Rachel Hamm

RACHEL HAMM SUMMARY Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance. EXPERIENCE Department Director, 03/2017 - 08/2022 Trilogy Health Services - Lexington , KY • Duties included labor hour management, scheduling, hiring, recruiting, training, and budgeting • Conducted performance reviews for staff members and provided feedback for improvement. • Resolved any conflicts between team members or with other departments. CONTACT Address: Lexington, KY 40511 Phone:- Email:- SKILLS • Complex Problem Solving • Organized training sessions to educate staff on new policies or procedures. • Onboarding • Participated in meetings with senior management to discuss progress and challenges faced by the department. • Detail Oriented • Managed recruitment efforts for new positions within the department. • Accounts Receivable • Developed and managed budgets for the department, while ensuring cost-effectiveness. • Conflict Resolution Medicare Member Services Advocate, 05/2023 - Current • Staff Development Florida Blue - Remote • Cost Control • Performed data entry tasks to update customer profiles in accordance with company policies. • Scheduling and Coordinating • Assisted in resolving customer inquiries and complaints regarding insurance claims processing. • Recruitment and Hiring • Maintained accurate records of all processed claims using database management software. • Participated in training sessions designed to keep abreast of changes in government regulations pertaining to health care benefits. • Reviewed eligibility for medical insurance coverage and other benefit plans. Medicaid Specialist Provider Services, 12/2022 - 05/2023 Sutherland - Remote, IN • Interpersonal Skills • Employee Retention • Active Listening • Human Resources Management • Determined accuracy of claim denials, claim appeals, authorizations, billing, recoupment, benefits, CPT/HCPC Codes, and adhering to CMS guidelines and HIPPA. • Monitored client compliance with program rules and regulations through regular contact via telephone or mail. • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction. EDUCATION AND TRAINING Bachelor of Science, Human Resources Management, Expected in 03/2024 Southern New Hampshire University Associate of Business Administration, Business Administration and Management, 01/2015 Ashland Community Technical College - Ashland, KY ACCOMPLISHMENTS • Member of The National Society of Leadership and Success • Communications Certification • Social Behavioral Sciences Certification • Quantitative Reasoning Certification • GPTW Survey 2022: 99% rating by employees • GPTW Survey 2021: 96% rating by employees SYSTEMS • Oracle • Talent Match • Microsoft Office (Word, Publisher, OneNote, Powerpoint, Excel) • QuickBooks • Smartlinx • Citrix • VMWare • MatrixCare • Slack • Facets and Diamond