VEOLA B. DOWDELL

EDUCATION AND CERTIFICATIONS

Galen College of Nursing, Louisville, KY

Licensed Practical Nurse Diploma July 2009-July 2010

Commonwealth Medical Learning Center, Radcliff, KY

Phlebotomy Certification February 2007-June 2007

Chattahoochee Valley Community College, Phenix City, AL

Dates: May 2004 - May 2005

Columbus Technical College, Columbus, GA

Georgia Certificate Business Office Assistant August 1999

Hopkinsville Community College, Hopkinsville, KY

Dates: September 1994 - December 1997

CLINICAL EXPERIENCE

Medical/Surgical Adult I & II, Flaget Memorial Hospital, Bardstown, KY

10/2009-01/2010

Mental Health, Ten Broeck Hospital, Louisville, KY

01/2010-04/2010

Pediatrics, Kosair's Children Hospital, Louisville, KY

01/2010-04/2010

Maternity, Norton's Suburban Hospital, Louisville, KY

01/2010-04/2010

Medical/Surgical Adult III & IV, Parkview Terrace, Louisville, KY

04/2010-present

EMPLOYMENT

Cardinal Health, Radcliff, KY

04/2007-10/2008

Customer Service Specialist. Served as a liaison for an assigned

number of hospital accounts. Assisted with order placement,

pricing and availability, and research and resolution, via phone, fax,

or email. Notified customers via excel spreadsheet reports, to let

them know the resolution and status of the underlying situations.

Humana (SPAA Division) Louisville, KY

05/2006-02/2007

Claims Service Associate. Resolved issues with participants and

groups. Reviewed Flexible Spending Accounts, Health Reimbursement

Arrangements, and Health Savings Accounts. Also ensured Dependent Care

Accounts were set up and performed research on member's accounts.

Processed medical claims, including the paying, denying, and pending

of claims based on information submitted for review. Followed up with

participants during research phase to obtain more information and

inform of their account status. Resolved substantiation issues with

the HumanaAccess card as governed by IRS regulations. Reviewed and

approved claims for members resulting in reimbursement or

correspondence from Humana's SPAA Division. Assisted with training

new hires by serving as a liaison between the management team, and

trainers. Sent correspondence to members when mail is returned to the

Humana SPAA Division, so the member can follow-up with updated

information.

Aflac, Columbus, GA

10/1999 - 04/2004

Claims Specialist II. Performed routine duties requiring some

judgment when communicating with customers and Aflac personnel.

Performed duties under general supervision. Processed medical claims,

including the paying, denying and pending of claims based on

information submitted for review. Analyzed billings and supporting

medical documentation utilizing an in-house claims processing system

that includes subsystems for diagnosis and procedures to determine the

nature and validity of claims. Determined liability and direction of

claims after thorough review of all submitted documentation and

verification of policy provisions. Approved claims for final

disposition. Communicated effectively, orally and in writing, in

handling the initial processing and follow-up of claims or in

responding to inquiries from insured, providers, agents, and attorneys

regarding claim status and policy provisions.

U.S. Army, Ft. Campbell, KY

01/1994 -04/1996

Supply Specialist. Performed clerical and technical assignments.

Established and maintained hand receipt files encompassing the control

and accountability in support of DBOS Real Property Maintenance

Activity (RPMA) property (i.e., vehicles, buildings, utilities and

administrative). Maintained contact, telephonically and in person,

with hand receipt holders and supply personnel to ensure compliance

with governing regulations, Common Table of Allowances (CTA) and TDA.

Performed operator maintenance and completed pertinent forms in

accordance with established rules and regulations. Established hand

receipt files to record and control accountability of property.

Participated in cyclic and annual physical inventories conducted by

hand receipt holders and property book section. Reconciled routine

discrepancies according to established procedures. Typed a variety of

correspondence, reports, forms and charts containing narrative,

tabular and statistical data into final form.

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