Passionate and self-motivated individual with proven ability to cultivate and maintain robust client relationships. Able to deliver exceptional customer service by promptly addressing inquiries and resolving issues.
Overview
7
7
years of professional experience
Work History
Enrollment Specialist
Priority Health
07.2024 - Current
Update, enter, and review customer data using Facets.
Analyze risk factors to recommend appropriate coverage levels.
Assist with data entry and administrative support tasks to help meet team goals.
Recognize out-of-tolerance items, inconsistencies between items, and data entry errors utilizing Onbase, Availity and Unity Client.
Perform data entry tasks and verify that charts and graphs produce accurate representations of data inputs.
Manage data entry of patient information and maintain updated records.
Complete time-sensitive data entry requests.
Senior Intake Specialist
Cigna Healthcare
02.2023 - Current
Provide accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills
Coordinate resolutions for issues and appeal denied authorizations
Meet performance goals and call center metrics in fast-paced performance setting
Maintain accurate records of all referrals and follow-up activities
Collaborate with internal departments such as billing, coding and utilization management teams, claims, provider and customer service
Managed approximately 50 incoming calls. emails and faxes per day
Membership Enrollment Specialist III
Bright Healthcare
08.2021 - 12.2022
Adhered strictly to privacy protocols when handling confidential information
Provided superior customer service in responding to client inquiries regarding plan coverage details
Collaborated with internal departments to ensure proper implementation of health benefit plans
Actively participated in team meetings offering suggestions for process improvements
Scheduled appointments and assisted with referrals, claims, appeals and grievances
Knowledge of Open enrollment and Special enrollment qualifications
Affordable care act, Medicare and Medicaid plans
Customer Coordinator/ Inside Sales
Arrow Exterminators
08.2017 - 03.2021
Responded promptly to emergency calls related to pest infestation problems
Developed preventative maintenance plans for clients in order to reduce the likelihood of future infestations
Built relationships with customers by providing courteous service and timely follow-up
Cold-called potential customers to build relationships and increase sales
Assisted in the planning of company events such as conferences, seminars, workshops
Proficient in using sales and reservation software
Education
Associate in Arts (A.A.) - Liberal Arts
Herkimer County Community College
Herkimer, NY
Skills
CRM
Workday
Microsoft Office
Salesforce
Call Volume and Quality Metrics
Medical Terminology
Medical Records
Verint
Genesys
Availty
QNXT
Kronos
Microsoft Teams
Facets
Unity Client
Timeline
Enrollment Specialist
Priority Health
07.2024 - Current
Senior Intake Specialist
Cigna Healthcare
02.2023 - Current
Membership Enrollment Specialist III
Bright Healthcare
08.2021 - 12.2022
Customer Coordinator/ Inside Sales
Arrow Exterminators
08.2017 - 03.2021
Associate in Arts (A.A.) - Liberal Arts
Herkimer County Community College
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