K M Kimberly
McCullough Daugherty
San Antonio, TX 782**-***-*** 1608
********************@*****.***
PROFESSIONAL
SUMMARY
Dedicated and experienced professional with a strong background in administrative support, customer service, healthcare operations, and call-center environments. Known for delivering excellent service, maintaining accuracy in high-volume settings, and supporting organizational goals with professionalism and attention to detail.
SKILLS Excellent and professional
customer service
• Strong organizational skills; detail-
oriented team player
•
Conflict resolution aligned with
company goals
• Medical office operations, insurance
processes, HIPAA compliance
•
Medical terminology, HCPCS
coding, CMS Medicare
paperwork
• • Microsoft Office & Office 365
Multi-line phone systems and
Cisco soft phones
• • Medical billing & coding
• Data entry & 10-key Administrative and clerical
experience
•
• Insurance verification • Health literacy
• Ethics and confidentiality
WORK HISTORY HEALTHCARE ADVOCATE/ PRIOR AUTHORIZATION 12/2025 to 01/2026 REPRESENTATIVE
Lancesoft Corp / CVS Aetna Louisville, KY
Provided member support regarding healthcare needs and insurance processes.
•
• Assisted with administrative and customer service functions. Handled inbound and outbound calls regarding medical and prescription drug coverage.
•
• Processed prescription prior authorizations via fax and electronic systems. Met call-handling and fax-processing metrics in a fast-paced, 100% remote environment.
•
CUSTOMER SERVICE REPRESENTATIVE 05/2024 to 08/2024 Experis US LLC / Manpower Louisville, KY
• Supported ADP clients with payroll, insurance, and benefits inquiries.
• Enrolled clients in company insurance using internal software.
• Maintained accurate client files and documentation. CUSTOMER SERVICE REPRESENTATIVE 05/2023 to 07/2023 Afni Corporation Bowling Green, KY
• Managed inbound Verizon Wireless customer calls.
• Troubleshot device issues and added service features. Assisted with billing questions and account updates in a call-center environment.
•
TRANSPORTATION SPECIALIST 08/2021 to 08/2022
Tennessee Carriers / KGB Conduit Global Memphis, TN Scheduled transportation for members traveling to physicians, specialists, and hospitals.
•
• Coordinated with EMS dispatch for member transport needs.
• Worked in a 100% remote call-center environment. MAINTENANCE SPECIALIST 07/2016 to 10/2018
Maximus Corporation Franklin, TN
• Maintained new-hire database for the Tennessee Child Support Division.
• Provided customer service support to employers.
• Performed high-volume data entry and administrative tasks. OFFICE MANAGER / LOAN AGENT 04/2013 to 07/2016
Personal Loan and Investments Murfreesboro, TN
• Processed loan applications in compliance with Tennessee guidelines.
• Managed phones, filing, and general office operations.
• Balanced cash drawers and safe; handled accounts payable. PERSONAL CAREGIVER 04/2013 to 09/2014
Choices – TennCare Program / Private Client Murfreesboro, TN
• Provided personal care services in compliance with HIPAA guidelines.
• Assisted with meal preparation, cleaning, and medical appointments.
• Managed client documentation with confidentiality and accuracy. CUSTOMER ACCOUNT EXECUTIVE 05/2002 to 08/2006
Comcast Cable Nashville, TN
• Assisted customers with service issues, billing, and account updates.
• Scheduled installation appointments and coordinated with field technicians. Maintained strong call-center performance metrics and customer satisfaction.
•
OPERATIONS SPECIALIST 06/1998 to 10/2001
Comdata Corporation Brentwood, TN
Supported transportation companies with Comchek and accounts-payable services.
•
• Assisted drivers with payroll issues, tolls, and emergency needs.
• Maintained excellent call-center statistics and customer service quality. CUSTOMER SERVICE REPRESENTATIVE 06/1994 to 06/1998 Walmart Stores Nashville, TN
• Processed tax payments, store invoices, and customer returns.
• Handled cash balancing and customer inquiries.
• Supported store operations and employee shift coordination. EDUCATION Allied Health Medical Billing & Coding Pinnacle Career Institute, Kansas City, MO
General Studies 01/1998
Nashville State Technical College, Nashville, TN
High School Diploma 01/1991
Cohn Adult High School, Nashville, TN
Associate of Applied Science Health Care EXPECTED IN 11/2027 Administration
South University Savannah, GA
CERTIFICATIONS CPR / First Aid