Summary
Overview
Work History
Education
Skills
References
References
Timeline
Generic

Augustine Richard

Tampa,FL

Summary

Driven by experience in Medicare and CMS operations. However, not limited to client servicing. I have a track record in optimizing workflows and enhancing team performance through effective training and leadership. Whether in a leadership or team member position, I am determined to assist all that I can to bring positivity, support, a willingness to teach, learn, and apply to the workplace daily.

Overview

8
8
years of professional experience

Work History

Enrollment Team Lead

Health Axis
Tampa, FL
07.2022 - Current
  • Servicing multiple clients, lines of business, and respective agents.
  • Ensuring the timely submission of accretions to CMS and letters to the member.
  • Review and completion of monthly status discrepancies.
  • Reviewing and updating monthly capitation reporting.
  • Oversight of the returned mail and fax process.
  • Ensuring clients are given prompt, informative responses daily.
  • Overseeing and assisting with enrollment applications for various plans, RFI, verifying eligibility, automation processes, Zendesk tickets, monthly EDVs (RAC and E&D), and many other projects. many other projects.
  • Monitoring team meeting compliance standards, and monthly JOC reports.
  • Downloading, completing, and sending enrollment data validations monthly.
  • Reviewing team production daily, and assisting with Quality Assurance.
  • Ensuring the team is provided with materials, one-on-one calls, as well as meetings needed for training and additional growth.
  • Interviewing permanent and seasonal new hires.
  • Administered and created training and awareness presentations, materials, and revised policies and procedures.
  • Monitoring reports to advise the team and pulling reports in place of business analysts as needed.
  • Leading daily scrum meetings with the department.

Enrollment Specialist

Health Axis
Tampa, FL
09.2021 - 06.2022
  • Assisting with outbound calls to CMS regarding stuck accretions, memos and other incidents.
  • Meeting with the team and clients in preparation for AEP season increased volume.
  • Assisting with QA of enrollment operations.

Cashier

Winn Dixie
Tampa, FL
07.2019 - 02.2021
  • Provided efficient and courteous service to customers
  • Delivered service excellence through all points of contact.
  • Leveraged POS system to perform purchase transactions for team members and customers

Crew Member

Taco Bell
Tampa, FL
08.2017 - 11.2018
  • Worked closely in a team-driven environment to ensure customer satisfaction.
  • Addressed customer complaints by remaking dishes, and administering refunds.
  • Trained new employees regarding company policies and food preparation procedures.

Education

GED -

Living Free Center
Tampa, FL
07.2020

Skills

  • Proficiency in MS tools such as Excel, Word, Outlook and PowerPoint
  • Department management and leadership
  • Onboarding, orientation, and training experience
  • Quality Control
  • Performance monitoring
  • Medicare, Medicaid, and CMS knowledge (3 years)
  • Reporting and analytics
  • Data entry skills
  • Workflow optimization
  • Verbal and written communication skills

References

References available upon request.

References

References available upon request.

Timeline

Enrollment Team Lead

Health Axis
07.2022 - Current

Enrollment Specialist

Health Axis
09.2021 - 06.2022

Cashier

Winn Dixie
07.2019 - 02.2021

Crew Member

Taco Bell
08.2017 - 11.2018

GED -

Living Free Center

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Augustine Richard