Accomplished professional with more than four years of work-from-home experience , excelling in member engagement through strategic communication. Proficient in scheduling and workflow management, achieving an impressive rate of 50 outbound calls per hour. Committed to enhancing member satisfaction and optimizing access. Great communication & work from home skills
Adhere to Compliance:
Follow HIPAA and other security guidelines when handling member health information
Maintained high productivity by making an average of 50 outbound calls per hour using an automatic dialer system to achieve daily goals
contacting health plan members to schedule in-home or virtual health evaluations, answering inquiries about these services, and performing administrative tasks like rescheduling appointments
Proactively call members of Medicare and Medicaid health plans to offer and schedule free in-home or virtual health evaluations
Communicate Effectively:
Use approved scripts to explain the evaluation process, answer member questions, and handle objections with professional courtesy
Respond to incoming calls and inquiries from members regarding health plans, benefits, claims, and services.
 Assist members in understanding their healthcare options and navigating the enrollment process.
 Resolve issues and provide accurate information in a timely manner.
Meet performance and quality metrics set by WellCare.
 Maintain accurate records and documentation of all interactions.
 Stay updated on company policies, procedures, and regulatory guidelines.
 Engage in ongoing training and professional development opportunities.
These responsibilities ensure that WellCare employees contribute to the overall mission of delivering quality healthcare services and managing patient care effectively while working from home.