Nani Renee Buckner

Louisville, KY

ad3a4r@r.postjobfree.com 502-***-****

Highly capable and teachable team member with over ten years' experience in contract loading, data analysis, and customer service. Seeking to bring my skills and technical knowledge to a new team that's driven and allows opportunity for growth within the company.

Skills and Strengths

●Leader

●Confident

●Multitasking

●Goal Oriented

●Adaptable

●Troubleshooting

●Collaboration

●Communication

●Achiever

●Strong Work Ethic

●Motivated

●Research

●Data Analysis

●Microsoft Platforms

Professional

Chewy

July 2023-Current

Pharmacy Technician

●Customer Service

●Prepare and Communicate issue and resolution

●Place pharmacy order and track shipping

Faith Express Dispatching LLC

Independent Dispatcher

VD Coating Painting and Unlimited LLC

October 2022-July 2023

●HR Administrator

●Office Administrator/Payroll

●Seasonal

Humana -

February 2015 - October 2022

Business Intelligence Engineer I

●Research, review, and correct provider information within Humana’s systems that support contract load, claims payments, and provider directory

●Identify and report inconsistencies relative to the provider contract load process to ensure accuracy

●Analyze errors to determine their root cause and develop solutions to meet business objectives in a timely fashion

●Prepare and communicate issues and resolutions to supervisors and operational units

●Correct data discrepancies to ensure that the PCP and member assignment is successful upon enrollment

●Query appropriate data from relevant data sources

●Proficiency with APEX, IPAR, Excel and OBR databases

●Create PIDKEYS, Office Masters, PIMS, CAS and MTV records

Humana -

January 2013 – February 2015

Customer Care Specialist – Group Medicare Service Operations

●Educate and troubleshoot for members, providers, and employers regarding insurance-related health care issues

●Claims assistance, education, researching, and follow up

●Request detailed resolution of errors related to provider demographics, claim payments, enrollment, pharmacy issues, and medical coding issues

●Utilized various systems at one time, including, but not limited to, CCP2, CI,

●CAS/HODMOD4, PBS, GCP, Apex, SharePoint

● Physician Finder Plus, PMDM, Softphone, Microsoft Platforms

●Proactively identified and resolved member and provider issues while maintaining daily metric requirements

Humana-

August 2012 - January 2013

Medicare Enrollment Specialist

●Resolved issues, inquiries, and concerns from members

●Outbound calls to members to complete the application process and communicate status of enrollment

●Attention to detail to ensure accuracy

●Sent correspondence request to members regarding critical missing information

Casino Aztar

May 2001-June 2004

Cage Banker

●Audits and control of cash, chips, and tokens

●Customer Service

●Cashed out winnings

●Controlled and approved markers advances

Education

Ottawa University

University of Southern Indiana

Kaplan Financial

EDx IBM Online Bootcamp SQL Course

License and Certifications

2013-2016 - Health Insurance Agent

State of Kentucky

MPN ID-16984456

2014 - Marketing Medicare Advantage and Part D (AHIP certification)

2015 - Medicare + Fraud, Waste and Abuse Training

2017 - Ministerial License

2020 - Inclusive Leadership Certificate

Volunteer

The Exquisite Black Women Foundation

Board Member - Kentucky Association of Professional African American Women

Administrator- Girls Who Lead Mentor Group

IMPACT Resource Group

Humana’s Women Network Resource Group

Community Outreach

Contact this candidate