Yashica Simmons
San Antonio,TX
Summary
Dynamic and results-oriented professional with extensive experience in training and quality control at The Plan Handlers Inc., and a proven track record in problem-solving and teamwork. Skilled in medical terminology and MS Word, Excels in fostering critical thinking and ensuring high-quality standards.
Overview
24
24
years of professional experience
Work History
Stay at Home Mom
Self-employed
01.2006 - Current
- Managed schedules for two children under age of 10, organizing competing appointments and activities
- Oversaw weekly grocery and household budget
- Planned meals, determined food portions and estimated food requirements for a family of four
- Organized family members' schedules and available vacation days
- Monitored, recorded and reported symptoms of illness in spouse whiles coordinating with doctors and nurses for treatment
- Volunteered throughout schools as classroom parent and organized field trips and events
Homeschool Mom
Self-employed
09.2018 - 07.2024
- Fostered critical thinking skills through engaging discussions and inquiry-based learning techniques.
- Established routines and procedures that promoted structured yet flexible learning environment conducive to academic success.
- Adapted teaching methods and lesson plans to changing student needs.
- Established clear objectives for all lessons, units, and projects, resulting in measurable improvements in student progress.
Training Specialist/Quality Control Auditor
The Plan Handlers Inc.
09.2004 - 01.2006
- Conducted Company training programs
- Monitored and reported effectiveness of training on employees for career development
- Assist in designing and administration of audit policy and procedures within organization
- Audited complex and high dollar claims
- Communicated effectively with client's inquiries via telephone and written correspondence regarding associates' claims, eligibility and insurance benefits
- Processed associates' vision and dental claims
Quality Auditor II
Unicare Life & Health Insurance Company
02.2001 - 06.2003
- Audited complex, difficult or non-routine claims and silent monitoring customer service staff
- Recorded results in database and provided associates with feedback
- Prepared monthly/quarterly reports and researched/analyzed claims issues
- Initiated steps to assist callers regarding issues relating to content or interpretation of benefits, policies and procedures, provider contracts and adjudication of claims
Education
Human Resources Development
Northeastern Illinois University
Chicago, IL01-1993
High School Diploma -
Charles Steinmetz Vocational High School
Chicago, IL01-1990
Skills
- Friendly, Positive Attitude
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Type 70 wpm
- MS Word and Excel
- ICD-9/CPT codes
- Medical Terminology
- Facets, RIMS
- Wellpoint 13 $ 20 Systems
- NDC Medisoft Billing Software
Timeline
Homeschool Mom
Self-employed
09.2018 - 07.2024
Stay at Home Mom
Self-employed
01.2006 - Current
Training Specialist/Quality Control Auditor
The Plan Handlers Inc.
09.2004 - 01.2006
Quality Auditor II
Unicare Life & Health Insurance Company
02.2001 - 06.2003
Human Resources Development
Northeastern Illinois University
High School Diploma -
Charles Steinmetz Vocational High School
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