At Florida Blue - Blue Cross Blue Shield of Florida, I excel as a Medicare Enrollment Specialist, enhancing data integrity and streamlining enrollment processes by leveraging my expertise in Medicare knowledge and effective communication. My efforts in developing training materials and fostering provider relationships significantly boosted efficiency, demonstrating a strong blend of organizational skills and customer service acumen. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medicare Enrollment Specialist
Florida Blue - Blue Cross Blue Shield Of Florida
05.2009 - Current
Ensured timely completion of daily tasks by setting priorities based on urgency levels.
Improved data integrity within the system through diligent verification of applicant information, reducing errors and discrepancies.
Established strong relationships with healthcare providers, facilitating seamless coordination during the enrollment process.
Developed comprehensive training materials to educate new hires on proper procedures for handling Medicare enrollments efficiently and accurately.
Maintained strict confidentiality of member information, adhering to HIPAA guidelines and company privacy policies.
Participated in ongoing education and training sessions to remain updated on changes in Medicare regulations and policies.
Provided exceptional customer service during application submission, addressing any concerns or issues promptly and professionally.
Supported team members in achieving departmental goals by sharing knowledge and expertise on best practices for Medicare enrollment processes.
Identified potential areas for improvement in the enrollment process, implementing changes that increased overall efficiency.
Education
GED -
NORTH FLORIDA TECHNICAL COLLEGE
Starke, FL
2003
Skills
Organization
Medicare knowledge
Performance Tracking
Effective communication skills
Telephone Etiquette
Documentation
Enrollment processing
Eligibility Determination
Certification
Excel Training - 10 + years
CES - Certified Enrollment Specialist
Certified Medicare Enrollment Specialist, Florida Blue Medicare - 14 + years
Customer Service Representative at Florida Blue - Blue Cross Blue Shield Of FloridaCustomer Service Representative at Florida Blue - Blue Cross Blue Shield Of Florida
Medicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of FloridaMedicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of Florida
Business Systems Analyst at Florida Blue - Blue Cross Blue Shield Of FloridaBusiness Systems Analyst at Florida Blue - Blue Cross Blue Shield Of Florida