Nutrition Services Worker with Food Prep Experience
Resume:
Keshavia Hickman
Orlando, FL *****
*.***********@*****.***
Professional Summary
To obtain an employment opportunity with a growing company that will allow me to use my skills and professional experiences to reach the company's goals as well as my professional development. Authorized to work in the US for any employer
Work Experience
Nutrition Services
Advent Health-Orlando, FL
February 2025 to Present
Food Preparation
Prepares/assembles hot/cold food (salads, sandwiches, desserts) and nourishments for trayline, patients, and retail areas of responsibility. Follows recipes/instructions to ensure product accuracy, correct portions, and appropriate garnishes.
Trayline/Retail
May work all positions on the trayline or retail areas. May assemble trays per therapeutic diet guidelines, the direction of the CBORD application, and the established presentation standards; may set up and display items in retail areas according to established standards. Safety & Sanitation
Ensures that work area, storeroom, and walk-in/freezer are clean, neat, and reflects FIFO method of product rotation. Monitors and records assigned refrigerator, freezer, and food temps daily. Wears appropriate hair covering in production/prep areas and maintains hand hygiene standards. Attends mandatory education and in-services. Completes required logs and documentation. Accepts the direction of leadership. Meets established department standards and expectations for service and productivity. Follows AH and NS policies and standard operating procedures. Conforms to image standards and approved uniform, including AH ID badge. Pulls inventory sufficient, but not in excess, to produce to par, census, or forecast. Monitors expiration to ensure inventory, stock, and product are not lost or wasted. Handles inventory and product to avoid temperature abuse, contamination, or accident that results in loss. Maintains, cleans, and uses equipment per specifications to promote longevity and function. Takes action to reduce waste. Addresses poor quality from distributors with NS area leader.
May deliver patient meal trays to meet time standard for delivery of meals; may prepare and set up food items for retail service. Exhibits professional behavior and outstanding customer service skills. May prepare and deliver bulk nourishment orders to nursing units. May perform duties in the dishroom, including operating the dishmachine and cart washing equipment. Must demonstrate proper use of all chemicals. Breaks down and discards boxes appropriately. Requests work orders for equipment or environment that requires repair. Patient Financial Representative/ Verification of Benefits Center for Digestive Health-Orlando, FL
January 2025 to Present
• Contacts insurance companies to verify insurance benefits.
• Initiates Pre-authorization, PCP referral and Letter of Agreement requests for new and ongoing services with insurance companies and performs follow up activities for an outcome.
• Files Appeals for denied coverage to insurance companies as needed.
• Maintains customer records in practice management system related to benefit coverage, coordination of benefits, authorizations, denials, appeals, outcomes and communication with insurance company.
• Coordinates and communicates with other departments as needed to obtain necessary information to complete benefit verification, authorization, appeals and outcomes for services of care.
• Provides customers with information that includes but is not limited to: updates on status of authorizations, developing & communicating patient financial responsibility estimates, and collecting co- pays, if applicable.
• Applies knowledge of company procedures, contracted and non-contracted guidelines to process cases accordingly and to respond to incoming correspondence and documentation as well as updating customer records according to outcomes.
Benefits Coordinator
CVS Pharmacy
January 2019 to January 2025
• Ensure cases move through the process as required in compliance with company requirements and the organization's defined standards and procedures; in a manner that provides the best level of service and quality
• Conduct benefit investigations for patients by making outbound phone call to payers to verify patient insurance benefit information, navigate complex reimbursement barriers and seek resources to overcome the barriers
• Verify patient specific benefits and document specifics including coverage, cost share and access/ provider options
• Identify any coverage restrictions and details on how to expedite patient access and document and initiate prior authorization process and claims appeals Server/Bartender
The Cheesecake Factory
September 2022 to September 2024
• Excellent communication, hospitality, interpersonal and math skills
• Skilled at reading the table and can anticipate my guests’ needs
• Team player: you’re always willing to give and ask for help
• Able to lift up to 35 pounds, and continuously bend, reach and twist: I’m constantly on the move! Customer Service Representative/Floor Support
Envolve Pharmacy Solutions
September 2016 to January 2019
• Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process
• Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines
• Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns
• Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team.
Member Service Representative
Sunshine Health Plan
September 2015 to September 2016
• Inbound service calls from members and/or providers with questions related to, but not limited to, health benefits, eligibility status/issues, and claims inquiries, requests for member materials, primary care physician changes, prescription coverage, prescription benefits, and ID cards.
• Provide objective information pertaining to coverage, annual notice of change, pharmacy/network coverage, and drug formularies.
• Ensures proactive customer service with the highest degree of courtesy and telephone etiquette
• Performs other duties and tasks as assigned
Education
Upper secondary education
HS DIPLOMA
JONES HIGH SCHOOL
Skills
• Athenahealth
• Computer skills
• Good time management skills. (10+ years)
• Medical office experience
• Clinic experience
• Clerical experience
• Insurance Verification (10+ years)
• Patient interaction
• Medical terminology
• POS systems
• Customer service
• Medical administrative support
• MS Word skills. (10+ years)
• ICD-10
• Communication skills
• Driving
• Front desk
• HIPAA (10+ years)
• Office experience
• Outstanding computer and internet skills. (10+ years)
• Cash handling
• Insurance claim appeals processing
• Patient monitoring
• Patient care
• Food industry
• Time management
• Medical billing specialist experience
• Microsoft Excel
• Medical collection
• Attention to detail
• Medical referrals
• Computer operation
• Sales
• Cardiology
• Capable of producing top quality work. (10+ years)
• Medical records
• Management
• Medical receptionist
• Administrative experience
• Health insurance authorizations
• ICD-9
• Electronic health records (EHR) management
• Writing skills
• Microsoft Outlook
• Medical scheduling
• Food handling
• Organizational skills
• Delivery driver experience
• Leadership
• Cash register
• Medical billing
• English
• Communicate effectively orally and written. (10+ years)
• Computer networking
• Exceptional interpersonal skills. (10+ years)
Languages
• English
Certifications and Licenses
Certified Coding Specialist
Driver's License
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