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Assurance Coordinator Operations Representative

Location:
Louisville, KY
Posted:
October 11, 2021

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Resume:

Wendy Campbell

**** ****** ** ********** *************

Phone: 502-***-**** • Email: adoz6s@r.postjobfree.com

Exceptional Business Development • Outstanding Project Management • Efficient Organizational Skills • Effective Problem Solving

Proven Effective and Dedicated Manager and Leader • Self Motivated and Goal Driven to Maximize Productivity and Results

Professional in Service and Appearance • Effective Oral & Written Communication at All Levels and With Diverse Groups

Courteous and Personable for Relationship Cultivation and Increased Sales

EMPLOYMENT EXPERIENCE

Humana Health Insurance Company August 2019 – Present

Consumer Service Operations Representative 3 On-Demand Team

Individual Medicare Enrollment processing, inbound and outbound member support, MARX verification

Individual Medicare Benefits member support, inbound and outbound calls, eligibility, and verification

Individual Medicare Disenrollment/Cancellation processing, inbound and outbound member support, MARX verification

Group Medicare Enrollment processing

Maintaining Production, Performance and Quality Expectations

Re:Member Church Directories October 2017 – July 2019

Photographer/Sales Consultant/Trainer

Travel throughout a nine-state region photographing on location and selling the finished portraits

Consistently in top 3 for company sales as a result of achieving increasing levels of sales and revenue by 30-40% per year

Coordinate scheduling and provide quality control with exemplary customer service to ensure maximum sales and productivity

Manage and supervise logistics, staffing, scheduling and for on-site operations

Train photographers and sales consultants in nine-state territory

Generate maximum repeat business as a result of extreme client satisfaction

Responsible for the effective operation and maintenance of all equipment

Land of Sky Regional Council July 2015 – July 2017

NEMT Specialist

Provide non-emergency Medicaid transportation customer service/public assistance to Buncombe County

Responsible for providing the best possible image of the agency to patients and the public

Screen customers at the agency front desk or in phone calls to the call center, for information, gather data, explain services and programs, interpret regulations and policies, explain appeal rights and make appropriate referrals

Organize client files and respond to questions submitted to caseworkers

Understand substantially complex subject matter and be responsible for evaluating, interpreting and explaining agency Medicaid transportation services, policies and procedural regulations

Manage and respond to a variety of problems/situations and independently determine appropriate course of action

Marjorie McCune Community for Assisted and Independent Living January 2014 – May 2015

Quality Assurance Coordinator and Director of Transportation

Provided quality control for a 64-bed assisted living facility

Achieved a four-star rating for the facility each year

Developed and implemented policies and procedures in accordance with state regulations

Initiated staff training that led to increased retention of staff

Scheduled residents’ medical appointments and coordinated transport of residents for contracted Medicaid

Wendy Campbell

Phone: 502-***-**** • Email: adoz6s@r.postjobfree.com

SleepHealth April 2011 – January 2014

Lead Registered Polysomnographic Technologist

Performed and scored all types of sleep studies

Managed quality control, in accordance with AASM accreditation policy and procedures

Prepared for and achieved successful AASM accreditation

Marjorie McCune Community for Assisted and Independent Living March 2010 – May 2011

Quality Assurance Coordinator

Provided quality control for a 64-bed assisted living facility

Achieved a four-star rating for the facility each year

Developed and implemented policies and procedures in accordance with state regulations

Initiated staff training that led to increased retention of staff

Professional Sleep Management, LLC January 2007 – June 2009

Director

Provide management and staffing of Sleep Centers from new start-ups through AASM accreditation

Responsible for physician and staff recruitment, patient education, CPAP clinics, staff development, quality control, budget management, equipment selection and marketing

AirCare Medical Equipment, LLC February 2004 – November 2009

Manager

Managed two accredited locations in Western North Carolina and was active in all phases of company including but not limited to sales and business development

Supervised staff, including but not limited to interviewing, hiring and training

Reviewed staff, policies and procedures to ensure company and staff’s continued compliance with industry standards

Led in-services for local medical professional’s offices, assisted living facilities and retirement communities

Developed and led CPAP/BIPAP clinics for patient education

SleepWorks February 2001 – February 2004

Area Manager

Management of seven Joint Commission Accredited labs in Eastern North Carolina

Established and implemented new labs

Responsible for physician and staff recruitment, patient education and CPAP clinics, DME, staff training and development, quality control and budget management

Doubled the number of labs and studies performed for the area

Registered Polysomnographic Technologist Record reviewing and scoring of polysomnograms

Managed an independent lab site and CPAP titration

EDUCATION

University of South Carolina – Business Administration

Greenville Technical College – Diploma of Certified Respiratory Technician and Associates Degree in Accelerated Nontraditional Registered Respiratory Therapist Program

Honors: President’s List; Region 6 Respiratory Academic Scholarship

Pima Community College – Health Information Technology-AAS

Computer skills include Microsoft Office, Electronic Medical Records, Medical Billing Coding and Computer System Networking



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