Andreania Carson
Enrollment Representative 2
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About
Remote healthcare enrollment and administrative professional with strong experience in non phone member support, eligibility determination, and benefits verification. Extensive knowledge of Medicare, Medicaid MAGI, SNAP, and public assistance programs. Proven ability to process high-volume enrollment, renewals, and redeterminations while maintaining HIPPA and CMS compliance. Skilled in multi-system navigation, medical data entry, and written communication.
Experience
Enrollment Representative 2 - Humana - Remote
(2025-09)
- Reviews reports and makes adjustments, additions, and deletions based on enrollment rules.
- Manages a daily inventory.
- Reports inventory daily.
- Decisions are typically focus on interpretation of area/department policy and method for completing assignments.
- Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
- Follows standard policies/practices that allow for some opprtunity for interpretation/deviation and/ or independent discretion.
Program Care Coordinator - Pyramid Consulting - Remote
(2024-05 - 2025-08)
- Coordinated patient care plans to ensure timely and effective service delivery.
- Facilitated communication between healthcare providers, patients, and families to enhance understanding of treatment options.
- Organized and maintained comprehensive patient records using electronic health record (EHR) systems.
- Maintained accurate and up-to-date documentation of patient records in accordance with HIPAA regulations.
- Educated patients on self-care strategies, promoting independence and empowering them to manage their health conditions.
Family Support Specialist - Commonwealth of Kentucky - Remote
(2024-01 - 2024-05)
- Assisted families in accessing community resources and support services.
- Collaborated with multi-disciplinary teams to develop individualized care plans.
- Processed SNAP, CCAP, and MAGI Medicaid applications
- Determined eligibly and completed renewals and redeterminations.
- Maintained accurate electronic case documentation.
Business Analyst - TEKsystems - Remote
(2023-03 - 2023-12)
- Conducted data analysis using Excel and SQL to inform strategic decision-making processes.
- Performed medical and insurance data entry
- Prepared administrative and compliance report
Education
High School Diploma - Valley Traditional High School (2013-06)
