Increased customer satisfaction, providing timely and thorough responses to all inquiries received through various channels.
Streamlined application review process for faster turnaround times and higher approval rates.
Maintained in-depth knowledge of federal, state, and local regulations to accurately assess applicant eligibility for programs.
Expedited resolution of escalated cases, liaising with appropriate parties to resolve discrepancies or clarify information.
Demonstrated commitment to data privacy by adhering strictly to security protocols when handling confidential applicant information.
Managed high-volume caseloads efficiently under tight deadlines while maintaining accuracy and attention to detail throughout the entire process.
Supported continuous process improvements by participating in focus groups, committees, and special projects aimed at enhancing the department''s operations.
Contributed significantly towards positive audit results from regulatory agencies by ensuring complete adherence to guidelines during eligibility determination processes.
Improved client satisfaction by efficiently processing eligibility applications and addressing inquiries.
Reduced processing errors, implementing stringent quality control measures for application reviews.
Assisted clients with completion of applications and paperwork.
Communicated with people from various cultures and backgrounds on referral process.
Obtained insurance processing information from patients and doctor’s office's.
Verified insurance details directly with commercial and government insurance plans.
Patient Care Advocate
Accredo
05.2017 - 08.2021
Developed strong relationships with local pharmacies to expedite prescription refills and prevent gaps in medication therapy.
Demonstrated empathy toward diverse patient populations, building trust through compassionate interactions.
Enhanced patient satisfaction by addressing concerns and providing clear communication on treatment plans.
Resolved problems with communication and billing to foster seamless services.
Managed effective communication between patients and providers by serving as a liaison for questions or concerns.
Provided emotional support to patients and families, fostering a positive atmosphere during challenging situations.
Completed documentation of care, hospital actions, and patient activities.
Stayed calm under pressure to and successfully dealt with difficult situations.
Verified patient insurance eligibility and entered patient information into system.
Provided excellent customer service to patients and medical staff.
Resolved customer complaints using established follow-up procedures.
Helped address client complaints through timely corrective actions and appropriate referrals.
Responded to inquiries by directing calls to appropriate personnel.
Processed payments using cash and credit cards, maintaining accurate records of transactions.
Data Entry Clerk
Nosco
05.2016 - 02.2017
Completed data entry tasks with accuracy and efficiency.
Followed established procedures to enter and process data correctly.
Organized, sorted, and checked input data against original documents.
Scanned documents and saved in database to keep records of essential organizational information.
Entered data into various computer systems accurately using Microsoft Office Suite.
Verified accuracy of data entered into system to produce error-free reports.
Reduced turnaround time for projects by consistently meeting or exceeding deadlines while maintaining high-quality work output.
Benefit Service Representative
Aon Hewitt
10.2015 - 04.2016
Participated in benefit plan audits, ensuring accuracy and compliance with legal requirements.
Organized benefits information sessions to keep employees informed about their options and any policy updates.
Improved client satisfaction by efficiently addressing and resolving benefits-related inquiries.
Streamlined benefits enrollment process for faster and more accurate submissions.
Ensured compliance with federal and state regulations by maintaining up-to-date knowledge of benefit laws and guidelines.
Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
Implemented open enrollment system to streamline benefits processes for employees.