Kendra Henderson
Zebulon,NC
Summary
Accomplished LPN Charge Nurse and Claims Specialist with a proven track record at United Healthcare, demonstrating exceptional leadership and critical thinking skills. Excelled in managing patient care and streamlining claims processes, enhancing efficiency by over 30%. Expert in teamwork and adaptability, significantly improving patient and client satisfaction.
Overview
25
25
years of professional experience
Work History
LPN Charge Nurse
Springmoor Stewart Health Center
Raleigh, NC
10.2018 - Current
- Deliver direct quality care to patients by evaluating medical conditions and managing and assessing treatments.
- Update patient medical records with services provided, health conditions, and response to treatments using Epic, and Matrix
- Assess patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Assemble and used equipment such as catheters, tracheotomy tubes, or oxygen suppliers to effectively manage patient care.
- Document vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity.
- Promote patient independence by teaching self-care skills and explaining conditions and medications.
- Achieved successful unit leadership by providing quality nursing care to 12 to 17 patients per day in 150-bed unit.
- Analyze patient assessments and laboratory data to bring any issues to attention of physicians.
Claims Adjustment Specialist
United Healthcare
Telecommuter
09.2011 - Current
- Review and complete adjustments for overpayments and underpayments of previously processed claims of dedicated and undedicated policies
- Adjust medical claims according to specified procedures and standards meeting all production and quality standards
- Prioritized work to meet deadlines
Claims Specialist Subject Matter Expert
United Healthcare
Telecommuter
06.2004 - 09.2011
- Followed up with coworkers on unresolved issues and determination of benefits on claims
- Reviewed guidelines and benefit determinations and claims documents to verify required information and secure any missing data for claim payment
- Evaluated and processed complex claims in strict timeframes.
- Obtain medical records to submit for determination by MCR and take appropriate steps based on decision to request additional information, uphold, deny or overturn services
- Worked with claims adjusters to expedite processing of claims in alignment with procedures.
- Worked with other SMEs and business segments to improve policies and procedures, templates, documents, and communication processes to help improve quality and processing procedures.
Medical Claims Representative
United Healthcare
Greensboro, NC
04.2001 - 06.2004
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Used administrative guidelines as resource or to answer questions when processing medical claims.
- Paid or denied medical claims based upon established claims processing criteria.
- Managed large volume of medical claims on daily basis.
Customer Service Associate
United Healthcare
Greensboro, NC
12.1999 - 04.2001
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Actively listened to customers, handled concerns quickly and escalated major issues to other departments
- Handled billing and payment issues by following guidelines and resolving disputes.
- Investigated and resolved customer and provider inquiries and complaints quickly by being able to reprocess claims while on the call.
Education
High School Diploma -
Jordan Matthews High School
Siler City, NC05.1990
Associate of Applied Science - Nursing
Davidson-Davie Community College
Thomasville, NC05-2024
Diploma Licensed Practical Nursing
Durham Technical Community College
Durham, NC04-2018
Skills
- Leadership and Management skills
- Strong Communication skills
- Problem solving
- Adaptability
- Critical thinking
- Teamwork
- Research skills
- Flexibility
Timeline
LPN Charge Nurse
Springmoor Stewart Health Center
10.2018 - Current
Claims Adjustment Specialist
United Healthcare
09.2011 - Current
Claims Specialist Subject Matter Expert
United Healthcare
06.2004 - 09.2011
Medical Claims Representative
United Healthcare
04.2001 - 06.2004
Customer Service Associate
United Healthcare
12.1999 - 04.2001
High School Diploma -
Jordan Matthews High School
Associate of Applied Science - Nursing
Davidson-Davie Community College
Diploma Licensed Practical Nursing
Durham Technical Community College