
- Data entry
- CAS / PMDM System
- Analytical thinking
- Microsoft Word
- Excel
- Strong work ethic
Timeline
Provider Installation Representative
Humana
01.2020 - Current
Claims Review Representative 2
Humana
11.2018 - 12.2019
Beneficiary Service Representee
Humana Government Business
07.2011 - 11.2018
Bachelor of Science - Criminal Justice
University of Phoenix
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