Kevin Byerley Resume for Provider Payment Integrity Consultant Role
1. Kevin Byerley
113 Trinity Drive* Mount Washington, KY 40047 * (812) 989-3708 * kabyerley@gmail.com
CAREER OBJECTIVE
Pursue career opportunities that align my strengths and aspirations to an organization’s goals and values
that will not only make the company become stronger, but to achieve my own lifelong goals.
SKILLS
Excellent interpersonal skills; problem solver; self-starter; energetic; responsible; collaborative; quick-
learner; proficient in software programs such as Microsoft Word, Excel, Access and Powerpoint.
WORK EXPERIENCE
Provider Payment Integrity/Resolver Consultant, Humana, Louisville, KY, January 2015-Current
♦ Overseeing analysts in efforts to assist Hospital Systems on billing issues
♦ Travel to Hospital Systems to speak on the behalf of overpayments
♦ Negotiating overpayment settlements between Humana Inc. and Large medical systems
♦ Travel and training within Humana Inc. for career development
♦ Presentations for upper management on current projects, projections for the future, and
training course work
♦ Developer of tracking to ensure quality assurance is being performed within the department
♦ Using new ideas to save the company money in a long and short term effort
Provider Payment/Pit Crew Front Line Leader, Humana, Louisville, KY, June 2013-January 2015
♦ First front line leader to be over the Pit Crew (Provider information team)
♦ Able to negotiate amount of audits being performed on escalated facilities
♦ Travel to speak on behalf of clinical with our Market and providers
♦ Leading a team of 5 persons while changing and implementing new processes
♦ Using Access and Excel skills with assistance on developing databases to improve processes
♦ With new processes put in place was capable of cutting down non-escalated work on my team
from over 200 e-mails per week to below 100
Provider Payment/Pit Crew Analyst, Humana, Louisville, KY, June 2012-June 2013
♦ Assist providers with issues with payments and processing issues
♦ Taking on projects such as customer service training
♦ Training of associates within the department to ensure the same quality of work is being done
by everyone.
♦ Fluent in operating systems including CAS, MTV, CCPS, and CAS
♦ Work critical issues for Management
Financial Recovery Customer Care Specialist, Humana, Louisville, KY, November 2010-
June 2012
♦ Assist providers and members with issues about their claims
♦ Assist management with immediate issues
♦ Project a professional first impression both via phone and in person
♦ Serve as a mentor to Jordan Larimore
2. ♦ Work HGSL issues for management (special project given to those who could show their job
skills within the department)
♦ Fluent in operating systems including CAS, MTV, CCP2 and CIS
Shift Supervisor, Rite Aid Corporation, Louisville, KY, March 2009-November 2010
♦ Served as the onsite leader for team members
♦ Addressed and resolved customer concerns
♦ Consulted one-on-one with employees regarding performance issues
♦ Assisted with transactions as needed
♦ Oversaw areas such as, but not limited to, processing daily sales reports, completing vendor
purchasing orders and developing store layout for maximum efficiency
EDUCATION
Sullivan University, Louisville, KY, Bachelors Degree in Business Management with Human Resources
emphasis, Graduated September 2011
Ivy Tech Community College, Sellersburg, IN, seeking an Associates Degree in Business Management,
August 2004 – 2006, completed courses towards degree
Indiana University Southeast, August 2001 – May 2004, completed courses towards degree
COMMUNITY ACTIVITIES
♦ Active Member, Knights of Columbus, 2007 – present
♦ Annual Volunteer, St. Francis Catholic Church Picnic, 1994 – present
♦ Active Member, St. Francis Catholic Church
♦ Volunteer, Red Cross Children’s Picnic, 2008
References Available Upon Request