
Motivated bilingual professional fluent in Spanish and English, demonstrating a strong commitment to overcoming challenges. Highly adaptable with a track record of quickly acquiring new skills and working independently. Strong interpersonal abilities facilitate effective teamwork and client relations.
• Handled high-volume inbound calls providing information about plan benefits, providers, prescriptions, and eligibility.
• Resolved member concerns and service issues while delivering high-quality customer service.
• Assisted Devoted Health members with inquiries regarding Medicare Advantage plan benefits, coverage, claims, and healthcare services during the Open Enrollment Period (OEP).
• Documented member interactions and updated account information in CRM systems.
• Ensured compliance with HIPAA and Medicare regulations when handling sensitive health information.
• Managed inbound and outbound communications with prospective Medicare members via phone and SMS regarding Devoted Health plans.
• Provided clear information about plan benefits, eligibility, and coverage options to support informed decision-making.
• Performed enrollment handoffs by transferring qualified prospects to licensed agents to complete Medicare Advantage enrollments.
• Maintained accurate documentation of prospect interactions in CRM systems while adhering to Medicare compliance guidelines.