Keila Nicole
@keilanicole
Enrollment Specialist optimizing healthcare processes through data management.
What I'm looking for
As an Enrollment Specialist, I have a strong track record in optimizing healthcare enrollment processes through meticulous data management and documentation review. My proficiency in conflict management and customer service has allowed me to enhance operational efficiency while delivering unparalleled support. I am committed to applying my analytical skills and innovative solutions to future challenges.
In my recent role at Humana, I streamlined enrollment processes by managing customer data and validating plan documentation, ensuring accurate effective dates for healthcare coverage. My experience at Aetna further honed my customer service skills, where I resolved inquiries professionally and improved customer satisfaction through tailored advice and proactive service strategies. I thrive in environments where I can leverage my skills to enhance client experiences and operational workflows.
Experience
Work history, roles, and key accomplishments
Benefit Verification
Caremetx
Dec 2024 - Present (7 months)
Verified benefits and resolved over 100 queries monthly, enhancing client satisfaction and ensuring compliance. Collaborated with healthcare providers to streamline benefit verification workflows, reducing processing time and enhancing patient care coordination.
Processor
NTT Data
May 2024 - Present (1 year 2 months)
Streamlined payment processing workflows by coordinating suspense account reconciliations and implementing efficient fund distribution procedures. Optimized banking information updates and payment system maintenance while maintaining data accuracy and reducing processing delays.
Enrollment Specialist
Humana
Sep 2023 - Present (1 year 10 months)
Streamlined enrollment processes by managing customer data, validating plan documentation, and ensuring accurate effective dates for healthcare coverage. Optimized member enrollment workflow through meticulous data entry, application review, and systematic plan termination procedures.
Customer Service Representative
Aetna, a CVS Health Company
Jul 2021 - Present (4 years)
Resolved customer inquiries with professionalism, enhancing satisfaction and loyalty. Streamlined customer communication channels and implemented proactive service strategies to enhance client satisfaction and resolve complex inquiries efficiently.
Ops Admin
Towers Watson
Aug 2015 - Present (9 years 11 months)
Assisted customers in setting appointments for Healthcare/Medicare and made outbound calls to customers. Established positive and effective communication among unit staff and organization leadership, reducing miscommunications and missed deadlines.
Education
Degrees, certifications, and relevant coursework
Everest College
Associate of Applied Science, Criminal Justice
Grade: Honors
Graduated with honors from the Criminal Justice program. Studied various aspects of the criminal justice system.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Interested in hiring Keila?
You can contact Keila and 90k+ other talented remote workers on Himalayas.
Message KeilaFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
