
Proven leader and skilled communicator, adept in quality and time management, significantly enhanced customer satisfaction at Molina Healthcare. Excelled in CMS rules and Medicare services, achieving targets through effective coaching and quality evaluations. Expert in medical claims processing, showcasing a blend of hard and soft skills to drive results and improve productivity.
Assisted borrowers with information on student loans, programs and assistance.
Inbound support for any questions.
Assisted with making sure that the Department of Education rules and guidelines are being followed.
Inbound member service support.
Did a pilot for repeat callers which were accounts that had been having multiple issues.
Did tier 2 support to assist tier one agents with processes and policies.
Service navigator: Outbound support for member with multiple issues, authorizations, hospitalizations.
Navigate4me: Assisted member with setting up and completely preventative care opportunities to align with CMS guidelines.